The relationships among satisfaction with social support, quality of life, and survival 5 to 10 years after heart transplantation.
The relationships among satisfaction with social support, quality of life, and survival 5 to 10 years after heart transplantation.
复制标题
社会支持满意度、生活质量和心脏移植后 5 至 10 年生存率之间的关系。
DOI：
10.1097/jcn.0b013e3182532672
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Rybarczyk,Bruce
中科院分区：
文献类型：
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作者：
White-Williams,Connie;Grady,KathleenL;Myers,Susan;Naftel,DavidC;Wang,Edward;Bourge,RobertC;Rybarczyk,Bruce
背景：尽管社会支持对心血管健康很重要，但关于社会支持与心脏移植后长期预后之间的关系的信息很少。目的：因此，我们的前瞻性纵向研究的目的是检验(1)社会支持满意度与心脏移植后健康相关生活质量(HRQOL)和生存的关系；(2)两种类型的社会支持(情感支持和有形支持)是否是生存和HRQOL的预测因素。平均年龄，移植时53.8岁)在4个美国医学中心使用以下工具：社会支持指数、生活质量指数、心脏移植应激量表、Jalowiec应对量表和病历回顾。统计分析包括t检验、相关分析、Kaplan-Meier生存精算、线性回归和多元回归。结果：患者对术后5~10年的总体社会支持非常满意(0=非常满意，1=非常不满意)，随着时间的推移保持稳定(P=0)。74)。情感社会支持满意度(P=.53)和有形社会支持(P=.61)也随着时间的推移保持稳定。当将满意度分为低、中、高三个层次时，对社会支持的满意度与生存无关(P=。24)。5年时，对社会支持的总体满意度是HRQOL的预测因子(r2=0.59，P<；情感社会支持满意度是高血压患者术后10年HRQOL的预测因子(r2=0.66，P<；结论：随着时间的推移，患者对情感和有形的社会支持非常满意。虽然社会支持可以解释生活质量结果，但它并不能预测生存。了解社会支持、压力和结果之间的关系可能有助于临床医生解决HTT后长期的社会支持需求和资源。
Background:Despite the fact that social support has been found to be important to cardiovascular health, there is a paucity of information regarding the relationship between social support and outcomes long-term after heart transplantation (HT).Objectives:Therefore, the purposes of our retrospective analyses of a prospective, longitudinal study were to examine (1) the relationship between satisfaction with social support and post-HT health-related quality of life (HRQOL) and survival and (2) whether 2 types of social support (emotional and tangible) were predictors of survival and HRQOL.Methods:Data were collected from 555 HT patients over a 5-year period (78% male, 88% white; mean age, 53.8 years at time of transplantation) at 4 US medical centers using the following instruments: Social Support Index, Quality of Life Index, Heart Transplant Stressor Scale, Jalowiec Coping Scale, and medical records review. Statistical analyses included t tests, correlations, Kaplan-Meier survival actuarials, and linear and multivariable regression.Results:Patients were very satisfied with overall social support from 5 to 10 years after HT (0= very satisfied, 1= very dissatisfied), which was stable across time (P=. 74). Satisfaction with emotional social support (P=. 53) and tangible social support (P=. 61) also remained stable over time. When stratified into low, medium, and high levels of satisfaction, satisfaction with social support was not related to survival (P=. 24). At 5 years, overall satisfaction with social support was a predictor of HRQOL (r 2= 0.59, P<. 0001), and satisfaction with emotional social support was a predictor of HRQOL at 10 years after HT (r 2= 0.66, P<. 0001).Conclusions:Patients were very satisfied over time with emotional and tangible social support. While social support explained quality of life outcomes, it did not predict survival. Knowledge of relationships among social support, stress, and outcomes may assist clinicians to address social support needs and resources long-term after HT.