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肝移植后生活质量何时改善?一项纵向前瞻性研究。

When does quality of life improve after liver transplantation? A longitudinal prospective study.

作者信息

Telles-Correia D, Barbosa A, Mega I, Mateus E, Monteiro E

机构信息

Psychiatric Approach to Liver Transplanted Patients' Unit, Curry Cabral Hospital's Liver Transplantation Center, Lisbon, Portugal.

出版信息

Transplant Proc. 2009 Apr;41(3):904-5. doi: 10.1016/j.transproceed.2009.01.051.

Abstract

OBJECTIVES

We sought to investigate the improvement in quality of life (mental and physical components) at 1 and 6 months after liver transplantation.

METHODS

A sample of liver transplant candidates (n = 60), comprising consecutive patients attending outpatient clinics of a liver transplantation central unit (25% of the patients had familial amyloid polyneuropathy [FAP] and the remaining patents had chronic liver diseases), was assessed by means of the Short Form (SF)-36, Portuguese-validated version, a self-rating questionnaire developed by the Medical Outcome Trust, to investigate certain primary aspects of quality of life, at 3 times: before, and at 1 and 6 months after transplantation.

RESULTS

We observed a significant improvement in quality of life (both mental and physical components) by 1 month after transplantation. Between the first month and the sixth month after transplantation, there also was an improvement in the quality of life (both mental and physical components), although only the physical components of quality of life was significantly improved.

CONCLUSIONS

Our findings suggested that quality of life improved early after liver transplantation (1 month). Between the first and the sixth months, there only was a significant improvement in the physical quality of life.

摘要

目的

我们试图调查肝移植术后1个月和6个月时生活质量(心理和生理方面)的改善情况。

方法

选取一组肝移植候选者样本(n = 60),包括在一家肝移植中心门诊就诊的连续患者(25%的患者患有家族性淀粉样多神经病 [FAP],其余患者患有慢性肝病),通过经葡萄牙语验证的简式(SF)-36进行评估,SF-36是医学结局信托基金开发的一种自评问卷,用于在3个时间点调查生活质量的某些主要方面:移植前、移植后1个月和6个月。

结果

我们观察到移植后1个月时生活质量(心理和生理方面)有显著改善。在移植后的第1个月至第6个月之间,生活质量(心理和生理方面)也有所改善,不过只有生活质量的生理方面有显著改善。

结论

我们的研究结果表明,肝移植术后早期(1个月)生活质量得到改善。在第1个月至第6个月之间,只有生活质量的生理方面有显著改善。

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