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重新审视"心理社会清除":肝移植中心理社会评估的程序框架

Gerald Scott Winder^1,2,3, Anne C Fernandez¹, Ponni V Perumalswami^4,5

¹Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

|November 27, 2023

概括

心理社会因素在肝移植 (LT) 中至关重要,但对临床医生来说具有挑战性. 本研究提出了一个框架,以改善LT候选人的心理社会评估和决策.

科学领域:

移植医学移植医学
心理社会健康心理健康
临床决策 - 临床决策

背景情况:

心理社会因素显著影响肝移植 (LT) 评估和结果.
末期肝病通常与心理和行为问题有关,使LT评估复杂化.
目前在LT的心理社会评估实践缺乏标准化和专家指导.

研究的目的:

解决肝移植中改善心理社会评估的需要.
提出一个概念框架来评估LT候选人的心理社会清除.
确定共同的挑战,并提供加强LT心理社会实践的策略.

主要方法:

对肝移植中心理社会评估现有文献的综述.
对心理社会清除的临床实践和决策过程的分析.
为核心评估领域,陷和改进提出的框架的开发.

主要成果:

心理社会评估在LT中至关重要,但复杂和有争议.
关于心理社会因素的LT中心政策和临床医生意见存在很大差异.
心理社会专业知识的需要和可用的指导之间存在很大的差距.

结论:

需要一个结构化的框架来指导肝移植中的心理社会评估.
标准化程序和解决常见的陷可以改善LT候选人的评估.
为了成功进行肝移植,心理社会护理领域的进一步创新和专业知识至关重要.

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