Galán Rodríguez Antonio, Pérez San Gregorio Angeles Maria, Martín Rodríguez Agustín, Borda Más Mercedes
Junta de Extremadura.
Psicothema. 2008 May;20(2):266-72.
Transplantation may imply severe biopsychosocial impairments. In order to know the quality of life of patients one year after transplantation, 58 subjects were compared to three different groups of patients (stabilized and acute COPD patients, and lung cancer patients in a surgery unit). Patients filled in two questionnaires: EORTC QLQ-C30 (quality of life) and HAD (anxiety and depression). The quality of life dimensions with inter-group differences were physical, role, emotional and cognitive functioning, global health status, and a number of symptoms (fatigue, dyspnea, insomnia and appetite loss). There were differences in depression, and but not in anxiety. Transplant and surgical patients showed better quality of life and affective status than chronic pulmonary patients. Discriminant analysis showed that the transplant group was the best described group. We conclude that patients, one year after transplantation, show similar quality of life as asymptomatic hospitalised patients, somewhat better than chronic patients in a stabilized stage of the disease, and much better than severe chronic patients.
移植可能意味着严重的生物心理社会损伤。为了解移植后一年患者的生活质量，将58名受试者与三组不同患者（稳定期和急性期慢性阻塞性肺疾病患者以及外科病房的肺癌患者）进行比较。患者填写了两份问卷：欧洲癌症研究与治疗组织生活质量核心问卷（EORTC QLQ-C30）（生活质量）和医院焦虑抑郁量表（HAD）（焦虑和抑郁）。存在组间差异的生活质量维度包括身体、角色、情感和认知功能、总体健康状况以及一些症状（疲劳、呼吸困难、失眠和食欲减退）。在抑郁方面存在差异，但焦虑方面不存在差异。移植患者和外科手术患者的生活质量和情感状态优于慢性肺病患者。判别分析表明移植组是描述最准确的组。我们得出结论，移植后一年的患者生活质量与无症状住院患者相似，略优于疾病稳定期的慢性病患者，且远优于重度慢性病患者。
