伊朗肝移植候选者的社会心理状态及其与健康相关生活质量、抑郁和焦虑的相关性

IF 0.9 Q3 SURGERY
M. Banihashemi, M. Hafezi, M. Nasiri-toosi, A. Jafarian, M. Abbasi, M. Arbabi, M. Abdi, Mahzad Khavarian, A. Nejatisafa
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引用次数: 13

摘要

目标。该研究的目的是为伊朗肝移植候选人提供一个既定的肝移植项目的社会心理概况。材料和方法。纳入2013年3月至2014年9月在伊朗德黑兰伊玛目霍梅尼医院(Imam Khomeini Hospital)评估肝移植候选资格的患者。进行了以下一系列测试:移植候选者心理社会评估(PACT)、简短健康调查(SF-36)和医院焦虑和抑郁量表(HADS)。结果。205名肝移植候选人的社会心理评估显示,几个SF-36领域存在显著损伤;社会功能受损最少,身体功能受损最严重。根据HADS的数据,可能患有焦虑症和抑郁症的病例患病率分别为13.8%和5.6%。根据PACT, 24.3%的被评估个人被认为是优秀或优秀的候选人。在11.2%的患者中,由于至少有一个主要的社会心理或生活方式风险因素,移植似乎是不理想的选择。候选质量差与健康相关生活质量受损以及焦虑和抑郁量表得分较高相关(p < 0.05)。结论。移植项目可以实施基于规范数据库的特定干预方案,以解决患者的社会心理问题,从而改善患者护理、生活质量和移植结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychosocial Status of Liver Transplant Candidates in Iran and Its Correlation with Health-Related Quality of Life and Depression and Anxiety
Objectives. The study was aimed at providing a psychosocial profile for Iranian liver transplant candidates referred to an established liver transplantation program. Material and Methods. Patients assessed for liver transplant candidacy in Imam Khomeini Hospital (Tehran, Iran) between March 2013 and September 2014 were included. The following battery of tests were administered: Psychosocial Assessment of Candidates for Transplant (PACT), the Short-Form health survey (SF-36), and Hospital Anxiety and Depression Scale (HADS). Results. Psychosocial assessment in 205 liver transplant candidates revealed significant impairments in several SF-36 domains; social functioning was the least and physical functioning was the most impaired domains. The prevalence of cases with probable anxiety and depressive disorders, according to HADS, was 13.8% and 5.6%, respectively. According to PACT, 24.3% of the assessed individuals were considered good or excellent candidates. In 11.2%, transplantation seemed poor candidate due to at least one major psychosocial or lifestyle risk factor. Poor candidate quality was associated with impaired health-related quality of life and higher scores on anxiety and depression scales (p < 0.05). Conclusions. Transplant programs could implement specific intervention programs based on normative databases to address the psychosocial issues in patients in order to improve patient care, quality of life, and transplant outcomes.
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