From the Psychiatric and Mental Health Nursing Department, Başkent University Faculty of Health Sciences, Ankara, Turkey.
Exp Clin Transplant. 2024 Oct;22(Suppl 5):132-138. doi: 10.6002/ect.pedsymp2024.P10.
Despite increased rates of survival, pediatric organ transplant is characterized by clinical complexities and psychosocial challenges. Understanding and addressing the psychosocial issues inherent in this population are crucial for optimizing their overall well-being and transplant outcomes. In this systematic review, we thus aimed to provide a comprehensive analysis of the psychosocial issues encountered by pediatric patients undergoing or awaiting organ transplant.
This systematic review was conducted by retrospectively searching PubMed, Scopus, ScienceDirect, and Cochrane electronic databases using the keywords "pediatric kidney transplantation" or "pediatric liver transplantation" or "pediatric heart transplantation" and "psychosocial problems" or "psychosocial issues" or "psychosocial outcomes" or "psychosocial needs." The literature review resulted in 3746 initial studies, with 6 studies included in this systematic review.
Examination of psychosocial problems experienced by pediatric organ transplant recipients in included studies showed factors such as depression, anxiety, quality of life, medication adherence, psychological distress, children's psychosocial characteristics, healthy behaviors, mental and somatic well-being, fear of rejection, fear of recurrence, fear of secondary diseases, sleep problems, sadness, and exhaustion.
Pediatric organ transplant intertwines complex medical procedures with intricate psychosocial dynamics, placing nurses at the forefront of care delivery for pediatric transplant recipients and their families. In embracing a holistic approach to care, nurses advocate for the integration of psychosocial support into standard practice protocols, recognizing that optimal health outcomes extend beyond physiological parameters.
尽管儿童器官移植的存活率有所提高，但仍具有临床复杂性和心理社会挑战的特点。了解和解决这一人群中固有的心理社会问题对于优化他们的整体福祉和移植结果至关重要。因此，在本系统评价中，我们旨在全面分析接受或等待器官移植的儿科患者所面临的心理社会问题。
本系统评价通过回顾性搜索 PubMed、Scopus、ScienceDirect 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“心理社会问题”或“心理社会问题”或“心理社会结果”或“心理社会需求”进行。文献综述共产生了 3746 项初始研究，其中 6 项研究纳入本系统评价。
对纳入研究中儿科器官移植受者经历的心理社会问题的检查表明，存在抑郁、焦虑、生活质量、药物依从性、心理困扰、儿童心理社会特征、健康行为、心理和躯体健康、排斥恐惧、复发恐惧、继发疾病恐惧、睡眠问题、悲伤和疲惫等因素。
儿科器官移植将复杂的医疗程序与复杂的心理社会动态交织在一起，使护士成为儿科移植受者及其家属护理的前沿。在采用整体护理方法时，护士提倡将心理社会支持纳入标准护理方案，认识到最佳健康结果不仅限于生理参数。
