儿科固体器官移植受体中创伤后压力的危险因素
Tatsuma Hind1, Julie Robillard2,3, Kathryn Armstrong4
1Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Pediatric transplantation
|September 16, 2024
概括
创伤后压力症状 (PTSS) 在儿科固体器官移植 (SOT) 受体中很常见. 医疗复杂性和寄养参与增加了风险,而强大的家庭功能可能是保护性的.
科学领域:
- 儿科移植 儿科移植
- 心理社会瘤学 心理社会瘤学
- 创伤信息化的护理
背景情况:
- 最终阶段的器官衰竭带来了重大挑战,通常涉及创伤性的医疗和手术经历.
- 创伤后应激症状 (PTSS) 是儿科固体器官移植 (SOT) 受体中普遍存在的并发症,影响生活质量.
- 在临床计划中,SOT中的PTSS往往被低估.
研究的目的:
- 评估小儿SOT接受者中PTSS的潜在决定因素.
- 在移植前和移植后识别与PTSS相关的因素.
- 探索医疗复杂性,家庭因素和PTSS之间的关系.
主要方法:
- 对86名小儿SOT接受者 (心脏,脏,肝脏) 的回顾性,横截面研究.
- 使用儿童创伤查问卷 (CTSQ) 评估的创伤症状.
- 对人口,基线和当代因素的分析,包括ICU日,药物复杂性,寄养参与和家庭功能.
主要成果:
- 22%的小儿SOT受试者有患PTSD的高风险 (CTSQ分数≥5).
- 较高的PTSS得分与更长的ICU日,增加的药物复杂性和寄养照顾参与相关.
- 更高的家庭功能独立地与较低的PTSS分数相关.
- 探索性分析表明,PTSS在移植前开始,移植后持续.
结论:
- 在小儿SOT人群中,PTSS非常普遍.
- 医疗经验和复杂性是危险因素;家庭稳定可能是保护性的.
- 需要进一步的研究,以便在整个移植过程中早期识别和支持风险患者.
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