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首页> 外文期刊>Transplantation Proceedings >Importance of introduction of a psychological care unit in a liver transplantation unit.
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Importance of introduction of a psychological care unit in a liver transplantation unit.

机译：在肝移植单元中引入心理护理单元的重要性。

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BACKGROUND: Psychological changes in terminally ill patients with liver disease are underestimated. Therefore, a psychological care unit was introduced in the liver transplantation unit in a transplantation hospital in Spain. OBJECTIVES: To describe the establishment of the psychological care unit in a liver transplantation unit and to review its operation, and to evaluate and diagnose psychological changes in patients on the waiting list for liver transplantation. MATERIALS AND METHODS: Variables evaluated included consultations, interviews, level of care provided, appointments postponed, difficulties, and cost-effectiveness. Psychopathologic symptoms were evaluated using the Symptom Assessment-45 questionnaire (Derogatis, 1975), examining 9 psychopathologic dimensions. RESULTS: Thirty-eight patients were given an appointment, and 28 were interviewed. Twelve postponed the appointment. The level of support provided to patients on the waiting list was 70%. The hospital structure was used to develop the care unit, which is why it was only necessary to employ 1 professional psychologist. Of patients assessed, 54% exhibited relevant clinical symptoms of depression, and 47 demonstrated anxiety. Patients with symptoms of depression reported "loss of interest"; those with anxiety reported feeling "worried and tense." Of these patients, an increased presence of symptoms was associated with various emotional problems such as hostility (33%), somatization (60%), obsession/compulsion (73%), interpersonal sensitivity (40%), phobic anxiety (20%), paranoid ideation (20%), and psychosis (6%). CONCLUSIONS: Patients on the waiting list for liver transplantation demonstrate increased clinical symptoms of depression and anxiety. Therefore, it is of great importance to introduce a psychological care unit to detect and treat these conditions. Introduction of the liver transplant unit program has improved multidisciplinary care and is cost-effective.
机译：背景：绝症肝病患者的心理变化被低估了。因此，在西班牙一家移植医院的肝移植科中引入了心理护理科。目的：描述在肝移植部门建立心理护理部门的情况，并对其操作进行回顾，评估和诊断等待肝移植的患者的心理变化。材料和方法：评估的变量包括咨询，访谈，提供的护理水平，推迟的任命，困难和成本效益。使用症状评估问卷45（Derogatis，1975）对精神病理症状进行了评估，检查了9个心理病理维度。结果：38位患者得到了任命，并采访了28名患者。十二推迟了任命。向等待名单上的患者提供的支持水平为70％。医院结构被用来发展护理部门，这就是为什么只需要雇用一名专业心理学家的原因。在接受评估的患者中，有54％表现出抑郁症的相关临床症状，而47位患者表现出焦虑。有抑郁症状的患者报告“失去兴趣”;那些焦虑的人表示感到“担心和紧张”。在这些患者中，症状增加与各种情绪问题相关，例如敌意（33％），躯体化（60％），强迫症（73％），人际关系敏感（40％），恐惧症（20％） ，偏执观念（20％）和精神病（6％）。结论：等待肝移植的患者表现出抑郁和焦虑的临床症状增加。因此，引入心理护理部门来检测和治疗这些疾病非常重要。肝移植单位计划的引入改善了多学科护理，并且具有成本效益。

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