After stenting, most patients can pay attention to the treatment of drugs, but many cardiovascular patients have taken medicines and undergone surgery, and it is still difficult to return to normal work and life, and the body is still uncomfortable, chest pain, and even the recurrence of the disease. Professor Hu Dayi, a well-known cardiovascular disease expert in China, has been engaged in cardiovascular disease research for decades, and he finally found that such patients often have psychological problems at the same time as there are heart diseases, and at this time, everyone only cares about using drugs to solve diseases, but ignoring "heart disease also needs heart medicine", mental health This dose of "special medicine", many patients have not eaten! #健康科普排位赛 #
Modern medical and psychological research has shown that many of the diseases' occurrence, symptoms, types, development, duration, outcome, and prognosis are caused by behavioral and emotional changes caused by psychological and social stressors. The psychological condition after the disease can continue to affect the condition, whether it is getting better or worsening, it has a lot to do with the psychological state. The ultimate solution to this mentally-generated disease is to start with the psyche.
Foreign experts such as Behar did a quantitative analysis and observed that 14% to 18% of cardiovascular events occurred related to psychological factors [1].
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Anxiety, depression
Studies have found that up to 30% to 40% of patients with acute myocardial infarction will experience different degrees of anxiety and depression, and these patients will continue to increase undesirable factors such as endothelin in the blood, further leading to vascular endothelial damage and aggravating ventricular remodeling, resulting in a poor prognosis [2].
This psychology is mainly due to the long treatment cycle of cardiovascular diseases, generally requiring lifelong medication, or the current treatment effect is not ideal, the condition is repeated and other reasons, resulting in adverse psychological reactions produced by patients under the dual pressure of economic burden and psychological burden.
Panic, nervousness
The main reason for this psychology is due to the patient's lack of understanding of their own disease and some external rumors, resulting in patients can not scientifically understand the disease, can not actively face the treatment, and are in a state of high tension for a long time, which is very unfavorable to the recovery of the disease.
insomnia
According to the survey, about 64% of cardiovascular patients are accompanied by symptoms of insomnia, which will speed up the patient's heart rate and increase blood pressure, thus further aggravating or recuring the original cardiovascular problem. The causes of insomnia are often related to their own disease torment and the anxiety and panic mentioned above, causing patients to have difficulty falling asleep, poor sleep quality and further aggravating the condition, so back and forth, vicious circle.
Self-denial
Some cardiovascular disease patients due to changes in work and living conditions before and after the disease, can not be adjusted in time to relieve, often show two extreme emotions, or depressed, or irritable and irritable. Due to the changes of the disease to the body, the patient is in a state of self-denial, often because of some small things to cause emotional fluctuations.
Fear stems from the unknown, and dispelling concerns in treatment and rehabilitation is the best way to relieve the burden of psychology.
★ Eliminate fear: Patients can understand as much as possible about the knowledge of stent implantation, precautions, and the necessity of drug treatment, and can contact patients with stent experience to exchange rehabilitation experience and experience.
★ Not overly cautious: It's good to have a strong sense of rehabilitation in patients after stenting, but over-caution can sometimes be a burden. In view of this situation, patients can learn more about the relevant knowledge of cardiovascular diseases and integrate into social activities, and the vast majority of patients can overcome this psychological state and re-establish self-confidence.
★ Out of depression: These patients often have a variety of underlying diseases before surgery, and some patients are themselves sentimental. This kind of psychological state can fully understand the improvement effect of stent surgery on the underlying disease, and help patients build confidence in overcoming the disease through positive guidance and encouragement [3].
★ Establish a doctor-patient connection: Many patients with coronary stent implantation in the clinic are not treated well or have complications directly related to the complexity of the doctor's order and the relevant knowledge education [4]. Postoperative medication, rehabilitation events and small things are generally inconvenient to run the hospital to find a doctor, we can make full use of the current developed Internet diagnosis and treatment technology, through the mobile phone can find a professional doctor, to help patients from a professional perspective to solve the rehabilitation gap after discharge.
bibliography:
[1]behar s et al.am j med,1993;94:395一400
[2] Psychobehavioral factors and the occurrence and development of cardiovascular disease
Jiang Min. Application and experience of humanized nursing in cardiovascular medicine[j]. Chinese Journal of Modern Clinical Nursing,2007,2(3):257-258
[4] Behavioral psychology and adherence to outpatient treatment in patients after coronary stent implantation