Słowa kluczowe
kardiowerter defibrylator
partner
psychopatologia
jakość życia
Jak cytować
Abstrakt
Celem niniejszego artykułu jest szczegółowa charakterystyka życia pacjentów, po wszczepieniu kardiowertera defibrylatora (ICD). W pierwszej kolejności opisano podstawową funkcję i mechanizm urządzenia oraz rodzaje doświadczanych wstrząsów, w tym wstrząsy fantomowe. Następnie omówiono trzy najważniejsze dylematy z jakimi mierzą się chorzy: wszczepienie ICD, wymiana baterii i dezaktywacja urządzenia. Kolejno dokonano przeglądu literatury naukowej dotyczącej psychopatologicznych objawów u pacjentów. Przedstawiono najnowsze wyniki badań dotyczących lęku i depresji u chorych z ICD oraz szczegółowo omówiono zależność między lękiem i depresją a doświadczanymi wstrząsami. Zaprezentowano także wyniki nielicznych badań dotyczących występowania stresu i zespołu stresu pourazowego u pacjentów. Zwrócono uwagę na pojmowanie wszczepienia kardiowertera defibrylatora jak zdarzenia traumatycznego. Celem niniejszego artykułu było także omówienie jakości życia chorych z kardiowerterem defibrylatorem. Przedstawiono wyniki badań, które wskazują na pogorszenie, poprawę lub utrzymanie poziomu jakości życia chorych porównywalnego do osób zdrowych. Ponadto omówiono specyficzny, ważny z perspektywy osób z ICD aspekt jakości życia jakim jest jakość życia związana ze zdrowiem. Wyniki badań w tym obszarze także nie są jednoznaczne. Ponadto wskazano predyktory jakości życia związanej ze zdrowiem. W artykule podjęto także problematykę zmiany tożsamości chorych po wszczepieniu kardiowertera defibrylatora. Omówiono wyniki prowadzonych w tym zakresie badań, które najczęściej miały charakter jakościowy. W rozważaniach nad tożsamością osób z ICD zwrócono także uwagę na zmiany w obrazie siebie, natomiast kwestia ta nie była częstym przedmiotem badań psychologów. Na koniec dokonano charakterystyki wyzwań z jakimi mierzą się partnerzy i partnerki pacjentów z wszczepionym kardiowerterem defibrylatorem. W tym obszarze także większość badań miała charakter jakościowy, a dane pochodzą z wywiadów z bliskimi pacjentów kardiologicznych.
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