An Investigation And Analysis Of Living Quality Of Patients After Orthotopic Cardiac Transplantation

Objective To investigate and analyze living quality of patients after orthotopic cardiac transplantation and to provide scientific evidence for specific stratege of therapy and improvement of Living Quality of Patients with Bi-vena cava heart transplantation.Methods SF-36 and the social support questionnaire was used to investigate and analyze Living Quality of 79 Patients who received orthotopic cardiac transplantation in the Department of Cardiovascular surgery of Affiliated Union Hospital of Fujian Medical University. Description,t-test and Spearman correlate analysis were used to study the correlated factors.Results Compared with a reference general population,the heart transplant recipients showed a significantly worse living quality score on all domains of the SF-36 scales(P<0.05),except the domain of Bodily pain.Among the patients after heart transplantation,a significantly better living quality was perceived at more than 2 years surviving group than that within the first year after transplantation,(P<0.05),except the domain of Bodily pain.Examining the relationships between the social support and living quality showed:the total social support score were positively related to mental health related living quality (P<0.05,r=0.223～0.710).Compared with a reference general population,the heart transplant recipients show significantly lower scores on all domains of the the social support questionnaire(P<0.01).Conclusions Compared with a general population,heart transplant recipients demonstrated a significantly reduced living quality.But evidence showed the living quality can be improved gradually as the persistent existence after heart transplantation.Social support was related to the living quality of heart transplantation patients. Improvement of availability on social support will probably improve living quality.