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首页> 外文期刊>Progress in transplantation: official publication, North American Transplant Coordinators Organization ... [et al.] >Exploration of the Stanford Integrated Psychosocial Assessment for Transplantation With Psychosocial and Medical Outcomes in Kidney and Kidney-Pancreas Transplant Recipients
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Exploration of the Stanford Integrated Psychosocial Assessment for Transplantation With Psychosocial and Medical Outcomes in Kidney and Kidney-Pancreas Transplant Recipients

机译：浅谈肾脏和肾癌移植受者的心理社会和医学结果移植综合心理社会社会评估

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Introduction: The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) is a psychometric instrument designed to assess patient risk for transplant. We investigated the association between SIPAT scores and demographic data with psychosocial and medical outcomes within a diverse kidney/kidney-pancreas transplant population. Design: The SIPAT was administered to all pretransplant candidates. A retrospective review of transplanted patients who had at least 6 months of follow-up was completed. Results: The sample included 136 patients: male (n = 77 [57%]) with a mean age of 47 years old. Thirty-eight percent were black (n = 51), 55% had less than a high school education (n = 74), and 65% had low socioeconomic status (n = 89). Statistical difference was found among SIPAT scores and substance use and support system instability (P = .035, P = .012). Females (P = .012) and patients with a history of psychopathology (P = .002) developed or had a relapse of psychopathology following transplant. Patients with more than a high school education (P = .025) and who were less than 30 years (P = .026) had higher rejection incidence rates. Risk factors for rehospitalizations included Hispanic race, diabetes, and low socioeconomic status (P = .036, P = .038, P = .014). African American/Black and male patients had higher incidence of infection events (P = .032, P = .049). Mortality and treatment nonadherence were not significantly associated with SIPAT scores or demographic variables. Conclusion: The SIPAT was associated with posttransplant substance use and support system instability, while demographic variables were associated with the development and/or relapse of psychopathology, graft loss, rejection, infection events, and medical rehospitalizations. Revision of the SIPAT to include additional demographic components may lend to improved prediction of transplant outcomes.
机译：简介：斯坦福综合心理社会社会对移植（SIPAT）的综合性评估是一种旨在评估移植患者风险的心理测量仪器。我们调查了SIPAT分数与人口统计数据之间的关联，在不同的肾脏/肾胰腺移植群体中具有心理社会和医学结果。设计：将SIPAT施用于所有预甲醛候选者。完成了对至少6个月后续后续的移植患者的回顾性审查。结果：该样品包括136名患者：男性（n = 77 [57％]），平均年龄为47岁。 38％的黑色（n = 51），55％的高中教育（n = 74），65％的社会经济地位（n = 89）。 SIPAT评分和物质使用的统计学差异并支持系统不稳定性（P = .035，P = .012）。女性（p = .012）和患有心理病理学史的患者（p = .002）开发或经过移植后的精神病理学复发。高中教育（P = .025）和谁不到30年（P = .026）的患者具有更高的拒绝发病率。 Rehospitalizations的危险因素包括西班牙裔种族，糖尿病和低社会经济地位（P = .036，P = .038，P = .014）。非洲裔美国/黑人和男性患者的感染事件发生率较高（p = .032，p = .049）。死亡率和治疗不正常与SIPAT分数或人口变量没有显着相关。结论：SIPAT与后翻版物物质使用和支持系统不稳定有关，而人口变量与精神病理学，接枝丧失，拒绝，感染事件和医疗再次研究的开发和/或复发相关。将SIPAT的修订包括额外的人口统计成分可以借助于改善移植结果的预测。

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