肝移植后再入院加重心理健康抑郁:一项队列研究

IF 1.9 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Victor Fernandez-Alonso, Leticia Lopez-Pedraza, Ana Maria Hernandez-Matias, Ana Fernandez-Alonso, Manuela Perez-Gomez, Maria Nieves Moro-Tejedor
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引用次数: 0

摘要

肝移植仍然是终末期肝病患者最有效的治疗选择。经历这一过程的患者会经历情绪压力,移植患者的再入院率很高。目的:本研究旨在分析肝移植术后第一年心理健康与再入院的关系。方法:对某三级医院肝移植患者进行前瞻性研究。收集社会人口学和临床变量。对数据进行描述性分析,并使用混合线性模型进行多变量研究。结果:肝移植患者的心理健康状况在一年内有所改善。肝移植患者,尤其是女性患者,第一年住院对焦虑和抑郁的增加有负面影响。结论:护理人员在护理过程中必须进行持续的心理评估,管理必要的护理,与适当的专业人员协调跨学科护理,提供情感和心理护理。多学科和跨学科团队应侧重于预防住院,控制和管理心血管风险,坚持免疫抑制治疗,坚持医生规定的临床随访,预防感染和促进健康习惯。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospital readmissions after liver transplantation worsen mental health depression: A cohort study.

Introduction: Liver transplantation continues to be the most effective treatment of choice for patients with end-stage liver disease. Patients who go through that process experienced emotional stress and transplanted patients have a high rate of readmission.

Aims: This study aims to analyze the relation between mental health and hospital readmissions during the first year after liver transplantation.

Method: A prospective study was conducted in a cohort of liver transplant patients in a tertiary hospital. Sociodemographic and clinical variables were collected. A descriptive analysis of the data and a multivariate study using a mixed linear model were performed.

Results: Liver transplant patients improve their mental health within the first year. Hospital admissions during the first-year impact negatively increasing anxiety and depression in liver transplant patients, especially in women.

Conclusion: The nurse must carry out a continuous psychological evaluation during the process and manage the necessary care, coordinating interdisciplinary care with the appropriate professionals to provide the emotional and psychological care. A multidisciplinary and interdisciplinary team should focus on the prevention of hospital admissions, controlling and managing cardiovascular risk, adherence to immunosuppressive treatment, adherence to the clinical follow-up prescribed by physicians, prevention of infections and promotion of healthy habits.

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来源期刊
Gastroenterologia y hepatologia
Gastroenterologia y hepatologia GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
1.50
自引率
10.50%
发文量
147
审稿时长
48 days
期刊介绍: Gastroenterology and Hepatology is the first journal to cover the latest advances in pathology of the gastrointestinal tract, liver, pancreas, and bile ducts, making it an indispensable tool for gastroenterologists, hepatologists, internists and general practitioners.
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