移植所带来的心理社会挑战
Gabriella Primera1, Michaela R Anderson1, Brittany Koons2
1Department of Medicine, University of Pennsylvania, Philadelphia.
Current opinion in pulmonary medicine
|February 24, 2026
概括
心理社会因素会影响肺移植的结果. 目前的指导方针强调个性化评估而不是广泛的禁忌,但需要更多的肺部特定研究来完善评估工具和干预措施.
科学领域:
- 肺部病理学 肺部病理学
- 移植手术 移植手术
- 心理社会医学 心理社会医学
背景情况:
- 心理社会因素显著影响肺移植前后的结果.
- 现有的建议通常基于单个中心或其他器官移植的有限数据.
- 显然需要对肺移植中心理社会因素进行全面的,最新的审查.
研究的目的:
- 审查以前关于肺移植中心理社会因素的指导方针.
- 为了综合新出现的肺专用证据.
- 为未来的研究方向确定关键的知识差距.
主要方法:
- 审查现有文献和关于肺移植中心理社会评估的指导方针.
- 综合了最近的肺部特异性研究.
- 识别知识缺口和未来研究领域.
主要成果:
- 2021年国际心脏和肺移植协会 (ISHLT) 的共识强调了个性化,整体的心理社会评估方法,几乎没有绝对的禁忌.
- 新兴的肺部特异性证据支持个人心理社会风险评估,而不是广泛的禁忌.
- 与结果的不一致关联以及对单中心研究的依赖突出了局限性.
结论:
- 迫切需要进一步的研究来验证肺部特定的评估工具.
- 需要进行更大规模,多中心和国际研究来加强证据.
- 开发针对心理社会领域的有针对性的干预措施对于改善肺移植结果至关重要.
相关概念视频
Kidney Transplant III: Nursing Management
442
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
442
Kidney Transplant I: Introduction
566
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
566
Tissue Transplantation
1.1K
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
1.1K
Kidney Transplant II: Surgical Procedure
527
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
527
Cell-mediated Immune Responses
84.8K
Overview
84.8K
Bone Marrow Sampling and Transplants
1.8K
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
1.8K


