Solid Organ Nakli Alıcısında Psikososyal Sorunlar ve Hemşirelik Bakımı

Özet

Organ nakli, bir organın donörden alıcıya aktarılma işlemidir. Organ nakli, alıcılar için bir umut kaynağı olmakta ve onların yaşam kalitesini artırmaktadır. Bununla birlikte, nakil sonrası bazı risklerle karşılaşmak alıcıların fiziksel ve psikososyal sağlığını etkileyebilir. Psikososyal girişimler, tedaviye uyumu daha iyi yönetmek için tüm nakil aşamalarında organ nakli alıcılarında fayda sağlar. Güncel araştırmalar, organ nakli alıcılarının, multidisipliner bir ekip tarafından yakın takip edilmesini önerir. Bu bölümde, solid organ nakli alıcısında psikososyal sorunlar ve hemşirelik bakımı ele alınmaktadır.

Organ transplantation is the process of transferring an organ from a donor to a recipient. Organ transplantation serves as a source of hope for recipients and enhances their quality of life. However, recipients may encounter some risks post-transplantation, which can affect their physical and psychosocial well-being. Psychosocial interventions benefit organ transplant recipients in managing treatment adherence throughout all stages of transplantation. Current research recommends close monitoring of organ transplant recipients by a multidisciplinary team. This section addresses psychosocial issues in solid organ transplant recipients and nursing care.

Referanslar

Sambucini D, Ciacchella C, Pellicano GR, et al. Psychosocial treatment on psychological symptoms, adherence, and physiological function on transplanted patients: A systematic review and metanalysis. Journal of Psychosomatic Research; 2022;154: 110717. doi:10.1016/j.jpsychores.2022.110717

Rzeszut M, Assael R. Differentiating Depression From Demoralization in Organ Transplantation Recipients. Progress in Transplantation; 2021;31(1): 88-90. doi: 10.1177/1526924820978602

Jobst S, Stadelmaier J, Zöller P, et al. Self-management in adults after solid-organ transplantation: a scoping review protocol. BMJ Open; 2023;13(1): e064347. doi: 10.1136/bmjopen-2022-064347

Kimura H, Kishi S, Narita H, et al. Comorbid psychiatric disorders and long-term survival after liver transplantation in transplant facilities with a psychiatric consultation-liaison team: a multicenter retrospective study. BMC Gastroenterology; 2023;23(1); 106. doi:10.1186/s12876-023-02735-1

Yang FC, Chen HM, Huang CM, et al. The difficulties and needs of organ transplant recipients during postoperative care at home: a systematic review. International Journal of Environmental Research and Public Health; 2020;17(16): 5798. doi: 10.3390/ijerph17165798

De Pasquale C, Pistorio ML, Veroux M, et al. Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review. Fronters in Psychiatry; 2020;11: 106. doi: 10.3389/fpsyt.2020.00106

Lupi D, Binda B, Montali F, et al. Transplant Patients' Isolation and Social Distancing Because of COVID-19: Analysis of the Resilient Capacities of the Transplant in the Management of the Coronavirus Emergency. Transplantation Proceedings; 2020;52(9): 2626-2630. doi: 10.1016/j.transproceed.2020.05.031

Sogawa H. Preoperative Recipient Evaluation for Visceral (Intestine, Intestine/Liver, Multivisceral) Transplantation. In: Kathirvel Subramaniam TS (ed). Anesthesia and Perioperative Care for Organ Transplantation. New York: Springer; 2017. p. 513-516.

Holscher CM, Leanza J, Thomas AG, et al. Anxiety, depression, and regret of donation in living kidney donors. BMC Nephrology; 2018;19(1): 218. doi: 10.1186/s12882-018-1024-0

Wirken L, van Middendorp H, Hooghof CW, et al. Psychosocial consequences of living kidney donation: a prospective multicentre study on health-related quality of life, donor–recipient relationships and regret. Nephrology Dialysis Transplantation; 2019;34(6): 1045-1055. doi: 10.1093/ndt/gfy307

Hicks KG, Curtis E, Bender MA. Palliative Care in the Adult Solid Organ Transplant Recipient. In: Wong CJ (ed). Primary Care of the Solid Organ Transplant Recipient. Switzerland: Springer; 2020. p. 301-317.

Shapiro PA, Pereira LF, Taylor KE, et al. Post-transplant Psychosocial and Mental Health Care of the Cardiac Recipient. In: Sher Y, Maldonado J (eds). Psychosocial Care of End-Stage Organ Disease and Transplant Patients. Switzerland: Springer; 2019. p. 237-244.

Zhu X, Ming Y, Liu J, et al. Sleep Quality and Psychosocial Factors in Liver Transplant Recipients at an Outpatient Follow-Up Clinic in China. Annals of Transplantation; 2020;25: e920984. doi: 10.12659/AOT.920984

Gutierrez-Colina AM, Quast LF, Eaton CK, et al. Sleep quality is associated with psychosocial functioning and health‐related quality of life in pediatric transplant recipients. Pediatric Transplantation; 2019;23(8): e13577. doi: 10.1111/petr.13577

Dew MA, Myaskovsky L, Steel JL, et al. Post-transplant Psychosocial and Mental Health Care of the Renal Recipient. In: Sher Y, Maldonado J (eds). Psychosocial Care of End-Stage Organ Disease and Transplant Patients. Switzerland: Springer; 2019. p. 119-136.

Wu X, Liu M, Cui L, et al. Early estimated glomerular filtration rate and depression in kidney transplantation recipients: a longitudinal study. Psychology Health & Medicine; 2021;26(9): 1154-1162. doi: 10.1080/13548506.2020

Bakosi E, Bakosi E, Shapiro R. Kidney Transplantation: Overview. In: Subramaniam K, Sakai T (eds). Anesthesia and Perioperative Care for Organ Transplantation. New York: Springer; 2017. p. 263-274.

Hu N, Wang A, Chang T. Social support mediates the relationship between illness perception and psychosocial adaptation among young and middle-aged kidney transplant recipients in China. Frontiers in Psychology; 2023;14: 1062337. doi: 10.3389/fpsyg.2023

Temür BN, Aksoy N. Factors Affecting Anxiety of Kidney Transplant Recipients According to Donor Type: A Descriptive Study. Journal of Perianesthesia Nursing; 2023;38(1): 118-126. doi: 10.1016/j.jopan.2022.05.073

Jordakieva G, Grabovac I, Steiner M, et al. Employment status and associations with workability, quality of life and mental health after kidney transplantation in Austria. International Journal of Environmental Research and Public Health; 2020;17(4): 1254. doi: 10.3390/ijerph17041254

Uyar B. The analysis of immunosuppressant therapy adherence, depression, anxiety, and stress in kidney transplant recipients in the post-transplantation period. Transplant Immunology; 2022;75: 101686. doi: 10.1016/j.trim.2022.101686

Pedreira-Robles G, Garcimartín P, Bach-Pascual A, et al. Creating the nursing care map in the evaluation of kidney transplant candidates: A scoping review and narrative synthesis. Nursing Open. 2023;10(10):6668-89. doi: 10.1002/nop2.1937

DiMartini AF, Golden E, Matz A, et al. Post-transplant Psychosocial and Mental Health Care of the Liver Recipient. In: Sher Y, Maldonado J (eds). Psychosocial Care of End-Stage Organ Disease and Transplant Patients: Springer; 2017. p. 181-191.

Weiss E, Kabacam G, Gorvin L, et al.The role of preoperative psychosocial counseling on the improvement of the recipient compliance and speed of recovery after liver transplantation - A systematic review of the literature and expert panel recommendations. Clinical Transplantation; 2022;36(10): e14632. doi: 10.1111/ctr.14632

Karabulut N, Aktaş YY. Karaciğer transplantasyonu sonrası hastaların yaşadığı sorunlar ve hemşirelik girişimleri. Balıkesir Sağlık Bilimleri Dergisi; 2012;1(1): 37-42.

Flynn K, Daiches A, Malpus Z, et al. ‘A post-transplant person’: Narratives of heart or lung transplantation and intensive care unit delirium. Health (London); 2014;18(4): 352-368. doi: 10.1177/1363459313501356

Smith P, Kandakatla A, Frankel CW, et al. Sleep quality, depressive symptoms, and transplant outcomes: Follow-up analyses from the ADAPT prospective pilot study. General Hospital Psychiatry; 2021;72: 53-58. doi: 10.1016/j.genhosppsych.2021.06.011

de la Rosa A, Singer-Englar T, Hamilton MA, et al. The impact of depression on heart transplant outcomes: A retrospective single-center cohort study. Clinical Transplantation; 2021;35(3): e14204. doi: 10.1111/ctr.14204

Gülen H, Karaca A. Organ transplantasyonu sürecinde donör eğitimi ve hemşirelik bakımı. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi; 2018;8(2):83-88.

Loh AZH, Tan JSY, Tam JKC, et al. Postoperative Psychological Disorders Among Heart Transplant Recipients: A Meta-Analysis and Meta-Regression. Psychosomatic Medicine; 2020;82(7): 689-698. doi: 10.1097/PSY.0000000000000833

Dew MA, DiMartini AF, DeVito Dabbs AJ, et al. Onset and risk factors for anxiety and depression during the first 2 years after lung transplantation. General Hospital Psychiatry; 2012;34(2): 127-138. doi: 10.1016/j.genhosppsych.2011.11.009

Sher Y. Post-transplant Psychosocial and Mental Health Care of the Lung Recipient. In: Sher, Y, Maldonado J (eds). Psychosocial Care of End-Stage Organ Disease and Transplant Patients. Switzerland: Springer; 2019. p. 289-298.

Lindquist R, VanWormer A, Lindgren B, et al. Time-motion analysis of research nurse activities in a lung transplant home monitoring study. Progress in Transplantation; 2011;21(3): 190-199. doi: 10.1177/152692481102100303

Marcotte LM, Powell H. Preventive Health in the Adult Solid Organ Transplant Recipient. In: Wong CJ (ed). Primary Care of the Solid Organ Transplant Recipient. Switzerland: Springer; 2020. p. 275-300.

Araujo C, Siqueira M. Brazilian Healthcare Professionals: A Study of Attitudes Toward Organ Donation. Transplantation Proceedings; 2016;48(10): 3241-3244.

Baysoy K. Organ Nakli Hastalarının Taburculuk Sonrası Yaşadıkları Zorluklar ve Gereksinimler. Journal of Innovative Healthcare Practices; 2023;4(2): 143-155.

Chadban SJ, Ahn C, Axelrod DA, F et al. KDIGO Clinical Practice Guideline on the Evaluation and Management of Candidates for Kidney Transplantation. Transplantation; 2020;104 (4S1 Suppl 1): 11-103. doi: 10.1097/TP.0000000000003136

Akinci S, Akinci N. Evaluation of depression, anxiety, stress, and decision regret in kidney transplant recipients Depression, anxiety, stress, and decision regret in kidney transplantation. Annals of Clinical and Analytical Medicine; 2023;14.

Zhong D, Wong CJ. Overview of Solid Organ Transplantation for Primary Care Providers. In: Wong CJ (ed). Primary Care of the Solid Organ Transplant Recipient. USA: Springer; 2020. p. 5-27.

Aziz F, Jorgenson MR, Garg N, et al. The care of kidney transplant recipients during a global pandemic: Challenges and strategies for success. Transplantation Reviews (Orlando); 2020;34(4): 100567. doi: 10.1016/j.trre.2020.100567

National Kidney Foundation. The health care team national kidney foundation. 2020 (10.08.2023 tarihinde https://www.kidney.org/atoz/content/healthcareteam adresinden ulaşılmıştır).

Nawaz H, Chopra K. Preoperative Liver Recipient Evaluation and Preparation. In: Subramaniam K, Sakai T (eds). Anesthesia and Perioperative Care for Organ Transplantation. New York: Springer; 2017. p. 333-344.

Wurm F, McKeaveney C, Corr M, et al. The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review. BMC Psychology; 2022;10(1): 186. doi: 10.1186/s40359-022-00893-7

Been-Dahmen JMJ, Grijpma JW, Ista E, et al. Self‐management challenges and support needs among kidney transplant recipients: A qualitative study. Journal of Advanced Nursing; 2018;74(10): 2393-2405. doi: 10.1111/jan.13730

Stubber C, Kirkman M. The experiences of adult heart, lung, and heart-lung transplantation recipients: A systematic review of qualitative research evidence. PLoS One; 2020;15(11): e0241570. doi: 10.1371/journal.pone.0241570

Referanslar

Sambucini D, Ciacchella C, Pellicano GR, et al. Psychosocial treatment on psychological symptoms, adherence, and physiological function on transplanted patients: A systematic review and metanalysis. Journal of Psychosomatic Research; 2022;154: 110717. doi:10.1016/j.jpsychores.2022.110717

Rzeszut M, Assael R. Differentiating Depression From Demoralization in Organ Transplantation Recipients. Progress in Transplantation; 2021;31(1): 88-90. doi: 10.1177/1526924820978602

Jobst S, Stadelmaier J, Zöller P, et al. Self-management in adults after solid-organ transplantation: a scoping review protocol. BMJ Open; 2023;13(1): e064347. doi: 10.1136/bmjopen-2022-064347

Kimura H, Kishi S, Narita H, et al. Comorbid psychiatric disorders and long-term survival after liver transplantation in transplant facilities with a psychiatric consultation-liaison team: a multicenter retrospective study. BMC Gastroenterology; 2023;23(1); 106. doi:10.1186/s12876-023-02735-1

Yang FC, Chen HM, Huang CM, et al. The difficulties and needs of organ transplant recipients during postoperative care at home: a systematic review. International Journal of Environmental Research and Public Health; 2020;17(16): 5798. doi: 10.3390/ijerph17165798

De Pasquale C, Pistorio ML, Veroux M, et al. Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review. Fronters in Psychiatry; 2020;11: 106. doi: 10.3389/fpsyt.2020.00106

Lupi D, Binda B, Montali F, et al. Transplant Patients' Isolation and Social Distancing Because of COVID-19: Analysis of the Resilient Capacities of the Transplant in the Management of the Coronavirus Emergency. Transplantation Proceedings; 2020;52(9): 2626-2630. doi: 10.1016/j.transproceed.2020.05.031

Sogawa H. Preoperative Recipient Evaluation for Visceral (Intestine, Intestine/Liver, Multivisceral) Transplantation. In: Kathirvel Subramaniam TS (ed). Anesthesia and Perioperative Care for Organ Transplantation. New York: Springer; 2017. p. 513-516.

Holscher CM, Leanza J, Thomas AG, et al. Anxiety, depression, and regret of donation in living kidney donors. BMC Nephrology; 2018;19(1): 218. doi: 10.1186/s12882-018-1024-0

Wirken L, van Middendorp H, Hooghof CW, et al. Psychosocial consequences of living kidney donation: a prospective multicentre study on health-related quality of life, donor–recipient relationships and regret. Nephrology Dialysis Transplantation; 2019;34(6): 1045-1055. doi: 10.1093/ndt/gfy307

Hicks KG, Curtis E, Bender MA. Palliative Care in the Adult Solid Organ Transplant Recipient. In: Wong CJ (ed). Primary Care of the Solid Organ Transplant Recipient. Switzerland: Springer; 2020. p. 301-317.

Shapiro PA, Pereira LF, Taylor KE, et al. Post-transplant Psychosocial and Mental Health Care of the Cardiac Recipient. In: Sher Y, Maldonado J (eds). Psychosocial Care of End-Stage Organ Disease and Transplant Patients. Switzerland: Springer; 2019. p. 237-244.

Zhu X, Ming Y, Liu J, et al. Sleep Quality and Psychosocial Factors in Liver Transplant Recipients at an Outpatient Follow-Up Clinic in China. Annals of Transplantation; 2020;25: e920984. doi: 10.12659/AOT.920984

Gutierrez-Colina AM, Quast LF, Eaton CK, et al. Sleep quality is associated with psychosocial functioning and health‐related quality of life in pediatric transplant recipients. Pediatric Transplantation; 2019;23(8): e13577. doi: 10.1111/petr.13577

Dew MA, Myaskovsky L, Steel JL, et al. Post-transplant Psychosocial and Mental Health Care of the Renal Recipient. In: Sher Y, Maldonado J (eds). Psychosocial Care of End-Stage Organ Disease and Transplant Patients. Switzerland: Springer; 2019. p. 119-136.

Wu X, Liu M, Cui L, et al. Early estimated glomerular filtration rate and depression in kidney transplantation recipients: a longitudinal study. Psychology Health & Medicine; 2021;26(9): 1154-1162. doi: 10.1080/13548506.2020

Bakosi E, Bakosi E, Shapiro R. Kidney Transplantation: Overview. In: Subramaniam K, Sakai T (eds). Anesthesia and Perioperative Care for Organ Transplantation. New York: Springer; 2017. p. 263-274.

Hu N, Wang A, Chang T. Social support mediates the relationship between illness perception and psychosocial adaptation among young and middle-aged kidney transplant recipients in China. Frontiers in Psychology; 2023;14: 1062337. doi: 10.3389/fpsyg.2023

Temür BN, Aksoy N. Factors Affecting Anxiety of Kidney Transplant Recipients According to Donor Type: A Descriptive Study. Journal of Perianesthesia Nursing; 2023;38(1): 118-126. doi: 10.1016/j.jopan.2022.05.073

Jordakieva G, Grabovac I, Steiner M, et al. Employment status and associations with workability, quality of life and mental health after kidney transplantation in Austria. International Journal of Environmental Research and Public Health; 2020;17(4): 1254. doi: 10.3390/ijerph17041254

Uyar B. The analysis of immunosuppressant therapy adherence, depression, anxiety, and stress in kidney transplant recipients in the post-transplantation period. Transplant Immunology; 2022;75: 101686. doi: 10.1016/j.trim.2022.101686

Pedreira-Robles G, Garcimartín P, Bach-Pascual A, et al. Creating the nursing care map in the evaluation of kidney transplant candidates: A scoping review and narrative synthesis. Nursing Open. 2023;10(10):6668-89. doi: 10.1002/nop2.1937

DiMartini AF, Golden E, Matz A, et al. Post-transplant Psychosocial and Mental Health Care of the Liver Recipient. In: Sher Y, Maldonado J (eds). Psychosocial Care of End-Stage Organ Disease and Transplant Patients: Springer; 2017. p. 181-191.

Weiss E, Kabacam G, Gorvin L, et al.The role of preoperative psychosocial counseling on the improvement of the recipient compliance and speed of recovery after liver transplantation - A systematic review of the literature and expert panel recommendations. Clinical Transplantation; 2022;36(10): e14632. doi: 10.1111/ctr.14632

Karabulut N, Aktaş YY. Karaciğer transplantasyonu sonrası hastaların yaşadığı sorunlar ve hemşirelik girişimleri. Balıkesir Sağlık Bilimleri Dergisi; 2012;1(1): 37-42.

Flynn K, Daiches A, Malpus Z, et al. ‘A post-transplant person’: Narratives of heart or lung transplantation and intensive care unit delirium. Health (London); 2014;18(4): 352-368. doi: 10.1177/1363459313501356

Smith P, Kandakatla A, Frankel CW, et al. Sleep quality, depressive symptoms, and transplant outcomes: Follow-up analyses from the ADAPT prospective pilot study. General Hospital Psychiatry; 2021;72: 53-58. doi: 10.1016/j.genhosppsych.2021.06.011

de la Rosa A, Singer-Englar T, Hamilton MA, et al. The impact of depression on heart transplant outcomes: A retrospective single-center cohort study. Clinical Transplantation; 2021;35(3): e14204. doi: 10.1111/ctr.14204

Gülen H, Karaca A. Organ transplantasyonu sürecinde donör eğitimi ve hemşirelik bakımı. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi; 2018;8(2):83-88.

Loh AZH, Tan JSY, Tam JKC, et al. Postoperative Psychological Disorders Among Heart Transplant Recipients: A Meta-Analysis and Meta-Regression. Psychosomatic Medicine; 2020;82(7): 689-698. doi: 10.1097/PSY.0000000000000833

Dew MA, DiMartini AF, DeVito Dabbs AJ, et al. Onset and risk factors for anxiety and depression during the first 2 years after lung transplantation. General Hospital Psychiatry; 2012;34(2): 127-138. doi: 10.1016/j.genhosppsych.2011.11.009

Sher Y. Post-transplant Psychosocial and Mental Health Care of the Lung Recipient. In: Sher, Y, Maldonado J (eds). Psychosocial Care of End-Stage Organ Disease and Transplant Patients. Switzerland: Springer; 2019. p. 289-298.

Lindquist R, VanWormer A, Lindgren B, et al. Time-motion analysis of research nurse activities in a lung transplant home monitoring study. Progress in Transplantation; 2011;21(3): 190-199. doi: 10.1177/152692481102100303

Marcotte LM, Powell H. Preventive Health in the Adult Solid Organ Transplant Recipient. In: Wong CJ (ed). Primary Care of the Solid Organ Transplant Recipient. Switzerland: Springer; 2020. p. 275-300.

Araujo C, Siqueira M. Brazilian Healthcare Professionals: A Study of Attitudes Toward Organ Donation. Transplantation Proceedings; 2016;48(10): 3241-3244.

Baysoy K. Organ Nakli Hastalarının Taburculuk Sonrası Yaşadıkları Zorluklar ve Gereksinimler. Journal of Innovative Healthcare Practices; 2023;4(2): 143-155.

Chadban SJ, Ahn C, Axelrod DA, F et al. KDIGO Clinical Practice Guideline on the Evaluation and Management of Candidates for Kidney Transplantation. Transplantation; 2020;104 (4S1 Suppl 1): 11-103. doi: 10.1097/TP.0000000000003136

Akinci S, Akinci N. Evaluation of depression, anxiety, stress, and decision regret in kidney transplant recipients Depression, anxiety, stress, and decision regret in kidney transplantation. Annals of Clinical and Analytical Medicine; 2023;14.

Zhong D, Wong CJ. Overview of Solid Organ Transplantation for Primary Care Providers. In: Wong CJ (ed). Primary Care of the Solid Organ Transplant Recipient. USA: Springer; 2020. p. 5-27.

Aziz F, Jorgenson MR, Garg N, et al. The care of kidney transplant recipients during a global pandemic: Challenges and strategies for success. Transplantation Reviews (Orlando); 2020;34(4): 100567. doi: 10.1016/j.trre.2020.100567

National Kidney Foundation. The health care team national kidney foundation. 2020 (10.08.2023 tarihinde https://www.kidney.org/atoz/content/healthcareteam adresinden ulaşılmıştır).

Nawaz H, Chopra K. Preoperative Liver Recipient Evaluation and Preparation. In: Subramaniam K, Sakai T (eds). Anesthesia and Perioperative Care for Organ Transplantation. New York: Springer; 2017. p. 333-344.

Wurm F, McKeaveney C, Corr M, et al. The psychosocial needs of adolescent and young adult kidney transplant recipients, and associated interventions: a scoping review. BMC Psychology; 2022;10(1): 186. doi: 10.1186/s40359-022-00893-7

Been-Dahmen JMJ, Grijpma JW, Ista E, et al. Self‐management challenges and support needs among kidney transplant recipients: A qualitative study. Journal of Advanced Nursing; 2018;74(10): 2393-2405. doi: 10.1111/jan.13730

Stubber C, Kirkman M. The experiences of adult heart, lung, and heart-lung transplantation recipients: A systematic review of qualitative research evidence. PLoS One; 2020;15(11): e0241570. doi: 10.1371/journal.pone.0241570

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