Kuhn W F, Brennan A F, Lacefield P K, Brohm J, Skelton V D, Gray L A
Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, KY 40208.
J Heart Transplant. 1990 Jan-Feb;9(1):25-9.
Psychiatric observations are reported on 101 heart transplant candidates (40 of whom had transplantations). Emotional responses were recorded during the evaluation, during the waiting period, perioperatively, at biopsy, during rejection episodes, and before and after discharge. Those phenomena, with the exception of behavioral management problems, were unrelated to initial psychiatric diagnoses; the diagnoses often reflected emotional reaction to cardiac illness. Most distress after evaluation appeared to be related to the protocol rather than to preexisting psychopathology. The stage of the protocol affected the nature of the reactions. Psychiatric assistance aided the adjustment process.
报告了对101名心脏移植候选者（其中40人接受了移植）的精神科观察结果。在评估期间、等待期、围手术期、活检时、排斥反应发作期间以及出院前后记录了情绪反应。除行为管理问题外，这些现象与最初的精神科诊断无关；这些诊断通常反映了对心脏病的情绪反应。评估后的大多数痛苦似乎与方案有关，而非与先前存在的精神病理学有关。方案的阶段影响了反应的性质。精神科援助有助于调整过程。
