Predictors of quality of life following cardiac transplantation

Brennan, Anne F.; Davis, Mary Helen; Buchholz, Dennis J.; Kuhn, Wolfgang F.; Gray, Laman A.

doi:10.1016/s0033-3182(87)72454-2

Cited by 65 publications

(20 citation statements)

References 4 publications

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“…Studies of recovery following heart transplantation have progressed from a primary emphasis on biomedical outcomes to an evaluation of other quality of life concerns (Brennan, Davis, Buchholz, Kuhn, & Gray, 1987;Caine, Sharples, English, & Wallwork, 1990;Evans & Broida, 1985;Hunt, 1985;Jones et al, 1988;Meister, McAleer, Meister, Riley, & Copeland, 1986). While this body of research indicates that survivors of heart transplantation achieve a quality of life superior to their pretransplant status, there appear to be a substantial number of patients who do not achieve optimum recovery outcomes.…”

mentioning

confidence: 99%

Psychosocial outcome six months after heart transplant surgery: A preliminary report

Bohachick

Anton

Wooldridge

et al. 1992

Research in Nursing & Health

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With improvement in survival of patients treated with heart transplant, evaluation of recovery with respect to psychosocial function has become an important issue. In this study, psychosocial functioning of 44 heart transplant recipients pretransplant was compared to their functioning 6 months posttransplant. Before transplantation, patients experienced considerable psychosocial distress attributable to illness. At 6 months after transplantation, the majority of patients showed significant improvement in emotional, domestic, sexual, social, and vocational functioning. However, 25% of patients showed deterioration in psychosocial adjustment and 11% showed an increase in mood disturbance. Further effort is indicated to improve psychosocial outcome of heart transplantation.

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confidence: 99%

Psychosocial outcome six months after heart transplant surgery: A preliminary report

Bohachick

Anton

Wooldridge

et al. 1992

Research in Nursing & Health

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“…Sample sizes range from 11 in Brennan's (1987) study to 250 in Paris et al's (1992) study. Sample selection methods also vary considerably.…”

Section: Factors In Variations Of Rtw Ratesmentioning

confidence: 99%

“…Meister's (1986) sample of 40 represents all surviving transplant recipients from the University of Arizona program as of 1985. Brennan's (1987) sample consists of 11 patients, 8 of whom completed the data on "quality of job life. " Evans' (1985" Evans' ( , 1987 sample of 152 is drawn from multi-sites and from transplant recipients at varying stages post-transplant.…”

Section: Factors In Variations Of Rtw Ratesmentioning

confidence: 99%

Review of Literature on Heart Transplant Recipients' Return to Work:

Botsford

1995

Social Work in Health Care

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The article reviews research on the rate of return to work of heart transplant recipients, examines findings associated with return to work and explores the implications of those findings for social work research, practice and policy in heart transplantation programs. Findings of studies reviewed in the article support the conclusion that there are significant sources of variation in recipients' return to work other than surgical outcome. Predictors of return to work include pre-transplant factors as well as social structural factors.

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“…It is already possible, however, to identify some candidates who may not benefit from transplantation. Some studies have begun to identify psychiatric problems that may be associated with poorer medical compliance and quality of life [2,3,16]. Others have identified positive qualifers, such as the study by Aravat and co-workers [54], which reported that cardiac recipients over the age of 60 are able to achieve the same physical benefits and quality of life as younger recipients.…”

Section: Long-term Follow-up and Quality Of Lifementioning

confidence: 99%

Psychosocial Effects of Cardiac Transplantation

Dressler¹

1991

J Intensive Care Med

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As more cardiac transplant procedures are performed, the psychosocial implications of the procedure can be identified and investigated. The process of cardiac transplant can be viewed as a series of stages and adaptive tasks which begin with the proposal of transplant and progress to successful postoperative adaptation. The suggestion of transplant may evoke feelings of anxiety and ambivalence as patients realize that transplant may be their only option for long-term survival. The evaluation process determines the need for transplant and whether there are circumstances that might limit post-transplant survival. Psychosocial evaluation is important as survival depends in part on the recipient's ability to cope with stressors and comply with a complex medical regimen. This evaluation is not standardized, and research continues to identify reliable predictors of postoperative behavioral and psychiatric complications. The wait for a donor may be the most stressful of all stages as candidates deal with increasing symptoms, increasingly intensive medical management and the fear of a donor will not be found in time. Following successful surgery, heart recipients and their families express feelings of joy and relief. During convalescence, adjustment difficulties may arise in the form of transient depression or body image concerns. After recipients are discharged from the hospital, they must comply with intensive medical follow-up to monitor their health. They continue to be vulnerable to physical, emotional and financial problems.(ABSTRACT TRUNCATED AT 250 WORDS)

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Predictors of quality of life following cardiac transplantation

Cited by 65 publications

References 4 publications

Psychosocial outcome six months after heart transplant surgery: A preliminary report

Psychosocial outcome six months after heart transplant surgery: A preliminary report

Review of Literature on Heart Transplant Recipients' Return to Work:

Psychosocial Effects of Cardiac Transplantation

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