Ruzyczka E W, Milaniak I, Przybyłowski P, Wierzbicki K, Siwińska J, Hubner F K, Sadowski J
Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital, and Jagiellonian University, Medical College, Krakow, Poland.
Transplant Proc. 2011 Oct;43(8):3076-81. doi: 10.1016/j.transproceed.2011.07.012.
Heart transplantation is the first option for treatment of heart failure engendering increased survival and quality of life among recipients. However, this surgical intervention causes many psychological problems such as depression and anxiety. Protective factors and personal recourses are significant forces behind healthy adjustments to life stresses.
The aim of this study was to estimate the prevalence of depression among heart transplant recipients.
The study consisted of a sample of 46 patients after heart transplantation. Standardized instruments used to measure the key constructs were Beck Depression Inventory Short Form for the prevalence of depression, World Health Organization Quality of Life--BREF for quality of life, Sense of Coherence (SOC-29), and Coping Orientation to Problems Experienced BREF to identify coping strategies. The data were analyzed statistically.
We found that sense of coherence and coping strategies were significant predictors for quality of life and prevalence of depression, which were significantly associated with each others. Strategies focused on the problem are moderate quality of life with an age of recipient. Recipients who have a tendency to use emotion-focused strategies and are older showed a poorer quality of life, were less satisfied with their health, and displayed a prevalence of depression.
These results suggested that assessment of coping strategies and sense of coherence should be explored in heart transplant recipients with skills training in this domain.
心脏移植是治疗心力衰竭的首选方法，可提高接受者的生存率和生活质量。然而，这种手术干预会引发许多心理问题，如抑郁和焦虑。保护因素和个人资源是健康应对生活压力的重要力量。
本研究旨在评估心脏移植受者中抑郁症的患病率。
该研究包括46名心脏移植术后患者的样本。用于测量关键结构的标准化工具包括：用于评估抑郁症患病率的贝克抑郁量表简版、用于评估生活质量的世界卫生组织生活质量简表、连贯感量表（SOC-29）以及用于识别应对策略的经历问题应对取向简表。对数据进行了统计分析。
我们发现，连贯感和应对策略是生活质量和抑郁症患病率的重要预测因素，它们彼此之间存在显著关联。专注于问题的策略与接受者年龄相关的生活质量中等。倾向于使用以情绪为中心策略且年龄较大的接受者生活质量较差，对自身健康不太满意，且存在抑郁症患病率。
这些结果表明，应对策略和连贯感的评估应在该领域接受技能培训的心脏移植受者中进行探索。
