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Exploring illness denial of LVAD patients in cardiac rehabilitation and their caregivers: A preliminary study

机译：探索心脏康复和护理人员LVAD患者的疾病：初步研究

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Abstract Implantable left ventricular assist devices (LVADs) are increasingly used for patients with heart failure. Despite this evidence, the psychological processes affecting implanted patients and their caregivers are only marginally studied. While common emotional reactions, such as anxiety and depression already receive attention, very little is known about the course of caregiver strain, illness denial, and their reciprocal relation. This preliminary study aims at exploring these critical topics in a cardiac rehabilitation setting, besides offering indications for future research. A total of 44 LVAD patients and caregivers were administered specific questionnaires at admission and discharge from cardiac rehabilitation. Overall, questionnaires completed at discharge showed a positive improvement in the emotional measures used. However, they also showed a worsening in the illness denial measure. We suggest that the denial process may prepare patients and caregivers in returning home. Moreover, we conclude that studying only the common emotional reactions may limit the understanding of the psychological process adaptation to severe illness.
机译：摘要植入左心室辅助装置（LVADS）越来越多地用于心力衰竭的患者。尽管有这种证据，但影响植入患者及其护理人员的心理过程仅限于略微研究。虽然常见的情绪反应，如焦虑和抑郁症已经受到关注，但很少有关于照顾者菌株的过程，疾病拒绝和互惠关系。此次初步研究旨在探索心脏康复环境中的这些关键主题，除了为未来的研究提供迹象。共有44名LVAD患者和护理人员在入学和排放中施用特定问卷从心脏康复。总体而言，在出院时完成的问卷表现出了使用的情绪措施的积极改善。然而，他们也表现出否定否化措施的恶化。我们建议拒绝过程可以准备患者和护理人员在回家中。此外，我们得出结论，只研究常见的情绪反应可能会限制对严重疾病的心理过程适应的理解。

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