Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, Virginia.
Abdominal Transplant Center, Dell Seton Medical Center at The University of Texas at Austin, Austin, Texas, USA.
Curr Opin Organ Transplant. 2022 Dec 1;27(6):508-513. doi: 10.1097/MOT.0000000000001022. Epub 2022 Sep 13.
Social support has many benefits for patients undergoing organ transplantation, though inclusion of it as criteria for transplant listing has been debated. This review highlights recent developments in the research regarding social support and organ transplantation, including the impact of social support on transplantation and caregivers, interventions, COVID-19, and ethical perspectives.
Social support and perceived social support have benefits for transplant patients, including increased quality of life and adherence. The providers of social support may also be impacted and the impact may vary based on patient and caregiver characteristics, including organ group and caregiver ethnicity. Debates regarding COVID-19 vaccine requirements for caregivers and ethical concerns about the inclusion of social support as criteria for transplant listing are also explored.
Transplant patients benefit from social support, though additional research is needed on the impact of social support on transplant outcomes and the utility of the use of social support as criteria for transplant listing. There is also a need for more robust research on diverse caregiver populations, including the identification and use of supportive interventions for caregivers.
社会支持对接受器官移植的患者有诸多益处，但将其纳入移植名单标准仍存在争议。本综述重点介绍了社会支持与器官移植相关的最新研究进展，包括社会支持对移植患者和照护者的影响、干预措施、COVID-19 以及伦理观点。
社会支持和感知到的社会支持对移植患者有益，包括提高生活质量和遵医行为。社会支持的提供者也可能受到影响，其影响可能因患者和照护者的特征（包括器官类型和照护者种族）而异。还探讨了针对照护者的 COVID-19 疫苗要求的争论和将社会支持纳入移植名单标准的伦理问题。
移植患者受益于社会支持，但仍需要更多研究来探讨社会支持对移植结局的影响，以及将社会支持用作移植名单标准的效用。还需要对包括确定和使用支持性干预措施在内的多样化照护者群体进行更深入的研究。
