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Psychosocial aspects before and up to 2years after heart orlung transplantation: Experience of patients and their nextof kin
Lund Univ, Dept Cardiothorac Surg, Lund, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linkoping, Sweden.;Linkoping Univ, Dept Cardiothorac Surg, Linkoping, Sweden..
Lund Univ, Dept Cardiothorac Surg, Lund, Sweden.;Skane Univ Hosp Lund, Dept Cardiothorac Surg, Lund, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Skane Univ Hosp Lund, Dept Cardiol, Lund, Sweden..
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2017 (English)In: Clinical Transplantation, ISSN 0902-0063, E-ISSN 1399-0012, Vol. 31, no 3, article id e12905Article in journal (Refereed) Published
Abstract [en]

BackgroundPsychosocial factors are important for patients undergoing heart (HTx) or lung (LTx) transplantation and for their next of kin (NoK). AimTo describe health-related quality of life (HRQoL; patients only), anxiety, depression, stress, coping ability, and burden (NoK only) for patients and their NoK before and up to 2years after HTx or LTx. DesignAdult patients (28 hearts and 26 lungs) and their appointed NoK were surveyed with questionnaires about specific psychosocial topics when they were accepted for the transplantation waiting list and 6months, 1year, and 2years after transplantation. FindingsPatients' coping ability and self-perceived health were low at baseline and improved over time after transplantation. However, lung patients took longer time to recover in terms of HRQoL, depression, and stress than heart patients. Similarly, NoK of lung patients experienced a higher burden and more stress 1year after transplantation than NoK of heart patients. ConclusionsHealthcare professionals should be aware of the psychosocial challenges patients and their NoK face in daily living and provide support both before and after heart or lung transplantation.

Place, publisher, year, edition, pages
WILEY , 2017. Vol. 31, no 3, article id e12905
Keywords [en]
chronic illness, end-stage cardiac diseases, end-stage lung diseases, family, health-related quality of life, longitudinal study, psychosocial adjustment, transplantation
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-320297DOI: 10.1111/ctr.12905ISI: 000395382200017OAI: oai:DiVA.org:uu-320297DiVA, id: diva2:1090708
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Region ÖstergötlandAvailable from: 2017-04-25 Created: 2017-04-25 Last updated: 2017-04-25Bibliographically approved

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Ekmehag, Björn

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