Transplantation: Transplantation |

Study of Bundle Care With the Postoperative Adult Lung Transplantation Recipients on Psychological Behavior Intervention FREE TO VIEW

Jiahui Ma, MD; Hongjing Lin, MD; Xueli Zhang; Guangwei Zhang
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The First Hospital of Jilin University, Changchun, China

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A605. doi:10.1016/j.chest.2016.02.632
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SESSION TITLE: Transplantation

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: To study of the effect of the bundle cares with the postoperative adult lung transplantation of the psychological behavior intervention.

METHODS: From April to December in the first hospital of Jilin university in 2014, five adult received double lung transplantation, and 4 cases selected in this study. Bundle cares includes six links, and to choose six special time nodes to assess mental status using Zung self rating anxiety scale (SAS), Zung depression self rating scale (SDS) and Pittsburgh sleep quality index scale (PSQI), then pain assessment using digital classification method (NRS).

RESULTS: Six time nodes, SAS and SDS scores declined progressive. out of ICU, one week treatment in the isolation wards before treatment and discharged from hospital, SAS and SDS scores were lower than other three time nodes, including the day of admission, the day removing noninvasive ventilator, and after three days removing noninvasive ventilator, the difference was statistically significant (p<0.05). Six time nodes NRS scores were no statistically significant differences (p>0.05). It’s no correlation between NRS scores and SAS, SDS.

CONCLUSIONS: According to the reasons of mental problems in lung transplant recipients, it’s effective way to carry out bundle cares dominated by psychological intervention.

CLINICAL IMPLICATIONS: At present, all of the world, the lung transplantation is recognized to be the only effective way to cure the patients with end-stage lung diseases, such as chronic obstructive pulmonary disease, pulmonary fibrosis, idiopathic interstitial pneumonia. While physiological function of the lung transplant recipients can be improved, due to the long duration of the primary disease itself, lung transplantation recipients need to wait for the donator a long time, and keeping protective isolation in ICU, common lung transplant recipients would appear postoperative delirium, anxiety, depression and other psychological problems, but mental state of recipients would directly affect the effect and prognosis of transplantation.

DISCLOSURE: The following authors have nothing to disclose: Jiahui Ma, Hongjing Lin, Xueli Zhang, Guangwei Zhang

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