心脏移植前后的疲劳、睡眠问题和自我效能：5年随访。

IF 1.9 4区医学 Q2 SURGERY

Clinical Transplantation Pub Date : 2025-10-01 DOI:10.1111/ctr.70341

Marita Dalvindt, Hannah Lindahl Veungen, Annika M Kisch, Annette Lennerling, Maria Hjorth, Anna Forsberg

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引用次数: 0

摘要

简介：疲劳是心脏移植后的一个令人困扰的症状，长期研究很少。一种假设是疲劳、睡眠问题和自我效能之间有很强的关系，疲劳会降低自我效能。本研究的目的是探索从等待名单到心脏移植后5年的自我报告疲劳及其与自我效能感和睡眠问题的关系。方法：在这项多中心纵向队列研究中，48名心脏受者，12名女性和36名男性，中位年龄为57岁，从移植前到移植后5年随访。使用了三种工具：(1)移植特异性器官移植症状和幸福感量表（OTSWI），(2)瑞典版多维疲劳量表（MFI），(3)慢性疾病管理自我效能6项量表（SES6G）。结果：移植后睡眠问题减少，但3-5年后与移植前比较无差异。从心脏移植前到移植后5年，整个组的自我效能都有所提高。一般疲劳预示着自我效能。结论：疲劳在心脏移植术后自我效能感中起关键作用。由于引起不确定性，它降低了自我效能感，应该成为未来干预的主要目标。

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Fatigue, Sleep Problems, and Self-Efficacy Before and After Heart Transplantation: A 5 Year Follow-Up.

Introduction: Fatigue is a troublesome symptom after heart transplantation and is poorly studied in a long-term perspective. One hypothesis is that there is a strong relationship between fatigue, sleep problems, and self-efficacy, and that fatigue decreases self-efficacy. The aim of this study was to explore self-reported fatigue from the time on the waiting list to 5 years after heart transplantation and its association with self-efficacy and sleep problems.

Methods: In this multicenter, longitudinal cohort study 48 heart recipients, 12 women and 36 men with a median age of 57 years, were followed from pre-transplant to 5 years post-transplant. Three instruments were used: (1) the transplant-specific Organ Transplant Symptom and Well-Being Instrument (OTSWI), (2) the Swedish version of the Multi-Dimensional Fatigue Inventory (MFI), and (3) the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SES6G).

Results: Sleep problems decreased after transplantation, but after 3-5 years, there were no differences in comparison with pre-transplant. Self-efficacy improved for the whole group from pre-transplant up to 5 years after heart transplantation. General fatigue predicted self-efficacy.

Conclusion: Fatigue plays a pivotal role in self-efficacy after heart transplantation. It reduces self-efficacy due to causing uncertainty and should constitute a primary target for future interventions.

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来源期刊

Clinical Transplantation 医学-外科

CiteScore

3.70

自引率

4.80%

发文量

286

审稿时长

2 months

期刊介绍： Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.