超越生存:揭示内脏移植后的心理和社会适应
Anna Brantmark1,2, Anna Forsberg3,4, Annette Lennerling1,2
1The Transplant Centre, Sahlgrenska University Hospital, Gothenburg, Sweden.
Journal of clinical nursing
|January 25, 2025
概括
在内脏移植后适应生活需要平衡连贯性和耐力. 接受促进了这一过程,而不确定性可能会增加焦虑,并降低移植接受者的自我效能.
科学领域:
- 移植研究 移植研究
- 心理适应 心理适应
- 患者的体验 患者的体验
背景情况:
- 内脏移植为接受者带来了独特的长期适应挑战.
- 了解适应的多面性质对于患者的福祉至关重要.
研究的目的:
- 探索内脏移植后适应的意义.
- 检查患者的体验,症状,自我效能和移植后的精神健康.
主要方法:
- 融合的并行混合方法研究.
- 采用了深入采访和标准化问卷.
- 分析了来自17名斯堪的纳维亚内脏移植接受者的数据.
主要成果:
- 适应是一个动态的过程,涉及"连贯性" (寻找意义) 和"耐力" (尽管艰难).
- 弹性,接受和连贯性促进了调整,而不确定性和缺乏支持导致了抵抗.
- 报告了显著的焦虑程度 (47%) 和一些抑郁症 (18%),自我有效性各不相同.
结论:
- 适应是连贯性和耐力之间的平衡,受接受或抵抗的影响.
- 内脏移植的固有不确定性会增加焦虑,降低自我效能.
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