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Symptom occurrence and distress after heart transplantation—a nationwide cross-sectional cohort study

Dalvindt, Marita LU orcid ; Nozohoor, Shahab LU ; Kisch, Annika LU ; Lennerling, Annette and Forsberg, Anna LU (2020) In International Journal of Environmental Research and Public Health 17(21).
Abstract

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... (More)

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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Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Heart recipient, Heart transplantation, Psychological well-being, Self-management, Symptom distress, Symptom management, Symptom occurrence, Transplant specific well-being
in
International Journal of Environmental Research and Public Health
volume
17
issue
21
article number
8052
pages
13 pages
publisher
MDPI AG
external identifiers
  • scopus:85094825615
  • pmid:33139609
ISSN
1661-7827
DOI
10.3390/ijerph17218052
project
Symptom distress and symptom management after heart transplantation
language
English
LU publication?
yes
id
6f963c30-6b88-4b2b-9ca0-59c72213e936
date added to LUP
2020-11-16 07:27:28
date last changed
2024-04-17 19:48:41
@article{6f963c30-6b88-4b2b-9ca0-59c72213e936,
  abstract     = {{<p>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.</p>}},
  author       = {{Dalvindt, Marita and Nozohoor, Shahab and Kisch, Annika and Lennerling, Annette and Forsberg, Anna}},
  issn         = {{1661-7827}},
  keywords     = {{Heart recipient; Heart transplantation; Psychological well-being; Self-management; Symptom distress; Symptom management; Symptom occurrence; Transplant specific well-being}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{21}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{Symptom occurrence and distress after heart transplantation—a nationwide cross-sectional cohort study}},
  url          = {{http://dx.doi.org/10.3390/ijerph17218052}},
  doi          = {{10.3390/ijerph17218052}},
  volume       = {{17}},
  year         = {{2020}},
}