Impact of postoperative mental health on quality of life of heart transplant recipients

doi:10.12102/j.issn.1009-6493.2018.13.013

Abstract：Objective:To investigate the mental health status of heart transplant recipients after surgery and analyze the effect on their quality of life (QOL).Methods:A total of 40 heart transplant recipients of the Heart and Vascular Surgery in Union Hospital from 2005 to 2014 were investigated by The Symptom Checklist-90 (SCL-90),the General Social Demographic Questionnaire,Self-rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),and the MOS 36-Item Short-Form Health Survey (SF-36) face to face and through phone call.The influencing factors of the mental health status on QOL were analyzed.Results:The score of SCL-90 of heart transplant recipients was(1.89 ± 0.58) points,higher than that of normal people,indicating that the recipients were under cer-tain psychological pressure after surgery.The SAS score of cardiac transplant recipients was (41.76 ± 8.82) points,both of which were higher than the general population,with a statistically significant difference(P＜0.05).The age of the recipient and the mode of medical expenses expenditure had a certain influence on SAS and SDS score (P＜0.05).Multiple linear regression analysis showed that the degree of anxiety and depression of the recipients,postoperative re-employment,and postoperative survival time were the key role in affecting the QOL of the recipients,including both physical health and mental health (P＜0.05).Conclusions:The QOL of heart transplant recipients were related to age,gender,payment methods of medical expenses,re-employment status,family,and so-cial support.