Recovery, symptoms, and well-being one to five years after lung transplantation – A multi-centre study
(2019) In Scandinavian Journal of Caring Sciences 33(1). p.176-184- Abstract
- BACKGROUND:
In recent years, survival after lung transplantation has remained largely unchanged despite improvements in short-and intermediate-term survival, indicating the need to identify factors associated with recovery and long-term survival. Very little is known about how lung recipients recover after lung transplantation and whether such factors are related to symptom distress and well-being. This constitutes the rationale of the study.
AIM:
The aim was to explore symptom prevalence and distress as well as the degree of self-reported perceived recovery and well-being 1-5 years after adult lung transplantation.
METHOD:
This multicentre, cross-sectional nationwide study includes 117 lung recipients... (More) - BACKGROUND:
In recent years, survival after lung transplantation has remained largely unchanged despite improvements in short-and intermediate-term survival, indicating the need to identify factors associated with recovery and long-term survival. Very little is known about how lung recipients recover after lung transplantation and whether such factors are related to symptom distress and well-being. This constitutes the rationale of the study.
AIM:
The aim was to explore symptom prevalence and distress as well as the degree of self-reported perceived recovery and well-being 1-5 years after adult lung transplantation.
METHOD:
This multicentre, cross-sectional nationwide study includes 117 lung recipients due for follow-up at 1 year (n = 35), 2 years (n = 28), 3 years (n = 23), 4 years (n = 20) and 5 years (n = 11). Three different self-assessment instruments were utilised; The Postoperative Recovery Profile, the Organ Transplant Symptom and Well-Being Instrument, and the Psychological General Well-Being Instrument. Ethical approval of the study was obtained.
RESULTS:
Few (5.7%) lung recipients were recovered 1-5 years after lung transplantation and 27.6% were not recovered at all. No relationship was identified between present lung function and self-reported recovery or well-being. There was a strong relationship between recovery and well-being. It is possible to be partly recovered and experience good health. The most prevalent symptoms were tremor 66%, breathlessness 62%, and decreased libido 60%, while the symptoms perceived as most distressing were embarrassment about appearance, decreased libido, and poor appetite.
LIMITATIONS:
The cross-sectional design prevents identification of any causal relationships. Patient loss due to transplant mortality and inclusion difficulties resulted in a fairly small sample.
CONCLUSION:
Our findings suggest the need for changes in follow-up care such as systematic measurement of the degree of self-reported recovery and symptoms. This entails self-management support tailored to the recipients' symptom-management and health-management requirements. (Less)
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https://lup.lub.lu.se/record/6c26ce4e-9ce9-4c0f-9f18-26f179dff063
- author
- Lundmark, Martina LU ; Lennerling, Annette ; Almgren, Matilda LU and Forsberg, Anna LU
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- lung transplantation, nursing, posttransplant follow-up, recovery, self-management, symptoms, well-being
- in
- Scandinavian Journal of Caring Sciences
- volume
- 33
- issue
- 1
- pages
- 176 - 184
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85055083060
- pmid:30320482
- ISSN
- 0283-9318
- DOI
- 10.1111/scs.12618
- language
- English
- LU publication?
- yes
- id
- 6c26ce4e-9ce9-4c0f-9f18-26f179dff063
- date added to LUP
- 2019-01-09 14:11:37
- date last changed
- 2024-04-15 20:25:54
@article{6c26ce4e-9ce9-4c0f-9f18-26f179dff063,
abstract = {{BACKGROUND:<br/><br/>In recent years, survival after lung transplantation has remained largely unchanged despite improvements in short-and intermediate-term survival, indicating the need to identify factors associated with recovery and long-term survival. Very little is known about how lung recipients recover after lung transplantation and whether such factors are related to symptom distress and well-being. This constitutes the rationale of the study.<br/>AIM:<br/><br/>The aim was to explore symptom prevalence and distress as well as the degree of self-reported perceived recovery and well-being 1-5 years after adult lung transplantation.<br/>METHOD:<br/><br/>This multicentre, cross-sectional nationwide study includes 117 lung recipients due for follow-up at 1 year (n = 35), 2 years (n = 28), 3 years (n = 23), 4 years (n = 20) and 5 years (n = 11). Three different self-assessment instruments were utilised; The Postoperative Recovery Profile, the Organ Transplant Symptom and Well-Being Instrument, and the Psychological General Well-Being Instrument. Ethical approval of the study was obtained.<br/>RESULTS:<br/><br/>Few (5.7%) lung recipients were recovered 1-5 years after lung transplantation and 27.6% were not recovered at all. No relationship was identified between present lung function and self-reported recovery or well-being. There was a strong relationship between recovery and well-being. It is possible to be partly recovered and experience good health. The most prevalent symptoms were tremor 66%, breathlessness 62%, and decreased libido 60%, while the symptoms perceived as most distressing were embarrassment about appearance, decreased libido, and poor appetite.<br/>LIMITATIONS:<br/><br/>The cross-sectional design prevents identification of any causal relationships. Patient loss due to transplant mortality and inclusion difficulties resulted in a fairly small sample.<br/>CONCLUSION:<br/><br/>Our findings suggest the need for changes in follow-up care such as systematic measurement of the degree of self-reported recovery and symptoms. This entails self-management support tailored to the recipients' symptom-management and health-management requirements.}},
author = {{Lundmark, Martina and Lennerling, Annette and Almgren, Matilda and Forsberg, Anna}},
issn = {{0283-9318}},
keywords = {{lung transplantation; nursing; posttransplant follow-up; recovery; self-management; symptoms; well-being}},
language = {{eng}},
number = {{1}},
pages = {{176--184}},
publisher = {{Wiley-Blackwell}},
series = {{Scandinavian Journal of Caring Sciences}},
title = {{Recovery, symptoms, and well-being one to five years after lung transplantation – A multi-centre study}},
url = {{http://dx.doi.org/10.1111/scs.12618}},
doi = {{10.1111/scs.12618}},
volume = {{33}},
year = {{2019}},
}