Bunzel B, Grundböck A, Laczkovics A, Holzinger C, Teufelsbauer H
Second Surgical Department, University Hospital, Vienna, Austria.
J Heart Lung Transplant. 1991 May-Jun;10(3):455-9.
During the last decade heart transplantation has become the chosen method to treat terminally ill patients suffering from severe cardiac illness. It was the aim of our study to retrospectively survey life quality of donor organ recipients who underwent heart transplantation during the first years of transplantation at our center (1984 through 1987). Thirty-five patients were asked to evaluate their postoperative improvement or deterioration and their satisfaction with the level reached on visual scales. Life quality was defined in nine areas: physical, emotional, mental, vocational, and sexual status, financial situation, leisure activities, partnership, and overall life quality. The following results were obtained: (1) our former patients informed us about a distinct improvement in almost all dimensions (except financial situation). We found an absolute increase in life quality after heart transplantation. (2) Although improvement was ranked best for physical status, there was also a high amelioration in psychosocial fields. (3) A significant difference was seen between changes in condition and satisfaction in the financial situation (z = 2.3) and in partnership (z = 2.9), in which the latter was ranked higher. (4) The date of transplantation (less/more than 2 years ago) had no influence on the evaluation of postoperative life quality.
在过去十年中，心脏移植已成为治疗患有严重心脏病的晚期患者的首选方法。我们研究的目的是回顾性调查在我们中心移植最初几年（1984年至1987年）接受心脏移植的供体器官接受者的生活质量。35名患者被要求评估他们术后的改善或恶化情况以及他们对视觉量表所达到水平的满意度。生活质量在九个方面进行定义：身体、情感、心理、职业和性状况、财务状况、休闲活动、伴侣关系和总体生活质量。得到了以下结果：（1）我们之前的患者告知我们几乎所有方面（财务状况除外）都有明显改善。我们发现心脏移植后生活质量有绝对提高。（2）虽然身体状况的改善排名最佳，但心理社会领域也有很大改善。（3）在财务状况（z = 2.3）和伴侣关系（z = 2.9）的状况变化和满意度之间存在显著差异，其中后者排名更高。（4）移植日期（少于/多于2年前）对术后生活质量的评估没有影响。
