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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >Young at heart: understanding the unique psychosocial adjustment of young implantable cardioverter defibrillator recipients.
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Young at heart: understanding the unique psychosocial adjustment of young implantable cardioverter defibrillator recipients.

机译：心地年轻：了解年轻的植入式心脏复律除颤器接受者的独特心理社会适应能力。

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摘要

This article reviews the data related to psychosocial adjustment of young ICD recipients, postulates theories to explain potential adjustment difficulties to ICD therapy experienced by younger recipients, and suggests clinical management techniques for addressing the unique psychosocial concerns of young ICD recipients. Studies of young ICD recipients suggest that a wide range of psychosocial adjustment issues are prominent in the post-ICD implantation period and that the issues may be different from older ICD recipients. The disability-stress-coping model and the transactional-stress-coping model are postulated as explanations for the unique adjustment concerns of children and adolescents with ICDs. Social comparison theory is also applied to the concerns of young adults with ICDs such that they often lack same age peers to compare experiences with cardiac difficulties. Brief, clinic-based interventions by health care providers, like a screening and referral heuristic and an "ICD Buddy" system, are suggested to increase effective coping and decrease social isolation for young ICD recipients.
机译：本文回顾了与年轻ICD接受者的心理社会适应有关的数据，提出了理论来解释年轻ICD接受者对ICD治疗的潜在调整困难，并提出了针对年轻ICD接受者独特的心理社会关注的临床管理技术。对年轻的ICD接受者的研究表明，在ICD植入后阶段，广泛的社会心理适应问题是突出的，而且这些问题可能与年长的ICD接受者不同。假定残疾压力应对模型和交易压力应对模型是对患有ICD的儿童和青少年独特的适应性关注的解释。社会比较理论也适用于患有ICD的年轻人的关注，因此他们经常缺乏同龄同龄人来比较有心脏困难的经历。建议由医疗保健提供者进行的基于临床的简短干预措施，例如筛查和转诊试探法以及“ ICD好友”系统，以提高年轻ICD接受者的有效应对能力并减少社会隔离。

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