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Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study

Experiencing symptoms after heart transplantation may hamper the heart recipient’s self-management which can lead to negative effects. We know little about symptom occurrence and distress after heart transplantation, especially in relation to sociodemographic variables. The aim of the study was to e...

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Autores principales: Dalvindt, Marita, Nozohoor, Shahab, Kisch, Annika, Lennerling, Annette, Forsberg, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7663327/
https://www.ncbi.nlm.nih.gov/pubmed/33139609
http://dx.doi.org/10.3390/ijerph17218052
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author Dalvindt, Marita
Nozohoor, Shahab
Kisch, Annika
Lennerling, Annette
Forsberg, Anna
author_facet Dalvindt, Marita
Nozohoor, Shahab
Kisch, Annika
Lennerling, Annette
Forsberg, Anna
author_sort Dalvindt, Marita
collection PubMed
description Experiencing symptoms after heart transplantation may hamper the heart recipient’s self-management which can lead to negative effects. We know little about symptom occurrence and distress after heart transplantation, especially in relation to sociodemographic variables. The aim of the study was to explore self-reported symptom occurrence and distress after heart transplantation and their relationship with self-reported psychological well-being and sociodemographic factors. This multicenter, cross-sectional, cohort study is associated with the Swedish national Self-Management After Thoracic Transplantation study (SMATT). Two questionnaires were distributed at the heart recipients’ yearly follow-up, one to five years post-transplant at three Swedish university hospitals from 2014–2017. In a total 79 heart recipients, 54 men and 25 women, with a mean age 53 years returned the questionnaires. Symptoms occurred differently depending on type and duration of follow-up. The most common symptoms, trembling hands, and decreased libido were also the most distressing. Heart recipients most burdened by symptoms were those younger than 50 years, not working, with poor psychological well-being or living alone. Fatigue explained more than 60% of the variation in transplant specific well-being. In conclusion this study points at the target groups within the heart transplant population that needs person centered symptom management support where the focus should be on side-effects of the medication i.e., trembling hands as well as the patients’ sexual health.
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spelling pubmed-76633272020-11-14 Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study Dalvindt, Marita Nozohoor, Shahab Kisch, Annika Lennerling, Annette Forsberg, Anna Int J Environ Res Public Health Article Experiencing symptoms after heart transplantation may hamper the heart recipient’s self-management which can lead to negative effects. We know little about symptom occurrence and distress after heart transplantation, especially in relation to sociodemographic variables. The aim of the study was to explore self-reported symptom occurrence and distress after heart transplantation and their relationship with self-reported psychological well-being and sociodemographic factors. This multicenter, cross-sectional, cohort study is associated with the Swedish national Self-Management After Thoracic Transplantation study (SMATT). Two questionnaires were distributed at the heart recipients’ yearly follow-up, one to five years post-transplant at three Swedish university hospitals from 2014–2017. In a total 79 heart recipients, 54 men and 25 women, with a mean age 53 years returned the questionnaires. Symptoms occurred differently depending on type and duration of follow-up. The most common symptoms, trembling hands, and decreased libido were also the most distressing. Heart recipients most burdened by symptoms were those younger than 50 years, not working, with poor psychological well-being or living alone. Fatigue explained more than 60% of the variation in transplant specific well-being. In conclusion this study points at the target groups within the heart transplant population that needs person centered symptom management support where the focus should be on side-effects of the medication i.e., trembling hands as well as the patients’ sexual health. MDPI 2020-11-01 2020-11 /pmc/articles/PMC7663327/ /pubmed/33139609 http://dx.doi.org/10.3390/ijerph17218052 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dalvindt, Marita
Nozohoor, Shahab
Kisch, Annika
Lennerling, Annette
Forsberg, Anna
Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study
title Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study
title_full Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study
title_fullStr Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study
title_full_unstemmed Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study
title_short Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study
title_sort symptom occurrence and distress after heart transplantation—a nationwide cross-sectional cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7663327/
https://www.ncbi.nlm.nih.gov/pubmed/33139609
http://dx.doi.org/10.3390/ijerph17218052
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