Lawrence K S, Fricker F J
Children's Hospital of Pittsburgh, PA 15213.
J Heart Transplant. 1987 Nov-Dec;6(6):329-33.
Staff members at the University of Pittsburgh have performed pediatric heart transplantations since 1982. As heart transplantation becomes an accepted therapeutic treatment, more children undergo surgery and return home. Assessment of the quality of life after transplantation of these children is essential. This article describes the life-styles of seven surviving transplant patients. The children lived for periods ranging from 3 months to 3 years. Patients were evaluated psychosocially by the Personality Inventory for Children, Offer Self-Image Questionnaire, Eyberg Child Behavior Inventory, and projective drawings. Daily routines and school achievement were assessed by interviews with the parents. Cardiovascular function was measured by exercise testing. When possible, comparisons were made with the patient's preoperative status. Heart transplantation assaults the body, both physically and emotionally. This study concludes that the surviving children can adapt to the experience. Heart transplantation enables them to return to a level of functioning that is appropriate for age. However, speculation is made whether the benefits gained for a child who undergoes transplantation can be sustained long enough to warrant such extensive treatment.
自1982年以来，匹兹堡大学的工作人员就开展了小儿心脏移植手术。随着心脏移植成为一种被认可的治疗方法，越来越多的儿童接受了手术并返回家中。评估这些儿童移植后的生活质量至关重要。本文描述了七名存活的移植患者的生活方式。这些儿童存活的时间从3个月到3年不等。通过儿童个性量表、奥弗自我形象问卷、艾伯格儿童行为量表和投射画对患者进行心理社会评估。通过与家长访谈来评估日常活动和学业成绩。通过运动测试来测量心血管功能。在可能的情况下，将患者与术前状态进行比较。心脏移植对身体和情感都会造成冲击。本研究得出结论，存活下来的儿童能够适应这种经历。心脏移植使他们能够恢复到适合其年龄的功能水平。然而，有人推测，接受移植的儿童所获得的益处是否能够持续足够长的时间，以证明这种广泛的治疗是合理的。
