| 소속 |
Pusan National University Yangsan Hospital, Department of Rehabilitation Medicine1, Rehabilitation Hospital, Pusan National University Yangsan Hospital, Department of Rehabilitation Medicine2, Pusan National University Yangsan Hospital, Department of Pulmonary, Allergy and Critical Care Medicine3, Pusan National University Yangsan Hospital, Department of Thoracic and Cardiovascular Surgery4, Pusan National University School of Medicine, Department of Rehabilitation Medicine5 |
| 저자 |
Sungchul Huh1*, Jihyang Kim2, Taehwa Kim3, Hye Ju Yeo3, Woo Hyun Cho3, Bong Soo Son4, Do Hyung Kim4, Hyun-Yoon Ko1,5† |
Introduction
Candidates for lung transplantation experience severe fear, anxiety, depression, and stress because of their shortness of breath and uncertainty of being a recipient. The psychological state and quality of life (QOL) are important issues but understudied outcome after lung transplantation. The aim of this study is to investigate the mental health of the recipients before and after lung transplantation.
Methods
Between January and June 2019, data was collected from 27 (14 men, 13 women; mean age 56.19 years) lung transplant candidates and 19 (11 men, 8 women; mean age 58.79 years) lung transplant recipients. Korean-Beck Depression Inventory-II (K-BDI-II), Korean-Beck Anxiety Inventory (K-BAI), and Korean-Beck Hopelessness Scale (K-BHS) were assessed for psychological functioning and the Short Form-36 (SF-36) for general quality of life measure. Pre-transplantation group and the post-transplantation group were comparatively analyzed using the frequency analysis, t-tests, and ANOVA (SPSS Statics ver. 21).
Results
There were no significant differences in age, education level, and sex ratio between pre-transplantation and post-transplantation group. Most subjects reported depression (65.2%), anxiety (45.7%), and hopelessness (69.6%). Some were severely depressed (8.7%) and hopelessness (6.5%). There was a significant difference in K-BAI total score between the two groups. In the post-transplantation group, anxiety was lower than the pre-transplantation group (p<0.05) and the mood was less depressive than the pre-transplantation group (p<0.1). There were statistically significant differences in the subscales in SF-36 compared to the pre-transplantation group. The post-transplantation group showed a higher QOL in physical functioning (p<0.01), role limitation due to physical health (p<0.01), energy (p<0.001), emotional well-being (p<0.05), social functioning (p<0.05), pain (p<0.05), and general health (p<0.05).
Conclusion
Lung transplant recipients reported a highly satisfying quality of life in terms of physical function, energy, emotional well-being, and social functioning. They also reported a lower level of anxiety and depression than the pre-transplantation group. However, most of them are more depressed, more hopeless, and have a lower QOL state than the published normal population. In a hospital setting, psychosocial interventions with physical rehabilitation are expected to help adaptation after lung transplantation. |
