Departamento de Neurología y Psiquiatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, CDMX, México.
Departamento de Neurología y Psiquiatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, CDMX, México.
Rev Gastroenterol Mex (Engl Ed). 2021 Apr-Jun;86(2):172-187. doi: 10.1016/j.rgmx.2020.12.001. Epub 2021 Mar 24.
Liver transplantation is a lifesaving treatment that improves survival and quality of life. The procedure requires adequate transplant candidate selection carried out by a multidisciplinary team. Psychosocial evaluation is a necessary part of recipient selection and its primary aims are to identify problems and psychosocial needs of the patient and his/her family, to improve transplantation outcomes. Different psychosocial conditions are considered risk factors for morbidity and mortality after transplantation. The presence of those factors per se is not an absolute contraindication, thus adequate evaluation promotes equal access to healthcare, improves results, and optimizes resources. The present review provides an overview of and guidelines for the most important psychosocial issues during the pretransplantation phase.
肝移植是一种挽救生命的治疗方法，可提高生存率和生活质量。该手术需要由多学科团队进行充分的移植候选者选择。心理社会评估是受者选择的必要组成部分，其主要目的是确定患者及其家属的问题和心理社会需求，以改善移植结果。不同的心理社会状况被认为是移植后发病率和死亡率的危险因素。这些因素的存在本身并不是绝对的禁忌症，因此充分的评估可以促进公平获得医疗保健，改善结果，并优化资源。本综述提供了移植前阶段最重要的心理社会问题的概述和指南。
