Preoperative psychosocial predictors of hospital length of stay after heart transplantation.
Preoperative psychosocial predictors of hospital length of stay after heart transplantation.
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心脏移植后住院时间的术前心理社会预测因素。
DOI：
10.1097/00005082-199910000-00003
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
White-Williams,C
中科院分区：
文献类型：
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作者：
Grady,KL;Jalowiec,A;White-Williams,C
心理社会因素对心脏移植后住院时间（LOS）的影响尚未见报道。本研究探讨了术前心理社会变量与 LOS 之间的关系，并确定了移植后 LOS 的术前心理社会预测因素。对两个医疗中心的 307 名患者进行非随机抽样，完成了一份自我管理的社会心理测量手册。还进行了图表审查。心理社会问题包括焦虑、压力和应对不当；对心力衰竭和治疗的理解存在疑问；药物滥用；和不合规情况。自我护理障碍、不遵守规定的历史以及更多的情绪障碍预计 LOS 的比例为 8%。这支持将心理社会问题和功能障碍纳入心脏移植后临床路径中。
The effect of psychosocial factors on hospital length of stay (LOS) after heart transplantation has not been reported. This study examines relationships between preoperative psychosocial variables and LOS and identifies preoperative psychosocial predictors of LOS after transplant. A nonrandom sample of 307 patients at two medical centers completed a self-administered booklet of psychosocial measures. A chart review was also conducted. Psychosocial problems included anxiety, stress, and inadequate coping; questionable understanding of heart failure and treatment; substance abuse; and noncompliance. Self-care disability, a history of noncompliance, and more emotional disability predicted 8% of LOS. This supports the inclusion of psychosocial issues and functional disability in post-heart transplant clinical pathways.