肺栓塞患者的心理健康和生活质量:文献综述

IF 1.8 Q3 RESPIRATORY SYSTEM Advances in respiratory medicine Pub Date : 2023-04-20 DOI:10.3390/arm91020015
Niki Gkena, Paraskevi Kirgou, Konstantinos I Gourgoulianis, Foteini Malli
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引用次数: 1

摘要

肺栓塞是一种伴有慢性并发症的急性疾病,虽然它不被认为是一种慢性疾病,但需要密切随访。目前的文献回顾的范围是解码现有的数据关于生活质量和心理健康影响的PE在急性和长期阶段的疾病。大多数研究报告,与人群标准相比,肺心病患者的生活质量受损,无论是在急性期还是肺心病后>3个月。无论使用何种测量方法,生活质量都会随着时间的推移而提高。担心复发、年老、中风、肥胖、癌症和心血管合并症与随访时较差的生活质量独立相关。虽然存在针对特定疾病的工具(例如,肺栓塞生活质量调查表),但还需要进一步研究,以编制可能符合国际指南要求的调查表。担心复发和慢性症状的发展,如呼吸困难或功能限制,可能进一步损害PE患者的心理健康负担。心理健康可能与创伤后应激障碍、急性事件后出现的焦虑和抑郁症状有关。焦虑可在诊断后持续2年,并可因持续呼吸困难和功能限制而加重。年轻患者出现焦虑和创伤症状的风险更高,而老年患者和既往患有心肺疾病、癌症、肥胖或持续性症状的患者更容易出现生活质量受损。在这一患者群体中,评估心理健康的最佳策略在文献中没有很好的定义。尽管体育活动后的精神负担很常见,但目前的指导方针尚未纳入对精神健康问题的评估或管理。需要进一步的研究来纵向评估心理负担,并阐明最佳的随访方法。
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Mental Health and Quality of Life in Pulmonary Embolism: A Literature Review.

Pulmonary embolismis an acute disease with chronic complications and, although it is not considered a chronic disease, it requires close follow-up. The scope of the present literature review is to decode the existing data concerning quality of life and the mental health impact of PE during the acute and long-term phases of the disease. The majority of studies reported impaired quality of life in patients with PE when compared to population norms, both in the acute phase and >3 months after PE. Quality of life improves over time, irrespectively of the measurement used. Fear of recurrences, elderly, stroke, obesity, cancer and cardiovascular comorbidities are independently associated with worse QoL at follow-up. Although disease specific instruments exist (e.g., the Pulmonary Embolism Quality of Life questionnaire), further research is required in order to develop questionnaires that may fulfil international guideline requirements. The fear of recurrences and the development of chronic symptoms, such as dyspnea or functional limitations, may further impair the mental health burden of PE patients. Mental health may be implicated by post-traumatic stress disorder, anxiety and depressive symptoms present following the acute event. Anxiety may persist for 2 years following diagnosis and may be exaggerated by persistent dyspnea and functional limitations. Younger patients are at higher risk of anxiety and trauma symptoms while elderly patients and patients with previous cardiopulmonary disease, cancer, obesity or persistent symptoms exhibit more frequently impaired QoL. The optimal strategy for the assessment of mental health in this patient pool is not well defined in the literature. Despite mental burden being common following a PE event, current guidelines have not incorporated the assessment or management of mental health issues. Further studies are warranted to longitudinally assess the psychological burden and elucidate the optimal follow-up approach.

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来源期刊
Advances in respiratory medicine
Advances in respiratory medicine RESPIRATORY SYSTEM-
CiteScore
2.60
自引率
0.00%
发文量
90
期刊介绍: "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.
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