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Published on: April 12, 2021
Hospital readmissions after liver transplantation worsen mental health depression: A cohort study
Leticia Lopez-Pedraza1, Victor Fernandez-Alonso2, Leticia Lopez-Pedraza3
1Red Cross University School of Nursing, Autonomous University of Madrid, Madrid, Spain; Gregorio Maranon Health Research Institute (IiSGM), Madrid, Spain.
Introduction:
Liver transplantation continues to be the most effective treatment of choice for patients with end-stage liver disease. Patients who go through that process experienced emotional stress and transplanted patients have a high rate of readmission.
Aims:
This study aims to analyze the relation between mental health and hospital readmissions during the first year after liver transplantation.
Method:
A prospective study was conducted in a cohort of liver transplant patients in a tertiary hospital. Sociodemographic and clinical variables were collected. A descriptive analysis of the data and a multivariate study using a mixed linear model were performed.
Results:
Liver transplant patients improve their mental health within the first year. Hospital admissions during the first-year impact negatively increasing anxiety and depression in liver transplant patients, especially in women.
Conclusion:
The nurse must carry out a continuous psychological evaluation during the process and manage the necessary care, coordinating interdisciplinary care with the appropriate professionals to provide the emotional and psychological care. A multidisciplinary and interdisciplinary team should focus on the prevention of hospital admissions, controlling and managing cardiovascular risk, adherence to immunosuppressive treatment, adherence to the clinical follow-up prescribed by physicians, prevention of infections and promotion of healthy habits.
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