Archonti Christina, D'Amelio Robert, Klein Tobias, Schäfers Hans-Joachim, Sybrecht Gerhard W, Wilkens Heinrike
Medizinische und Klinische Psychologie, Universitätskliniken des Saarlandes, Homburg/Saar.
Psychother Psychosom Med Psychol. 2004 Jan;54(1):17-22. doi: 10.1055/s-2003-812589.
The present study was carried out to assess quality of life, level of depression and perceived social support of patients on the waiting list and after a lung transplantation.
19 patients on the waiting list for lung transplantation and 20 patients 5 - 47 months after transplantation were enrolled in the study. Quality of life was measured by the SF-36 Health Survey, the level of depression with Beck Depression Inventory (BDI) and the perceived social support with the questionnaire for social support (F-SOZU).
Significant differences were observed in indicators regarding physical functioning, role-physical, vitality, health perception and social functioning. Both groups showed equal levels of depression and their number of perceived support persons. The perceived support correlates negatively with the level of depression. Transplanted women reported significant more burdensome relationships when compared to transplanted men.
The effects of lung transplantation are shown best in all indexes of SF-36 associated with physical functioning. In both groups social support is positively correlated with the quality of life and negatively correlated with the level of depression. Perceived positive relationships reduces the risk of psychological disturbance. However, the results may also point to a different coping pattern for patients with a low level of depression.
本研究旨在评估等待肺移植患者及肺移植术后患者的生活质量、抑郁水平和感知到的社会支持。
本研究纳入了19名等待肺移植的患者以及20名移植后5至47个月的患者。生活质量通过SF-36健康调查进行测量，抑郁水平采用贝克抑郁量表（BDI）进行评估，感知到的社会支持则通过社会支持问卷（F-SOZU）进行调查。
在身体功能、角色-身体、活力、健康认知和社会功能等指标方面观察到显著差异。两组在抑郁水平和感知到的支持人数方面表现相当。感知到的支持与抑郁水平呈负相关。与移植男性相比，移植女性报告的人际关系负担更重。
肺移植的效果在SF-36中与身体功能相关的所有指标中表现最佳。在两组中，社会支持与生活质量呈正相关，与抑郁水平呈负相关。感知到的积极人际关系可降低心理障碍的风险。然而，结果也可能表明抑郁水平较低的患者有不同的应对模式。
