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Health-related quality of life in adult heart-transplant recipients-a systematic review

机译：成人心脏移植受者的健康相关生活质量 - 系统审查

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摘要

Background Health-related quality of life is a multidimensional concept to assess the impact of medical interventions from an individual perspective. This concept is important to evaluate benefits of heart transplantation. This systematic review was conducted to determine (1) posttransplant health-related quality of life in heart transplantation patients and (2) influencing factors of health-related quality of life. Methods A systematic review of cross-sectional, prospective and mixed methods studies published from November 2007 to November 2017 was conducted on PsycINFO, PSYNDEX and PubMed using a combination of the keywords heart transplantation, heart transplantation patient, quality of life, and health-related quality of life. Results A total of 14 studies with a cross-sectional design, 6 studies with a prospective design and 2 mixed-methods studies were identified. The stability of health-related quality of life up to 10 years after transplantation has been reported. Most often generic scales, such as SF-36 (8) and WHOQoL-BREF (7) were used for data collection. Demoralization, depression, pain, gastrointestinal symptoms, sexual dysfunction, and poor oral health influence health-related quality of life negatively, whereas social and family support have a positive impact. Conclusion Although health-related quality of life is positively influenced by transplantation, further research regarding gender differences is needed. Disease-specific scales were rarely used.
机译：背景技术与健康的生活质量是一种多维概念，以评估医疗干预的影响。这种概念对于评估心脏移植的益处是重要的。进行了这种系统审查，以确定（1）心脏移植患者的后移植卫生相关的生活质量和（2）与健康有关的生活质量的影响因素。方法对2007年11月至2017年11月发布的横断面，前瞻性和混合方法研究的系统审查在Psycinfo，Psyndex和Pubmed中使用关键词心脏移植，心脏移植患者，生活质量和健康相关的组合进行生活质量。结果共有14项采用横截面设计研究，6项研究具有前瞻性设计和2项混合方法研究。报告了在移植后10年后的健康相关生活质量的稳定性。最常通常的通用尺度，例如SF-36（8）和WHOQOL-BREF（7）用于数据收集。不道德化，抑郁，疼痛，胃肠道症状，性功能障碍和口腔健康差影响了与健康相关的生活质量消极，而社会和家庭支持具有积极的影响。结论虽然与移植的健康有关的生活质量受到积极影响，但需要有关性别差异的进一步研究。很少使用特异性疾病的鳞片。

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