Psychosocial and behavioural factors in heart transplant candidates – an overview

Psychosocial and behavioural factors in heart transplant candidates – an overview
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心脏移植候选人的心理社会和行为因素——概述

DOI:
10.1111/j.1432-2277.2007.00503.x
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发表时间:
2007
影响因子:
3.1
通讯作者:
G. Weidner
G. Weidner
中科院分区:
医学3区
文献类型:
--
作者:
H. Spaderna;J. Smits;A. Rahmel;G. Weidner

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心脏移植(HTX)候选人的死亡率仍然很高。这篇文献综述表明,社会心理特征,如抑郁,社会隔离和应对策略有助于心力衰竭(HF)患者的发病率和死亡率,也可能与HTX候选人的预后有关。根据迄今为止的研究,体力活动不仅对HF患者而且对HTX候选者的主观和客观参数产生有利影响。抑郁症在HTX候选者中普遍存在,特别是在缺血性患者中,并且似乎与早期移植有关。关于抑郁症对移植前死亡率影响的研究结果是相互矛盾的。关于这一患者群体的社会隔离、应对、营养或体重减轻,我们知之甚少。明确需要确定与这一患者群体临床状态相关的可改变的心理社会和行为变量,这将有助于制定行为干预措施,以补充药物治疗。
Mortality among heart transplant (HTX) candidates remains high. This review of the literature shows that psychosocial characteristics like depression, social isolation and coping strategies contribute to morbidity and mortality in heart failure (HF) patients, and may also be relevant to the prognosis of HTX candidates. Based on the research to date, physical activity favourably affects subjective and objective parameters not only in HF patients, but also in HTX candidates. Depression is prevalent among HTX candidates, especially in ischaemic patients, and seems to be related to earlier transplantation. Findings on the effects of depression on pretransplant mortality are conflicting. Not much is known concerning social isolation, coping, nutrition, or weight loss in this patient group. Identification of modifiable psychosocial and behavioural variables related to clinical status in this patient group is clearly needed and will aid the development of behavioural interventions to supplement medical therapies.
DOI: 10.1161/01.cir.97.10.958
发表时间: 1998-03
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影响因子: 37.8
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H. Krumholz;J. Butler;Jeremy A Miller;V. Vaccarino;Christianna S. Williams;Carlos F. Mendes Leon;T. Seeman;S. Kasl;L. Berkman
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发表时间: 1999
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DOI: --
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期刊: The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation.
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