肺移植术后1至5年的移植物排斥反应恐惧——一项全国性队列研究。
Fear of graft rejection 1-5 years after lung transplantation-A nationwide cohort study.
作者信息
Forsberg Anna, Nilsson Madeleine, Jakobsson Sofie, Lennerling Annette, Kisch Annika
机构信息
Institute of Health Sciences Lund University Lund Sweden.
Department of Thoracic Transplantation and Cardiology Skåne University Hospital Skåne Sweden.
出版信息
Nurs Open. 2018 Jul 16;5(4):484-490. doi: 10.1002/nop2.184. eCollection 2018 Oct.
AIM
To explore the perceived threat of the risk of graft rejection and its relationship to psychological general well-being and self-efficacy 1-5 years after lung transplantation.
DESIGN
A nationwide, cross-sectional cohort study as a part of the Self-management after thoracic transplantation study.
METHODS
A total of 117 lung transplant recipients due for their yearly follow-up one ( = 35), two ( = 28), three ( = 23), four ( = 20) and 5 years ( = 11) after lung transplantation were included. We used three instruments; the Perceived Threat of the Risk of Graft Rejection, the Psychological General Well-being and Self-efficacy in chronic illness.
RESULTS
The lung recipients reported an overall low perceived threat of the risk of graft rejection with no gender differences. Intrusive anxiety explained 24.7% of the variance in the PGWB-sum (≤ 0.001) and makes a statistically significant (= -497; ≤ 0.001) unique contribution to the overall psychological general well-being (95%CI 3.004-1.515).
目的
探讨肺移植术后1至5年时，对移植物排斥风险的感知威胁及其与心理总体幸福感和自我效能感的关系。
设计
作为胸段移植术后自我管理研究的一部分，进行一项全国性横断面队列研究。
方法
纳入117例肺移植受者，他们分别在肺移植术后1年（n = 35）、2年（n = 28）、3年（n = 23）、4年（n = 20）和5年（n = 11）进行年度随访。我们使用了三种工具：移植物排斥风险的感知威胁、慢性病心理总体幸福感和自我效能感。
结果
肺移植受者报告的移植物排斥风险总体感知威胁较低，且无性别差异。侵入性焦虑解释了PGWB总分变异的24.7%（≤0.001），并对总体心理总体幸福感有统计学意义的独特贡献（β = -497；≤0.001）（95%CI 3.004 - 1.515）。
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