Dalvindt Marita, Kisch Annika, Nozohoor Shahab, Lennerling Annette, Forsberg Anna
Institute of Health Sciences Lund University Lund Sweden.
Department of Cardiothoracic Surgery Skåne University Hospital, Lund University Lund Sweden.
Nurs Open. 2020 Apr 27;7(4):1146-1156. doi: 10.1002/nop2.489. eCollection 2020 Jul.
To provide a multidimensional assessment of self-reported chronic pain 1-5 years after heart transplantation and its relationship with self-reported well-being, fatigue, recovery, self-efficacy and socio-economic factors and to explore differences between heart recipients and a cohort of lung recipients.
This multicentre, cross-sectional, cohort study is a part of the Swedish national Self-management after thoracic transplantation study.
Six questionnaires were distributed at the heart recipients yearly follow-up (1-5 years) at three Swedish university hospitals 2014-2017.
The study group comprised of 79 heart recipients, 25 women and 54 men with a mean age of 52.68 years. Chronic pain among heart recipients was common and those not in paid employment as well as those with low psychological well-being and high general fatigue reported significantly more pain. Female heart recipients were more affected by pain. General health and vitality, general fatigue, physical fatigue and reduced activity were related to the pain intensity score.
As it is the duty of the healthcare system to provide adequate pain treatment, screening for pain should be a mandatory part of long-term follow-up.
对心脏移植术后1至5年自我报告的慢性疼痛进行多维度评估，并探讨其与自我报告的幸福感、疲劳、恢复情况、自我效能感以及社会经济因素之间的关系，同时探究心脏移植受者与一组肺移植受者之间的差异。
这项多中心、横断面队列研究是瑞典全国胸部移植术后自我管理研究的一部分。
2014年至2017年期间，在瑞典三家大学医院对心脏移植受者进行年度随访（1至5年）时发放了六份问卷。
研究组包括79名心脏移植受者，其中25名女性和54名男性，平均年龄为52.68岁。心脏移植受者中慢性疼痛很常见，未从事有偿工作的人以及心理健康状况不佳和总体疲劳程度高的人报告的疼痛明显更多。女性心脏移植受者受疼痛影响更大。总体健康和活力、总体疲劳、身体疲劳以及活动减少与疼痛强度评分相关。
由于医疗系统有责任提供充分的疼痛治疗，因此疼痛筛查应成为长期随访的必要组成部分。
