Two-year follow-up of quality of life in patients referred for heart transplant

Evangelista, Lorraine S.; Dracup, Kathleen; Moser, Debra K.; Westlake, Cheryl; Erickson, Virginia; Hamilton, Michèle A.; Fonarow, Gregg C.

doi:10.1016/j.hrtlng.2004.10.004

Cited by 25 publications

(21 citation statements)

References 26 publications

(25 reference statements)

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“…In contrast, some studies found correlations between quality of life and demographic data (Grady et al 1995;Gottlieb et al 2004;Evangelista et al 2005). In their study Evangelista et al (2005) found a restriction of SF36, Study 36-item short form survey; MLHFQ, Minnesota living with heart failure questionnaire; pVO 2 , peak VO 2 ; 6 MWT, Six minute walk test; NYHA, New York heart a s s o c i a t i o n c l a s s i fi c a t i o n ; B D I , b e c k depression inventory; STAI, Spielberger's state-trait anxiety inventory. both physical and mental health and an increase in depression in older female patients with endstage HF.…”

Section: Discussionmentioning

confidence: 91%

“…Most of the studies show that functional capacity defi ciencies affect physical aspects of quality of life (Westlake et al 2002;Carels 2004;Jeng et al 2004;Myers et al 2006). Evangelista et al (2005) found that function limitations had negative impact on the mental health and emotional well-being in the end-stage HF patients. Our study did not reveal any decrease in functional capacity among individuals who had depressive symptoms, either.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally mortality, complications, re-hospitalization and frequency of hospital presentations have been higher in HF patients with higher level of depression and anxiety (Friedmann et al 2006;Rutledge et al 2006). Clinical conditions of graft rejection, infection and neoplasm may also impose psychological distress on HF patients (Evangelista et al 2005). In studies analyzing the relation of depression with quality of life, HF patients with depressive symptoms were observed to have lower scores in quality of life (Carels 2004).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Health Related Quality of Life in Patients Awaiting Heart Transplantation

Karapolat

Eyigör

Zoghi

et al. 2008

Tohoku J. Exp. Med.

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Quality of life is an important outcome measure in patients with end-stage heart failure waiting for heart transplantation. The purpose of this study was to investigate the relationship between aspects of quality of life and physiological and psychosocial variables in patients with end-stage heart failure. A total of 123 patients participated in the study. The functional status was assessed with New York Heart Association (NYHA) functional classifi cation, a 6-minute walk test (6 MWT) and peak oxygen uptake (pVO 2 ). Health related quality of life (HRQOL) was measured with Medical Outcomes Study, 36-item Short Form Survey (SF-36), and Minnesota Living with Heart Failure Questionnaire (MLHFQ). Beck Depression Inventory (BDI) and State-Trait Anxiety Inventory (STAI) were used to assess psychological symptoms. A signifi cant relationship was found between HRQOL (SF-36 and MLHFQ) and functional status (NYHA, 6 MWT and pVO 2 ) ( p < 0.05). Psychological symptoms (BDI) were associated with HRQOL ( p < 0.05). In addition to clinical derangements, functional limitation and psychological distress can lead to limitations in activities of daily life through impairment of quality of life. It would be helpful to evaluate psychological symptoms and quality of life in patients with end-stage heart failure besides routine clinical evaluations.health related quality of life; heart failure; functional capacity; psychological variables. Tohoku

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Health Related Quality of Life in Patients Awaiting Heart Transplantation

Karapolat

Eyigör

Zoghi

et al. 2008

Tohoku J. Exp. Med.

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“…Thus, the indication for HT represents the possibility of survival and improvement in the quality of life [2,16]: I was disillusioned, and when I saw this light at the end of the tunnel I felt a great joy. I was taking five medications and did not improve, had no perspective on life.…”

Section: Discussionmentioning

confidence: 99%

Coping strategies after heart transplantation: psychological implications

Pfeifer¹,

Ruschel²,

Bordignon³

2013

Revista Brasileira De Cirurgia Cardiovascular

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Objectives: To investigate coping strategies used by patients submitted to heart transplantation and whether they are related to the perception of the disease and transplantation.Methods: Cross-sectional study with quantitative and qualitative analysis. The sample of 32 patients was assessed by the Ways of Coping Scale and socio-demographic questionnaire, and five of them were selected for interviews. The internal consistency of the scale was assessed, the variables and strategies involved were crossed and content analysis of interviews, investigating the existence of a relationship with the speech of the participants.Results: The individuals have used all coping styles, with a predominance of the problem-focused strategy. Psychologically prepared patients showed a statistically significant increase in the use of problem-focused coping and seek for social support. However, a significant increase in the use of emotion-focused coping was observed in patients who were not prepared. Analysis through the method of Bardin showed as categories: disease; reaction to call; transplantation; fantasies; postoperative; team and coping.Conclusion: Patients with a transplanted heart make use of all coping strategies, with a predominance of the problemfocused strategy. Psychologically prepared individuals used more active coping strategies, which highlights the importance of psychological support during the process. Descriptors:Heart transplantation. Adaptation, psychological. Sickness impact profile. Resumo Objetivos: Verificar as estratégias de enfrentamento utilizadas por indivíduos que tiveram o coração transplantado e suas relações com percepção da doença e do transplante.Métodos: Estudo transversal com análise quantitativa e qualitativa. A amostra de 32 pacientes foi avaliada pela Escala Modos de Enfretamento de Problemas e questionário sociodemográfico; e cinco deles foram sorteados para entrevista. Realizou-se a avaliação da consistência interna da escala, cruzamentos entre as variáveis e os estilos de enfrentamento e a análise de conteúdo das entrevistas, relacionando os resultados ao discurso dos participantes.Resultados: Os indivíduos utilizaram todos os estilos de enfrentamento, predominando o focalizado no problema. Nos participantes que receberam preparo psicológico, houve aumento estatisticamente significativo dos enfrentamentos focalizados no problema e na busca de suporte social. Entretanto, naqueles que não receberam preparo, houve aumento significativo da utilização do enfrentamento focalizado na emoção. Através do método de Bardin, revelaram-se como categorias: doença, reação ao chamado, transplante, fantasias, pós-operatório, equipe e enfrentamento.Conclusões: Os participantes utilizaram todos os estilos de enfrentamento, predominando a estratégia focalizada no problema. Os que receberam preparo psicológico usaram maior número de estratégias de enfrentamento ativas, o que evidencia a importância do acompanhamento psicológico durante o processo.

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“…Only few studies have examined in depth psychosocial adjustment and quality of life in heart transplant recipients (Mai, McKenzie, & Kostuk, 1990;Evangelista et al, 2005) However, quality of life (QOL) and patients' well-being are closely associated to increased morbidity and mortality and thus efforts to better understand the QOL and psychological well-being of heart transplant recipients are needed (Evangelista et al, 2003;Myaskovsky et al, 2006). In depth exploration of psychological and emotional factors that may impact to recipients' life is important to the overall improvement of the heart transplant patient's quality of life (Duitsman & Cychosz, 1993;Rybarczyk et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

“Price to Pay for Being Alive”: Coping with the Post-Operative Demands in Heart Transplantation

Kaba¹,

Kelesi²,

Fasoi³

et al. 2017

GJHS

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Introduction: Understanding the problems experienced and coping strategies used after the heart transplantation, health care providers may help heart transplant recipients' adaptation to the postoperative period and consequently improve their quality of life. However, there is little qualitative evidence on how heart transplant recipients develop coping strategies and adapt to postoperative life. Aim:The aims of the study were a) to identify the physical and psychosocial problems experienced by heart transplant recipients and b) to identify coping strategies used by heart transplant recipients. Methods:A grounded theory research approach was used in data collection and analysis for studying heart transplant recipients' experience. The participants in this study were 42 heart transplant recipients. The data were gathered by taped, unstructured, in-depth interviews. Constant comparison analysis was used to interpret the data. Findings:Four categories developed from the data analysis, namely: "traumatic experience" "that's a small price to pay for being alive" "somebody else's heart inside me" and "coping". The central or core category, "That's a small price for being alive Vs Too big a price to pay for being alive" emerged and was the main theme around which other categories were integrated. Further interpretation of findings led to the development of a theory entitled "Price to pay for being alive: Coping with the post-operative demands in Heart Transplantation". Conclusion:The theory developed within the frame of this study offers an extension of Moos' Crisis Theory, and applies his basic concepts of major life crises and transitions with adaptations, to heart transplant patients. One such adaptation is the assertion that the factors that influence how adaptively an individual copes with a heart transplant crisis are different from any other health crisis.

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Two-year follow-up of quality of life in patients referred for heart transplant

Cited by 25 publications

References 26 publications

Health Related Quality of Life in Patients Awaiting Heart Transplantation

Health Related Quality of Life in Patients Awaiting Heart Transplantation

Coping strategies after heart transplantation: psychological implications

“Price to Pay for Being Alive”: Coping with the Post-Operative Demands in Heart Transplantation

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