the Department of Psychiatry and the Cardiothoracic Transplantation Program, Department of Surgery at the University of Pittsburgh Medical Center, Pittsburgh, PA.
J Relig Health. 1995 Mar;34(1):17-32. doi: 10.1007/BF02248635.
While religion has long been recognized clinically to provide important coping strategies in the face of serious health problems, there has been little systematic consideration of its role in organ transplant recipients' long-term reactions and adjustment to this experience. This study examines these issues through qualitative and quantitative evaluation of longitudinal data collected from 40 adult heart recipients followed during their first year post-transplant. Large proportions of recipients expressed strong beliefs and were able to increase religious participation over the 12-month study period. They delineated specific ways in which their faith had provided them support, as well as ways in which the transplant experience itself further strengthened their beliefs. We found empirical evidence that recipients with strong beliefs who participated in religious activities had better physical and emotional well-being, fewer health worries, and better medical compliance by the final 12-month assessment. The findings suggest the development of specific nursing, social-service, or pastoral-involvement strategies, continuing staff education about the role of religion in patient care. The implications of such interventions for maximizing quality of life in transplant recipients are discussed.
虽然宗教在临床上早已被认可，可以为人们面对严重的健康问题提供重要的应对策略，但对于宗教在器官移植受者长期反应和适应这一经历中的作用，却很少有系统的考虑。本研究通过对 40 名成年心脏移植受者在移植后第一年期间收集的纵向数据进行定性和定量评估，考察了这些问题。研究结果显示，很大比例的受者表达了强烈的信仰，并能够在 12 个月的研究期间增加宗教参与度。他们详细描述了信仰如何为他们提供支持，以及移植经历本身如何进一步增强他们的信仰。我们发现，有实证证据表明，信仰坚定、参加宗教活动的受者在身体和情绪健康方面表现更好，健康担忧更少，在最后 12 个月的评估中，他们的医疗依从性也更好。研究结果表明，需要制定具体的护理、社会服务或牧师参与策略，继续对员工进行宗教在患者护理中的作用的教育。讨论了这些干预措施对提高移植受者生活质量的意义。
