对心脏移植候选人的心理社会准备性评估
Audrey C Kleet1, Mathew Regan2, Birgit A Siceloff3
1Department of Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Heart & lung : the journal of critical care
|April 17, 2024
概括
对心脏移植候选人的心理社会准备评估是可行的,93%的访问成功完成. 这些评估确保患者有必要的资源和支持,可能减少移植后的并发症.
科学领域:
- 移植医学 移植医学
- 心理社会健康 心理健康
- 医疗保健可行性研究
背景情况:
- 医疗保险和医疗补助服务中心 (CMS) 要求进行心理社会评估,以确定移植是否适合.
- 目前的法规缺乏对等待名单后的准备情况重新评估的指导方针.
研究的目的:
- 评估心理准备评估对等待名单中的心脏移植候选人的可行性.
- 评估患者和程序视角对这些评估的可行性.
主要方法:
- 一个为期12周的试点项目使用GAD-7和PHQ-8评估了社会经济因素 (照顾者支持,住房,交通,保险) 和心理健康.
- 可行性是通过访问完成率 (不出现,重新安排) 和团队成员通过调查的看法来衡量的.
主要成果:
- 在57名被评估的患者中,93%完成了准备访问,没有重新安排或没有出现.
- 75%的医疗保健团队成员认为这些评估在实践中是可行的.
结论:
- 心理社会准备评估是可行的,对于应对等待心脏移植患者的非医疗需求至关重要.
- 这些评估可以确保候选人有足够的资源,并可以通过主动护理减轻移植后不良结果.
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