关键词:
法乐四联症
认知功能
生活质量
结构式面谈
心理特征
心脏检查
执行功能
神经生理学
明尼苏达
自我形象
摘要:
Objective: To assess the health related quality of life of patients who were operated on during childhood for total correction of tetralogy of Fallot, focusing on the psychosocial and cognitive outcomes. Patients: 54 patients(24 men and 30 women, mean(SD) age 32(4) years), operated on for total correction of tetralogy of Fallot at mean age of 8.2 years,underwent a cardiological examination, psychological assessment(semistructured interview, Minnesota multiphasic personality inventory), evaluation of quality of life(36 item short form health survey), and neuropsychological assessment with an extensive neuropsychological battery of tests. Results: Psychological characteristics-(1)-a lower than normal academic level,(2) a job inadequate for educational level,(3) a preference for an over protective familiar setting, and(4) a difficulty communicating own corporal image. Denial of the cardiopathy was found to be a common behaviour to normalise functioning. Very few patients had a deficit in memory, learning, or attention functions; rather, patients had a deficit in the executive functions, problem solving, and planning strategies. Conclusions: Despite a satisfactory health related quality of life, there are residual psychological and social problems in addition to impaired cognitive outcomes in the presence of a normal intelligence quotient.