Department of Clinical and Translational Science, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Thorac Surg Clin. 2012 Nov;22(4):517-29. doi: 10.1016/j.thorsurg.2012.08.001.
Although lung transplantation is an accepted treatment for many individuals with severe lung disease, transplant candidates and recipients experience a range of psychosocial stressors that begin at the initiation of the transplant evaluation and continue throughout patients' wait for donor lungs, their perioperative recovery, and their long-term adjustment to posttransplant life. Transplant programs should strive to incorporate evidence-based interventions that aim to improve physical functioning, psychological distress, global quality of life, and medical adherence as well as to integrate symptom management and palliative care strategies throughout the pre- and posttransplantation course.
虽然肺移植是治疗许多严重肺部疾病患者的一种公认方法,但移植候选人和受者在移植评估开始时就会经历一系列的心理社会压力源,并且这些压力源会持续存在于患者等待供肺、围手术期恢复以及长期适应移植后生活的过程中。移植项目应努力纳入基于证据的干预措施,旨在改善身体机能、心理困扰、整体生活质量和医疗依从性,并在移植前后的过程中整合症状管理和姑息治疗策略。