[Changes in mental condition of women with heart failure].

Przeglad lekarski Pub Date : 2016-01-01
Alicja Nasiłowska-Barud
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Abstract

Heart Failure (HF) is one of the most serious diseases of cardiovascular system. Epidemiological studies conducted in the first decade of 2000s in industrialised countries show that heart failure occurs in approx. 1-2 % of the population and significantly increases up to 10 % in people over the age of 70. Because of the increase in incidence and high mortality heart failure is one of the most important challenges for modern medicine.

Objective: The aim of this study was to isolate and characterise emotional and adaptive changes observed in women treated for heart failure. Heart failure may be caused by myocardial infarction, myocarditis, cardiomyopathy, untreated hypertension, valvular heart disease, abuse of alcohol and other toxic substances. Its most serious symptoms and therefore most exhausting for patients are: shortness of breath, forced vertical position while breathing, paroxysmal nocturnal dyspnea, weakness, fatigue and generalized edema.

Material and methods: Observations and psychological examination were conducted in 64 women treated for heart failure. Women with HF were provided with help and individual supportive therapy. In conducting individual therapy the role and importance of family support was taken into account.

Results: The results of conducted observations and psychological therapy showed that women with HF revealed many negative emotional states: fear, anxiety, insecurity, depressed mood, depression, impatience, anger and a sense of loss. Progressive heart failure contributed to the increase of negative emotions and lead to the development of mental crisis. The State-Trait Anxiety Inventory (STAAI) by C.D. Spielberger and The Hospital Anxiety and Depression Scale (HADS) A.S. Zigmond and R.P. Snaith were used in psychological examination.

Conclusions: Conducted research and psychological observations allow to conclude that patients with heart failure require professional help and psychological intervention. Psychological therapy should be provided to patients at different stages of disease development. Techniques of psychological therapy must be focused on strengthening psychological resilience and providing help to survive mental health crisis.

[心力衰竭妇女精神状况的变化]。
心衰是最严重的心血管疾病之一。工业化国家在2000年第一个十年进行的流行病学研究表明,心力衰竭的发生率约为20%。占人口的1- 2%,在70岁以上的人群中增加到10%。由于心衰的发病率和死亡率的增加,心衰是现代医学面临的最重要挑战之一。目的:本研究的目的是分离和描述在女性心力衰竭治疗中观察到的情绪和适应性变化。心衰可能由心肌梗死、心肌炎、心肌病、未经治疗的高血压、瓣膜性心脏病、滥用酒精和其他有毒物质引起。其最严重的症状是:呼吸短促,呼吸时被迫垂直体位,阵发性夜间呼吸困难,虚弱,疲劳和全身性水肿。材料与方法:对64例女性心力衰竭患者进行观察和心理检查。为心衰妇女提供帮助和个人支持治疗。在进行个人治疗时,考虑到家庭支持的作用和重要性。结果:经观察和心理治疗,心衰妇女表现出恐惧、焦虑、不安、情绪低落、抑郁、急躁、愤怒、失落感等消极情绪状态。进行性心力衰竭会导致负面情绪的增加,并导致精神危机的发展。心理检查采用C.D. Spielberger的状态-特质焦虑量表(STAAI)和A.S. Zigmond和r.p.s snaith的医院焦虑抑郁量表(HADS)。结论:已开展的研究和心理学观察表明,心衰患者需要专业帮助和心理干预。在疾病发展的不同阶段应给予患者心理治疗。心理治疗技术必须注重增强心理弹性,帮助患者度过心理健康危机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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