From the Psychiatric and Mental Health Nursing Department, Başkent University Faculty of Health Sciences, Ankara, Turkey.
Exp Clin Transplant. 2024 Oct;22(Suppl 5):41-48. doi: 10.6002/ect.pedsymp2024.O6.
This systematic review delves into the intricate relationship between pediatric organ transplantation and posttraumatic stress disorder, shedding light on interventions crucial for addressing the psychosocial well-being of young transplant recipients. This review of the multifaceted nature of posttraumatic stress disorder in the context of pediatric transplantation examined the effects of transplant on the mental health of recipients. We aimed to review studies on posttraumatic stress disorder among pediatric patients who have had or were waiting for organ transplant and to systematically analyze the results of these studies.
This systematic review was conducted by retrospectively searching PubMed, Scopus, ScienceDirect, Web of Science, and Cochrane electronic databases using the keywords "pediatric kidney transplantation," or "pediatric liver transplantation," or "pediatric heart transplantation," and "posttraumatic stress disorders." Descriptive studies were included if they met the association between posttraumatic stress disorder and pediatric organ transplant recipients.
From 267 articles, 5 articles were included in the systematic review. Posttraumatic stress disorder was shown to be more common in pediatric transplant recipients. Rate of low-level posttraumatic stress disorder ranged from 9.2% to 85.2%, whereas rate of high-level posttraumatic stress disorder ranged from 13.1% to 22.6%.
This review highlighted the imperative need to recognize and address the psychosocial effects of pediatric organ transplantation, with a specific focus on posttraumatic stress disorder. By incorporating comprehensive mental health care into the transplant journey, psychiatric nurses can contribute to the overall well-being of young recipients and their families, ensuring that the transformative power of organ transplant extends beyond mere physical survival to encompass psychological resilience and recovery. By acknowledging and addressing the emotional dimensions of the transplant journey, nurses can contribute to the well-being of recipients, ensuring a more holistic and resilient recovery.
本系统评价深入探讨了儿科器官移植与创伤后应激障碍之间的复杂关系，强调了干预措施对于解决年轻移植受者的心理社会健康至关重要。本评价研究了儿科移植背景下创伤后应激障碍的多方面性质，探讨了移植对受者心理健康的影响。我们旨在综述儿科患者（已接受或等待器官移植）创伤后应激障碍的研究，并系统分析这些研究的结果。
本系统评价通过回顾性检索 PubMed、Scopus、ScienceDirect、Web of Science 和 Cochrane 电子数据库，使用关键词“儿科肾移植”或“儿科肝移植”或“儿科心脏移植”和“创伤后应激障碍”进行搜索。如果研究符合创伤后应激障碍与儿科器官移植受者之间的关联，则纳入描述性研究。
从 267 篇文章中，有 5 篇文章被纳入系统评价。研究表明，儿科移植受者中创伤后应激障碍更为常见。低水平创伤后应激障碍的发生率从 9.2%到 85.2%不等，而高水平创伤后应激障碍的发生率从 13.1%到 22.6%不等。
本综述强调了认识和解决儿科器官移植的心理社会影响的必要性，特别是创伤后应激障碍。通过将全面的心理健康护理纳入移植过程，精神科护士可以为年轻受者及其家庭的整体健康做出贡献，确保器官移植的变革力量不仅超越了单纯的生理生存，还涵盖了心理韧性和康复。通过承认和解决移植旅程中的情感层面，护士可以为受者的健康做出贡献，确保更全面和有弹性的康复。
