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Psychological And Psychosocial Aspects Of The Solid Organ Transplant Experience-A Practice Review

机译：实体器官移植经验的心理和社会心理方面的实践回顾

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摘要

There is an increasing need for empirically based psychotherapy interventions for individuals and their caregiving systems undergoing the solid organ transplant process. Research suggests that the organ transplant recipient experiences an improvement in physical and social functioning and return to daily activities, but not consistently positive change in psychological health. The transplantation process leaves the recipient with a mixture of distressing and challenging experiences. Three temporal stages have been identified in the process: the pretransplant stage, preoperative/candidacy waiting period, and the posttransplant stage, each holding psychological and social issues. The construct of quality-of-life, identified by critical factors and benchmarks in the therapeutic process for transplant recipients, is defined differently in the medical and psychological literature. Differences are discussed in terms of therapeutic interventions. Caregivers are found to experience their own challenges when an intimate has a solid organ transplant. Therapeutic interventions for the caregiving system include stress management, psychoeducation, and repair of relational ruptures.
机译：对于经历实体器官移植过程的个人及其护理系统，越来越需要基于经验的心理治疗干预。研究表明，器官移植接受者的身体和社交功能得到改善，并恢复了日常活动，但心理健康并未持续出现积极变化。移植过程使接受者充满痛苦和挑战性的经历。在此过程中，确定了三个时间阶段：移植前阶段，术前/候选等待期和移植后阶段，每个阶段都涉及心理和社会问题。在医学和心理学文献中对生活质量的构成（由移植受者的治疗过程中的关键因素和基准确定）进行了不同的定义。在治疗干预方面讨论了差异。当亲密者进行牢固的器官移植时，护理人员会遇到自己的挑战。护理系统的治疗干预措施包括压力管理，心理教育和关系破裂的修复。

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