Κατεύθυνση Διασυνδετική Ψυχιατρική και Απαρτιωμένη Φροντίδα Σωματικής και Ψυχικής Υγείας
Library of the School of Health Sciences

2019-09-16

2019

Bolovina Maria Labrini

Γουρνέλλης Ρωσσέτος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Χριστοδούλου Χρήστος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μιχόπουλος Ιωάννης,Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ

Ψυχολογικές επιπτώσεις σε καρδιολογικούς ασθενείς μετά από τοποθέτηση βηματοδότη

Greek

Psychological impacts of cardiac patients with pacemakers

Cardiac diseases and especially the disorders of the electrical activity of the heart are, for the human, diseases of high risk and affect a very wide percentage of patients.
The development of pacemakers and implantable cardioverter defibrillators contributed critically to the raise of life expectancy of the patients. According to the last measurement of the European Heart Rhythm Association (2017), in the countries of the European Union there were implanted 3.832 defibrillators, 21.488 pacemakers and 2.914 CRT pacemakers (CRT-Cardiac Resynchronization Therapy) every one million of residents in 2016. In this research, there is an attempt for a bibliographical review and an exploratory approach of the psychological expressions (stress, depression, insomnia), but also of the self-esteem for patients with pacemakers in comparison to patients or not who do not have such a device (150 participants).
Current bibliography correlates the expression of depressive semiology, stress and low quality of life with the existence of cardiac implantable electronic devices.
Furthermore, studies point out the connection of the aforementioned expressions with the prediction of patient's health but also with the quality of life of his family. Sleep disturbances are met frequently in heart failure patients, generally. In patients with artificial cardiac pacemakers, studies point out the possibility of the existence of sleep disorder, mostly sleep apnea syndrome, without being diagnosed.
Self-esteem in patients with chronic illness displays negative relation with the existence of the disease. Self-esteem relates with stress, levels of proinflammatory cytokine, variations of the systolic blood pressure and it seems to affect more the depression than depression affects self-esteem. Current study notices statistically serious relation between insomnia and severe symptoms of depression, stress and the low level of self-esteem.
Finally, it seems that the participants patients with pacemaker begun to smoke in an older age than the control group and to consume, by average, one more glass of alcohol every day. Thus, there is a need to emphasize on prevention and treatment of psychological expressions of the patients with pacemaker, as to devise more such studies.

Health Sciences

Pacemaker, Insomnia, Depression, Stress, Self-esteem, Implantable cardioverter defibrillators

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https://pergamos.lib.uoa.gr/uoa/dl/object/2880735