Relation among quality of life, social support and psychological resilience in recipients waiting for heart transplantation
Wu Yanrong
Zeng Zhu
Gao Caixia
Wang Lushan
Li Yanjun
Abstract：Objective To analyze the relation among quality of life, social support and psychological resilience in recipients waiting for heart transplantation. Methods Totally101 patients waiting for heart transplan-tation in Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology from December 2014 to December 2018 were enrolled. General social questionnaire, self-rating anxiety scale, self-rating depression scale, quality of life scale, social support scale, Connor and Davidson psychological resilience scale were assessed. Influencing factors of social support, quality of life, psychological resilience and the correlation among them were analyzed by Cox regression and Spearman test. Results Scores of self-rating anxiety scale and self-rating depression scale were (51. 2 ± 1. 1) and (61. 7 ± 1. 5). Scores of physical function, psychological function, material life function and social function in quality of life scale were (41. 3 ± 2. 2), (40. 6 ± 1. 4), (49. 8 ± 2. 1) and (46. 5 ± 1. 3); the totally score was (45. 7 ± 4. 5). Scores of objective support, subjective support and utilization of social support were (8. 7 ± 2. 8), (17. 6 ± 3. 8) and (6. 8 ± 1. 6); the total score was (33. 5 ± 7. 6). Self-improvement score, toughness score and optimism score were (20 ± 4), (26 ± 3), (26 ± 3)and the total score of psychological resilience was (63 ± 10). Cox regression analysis showed that the independent risk factors affecting social support were life stress events[odds ratio(OR) =2. 293, 95％ confidence interval (CI):1. 547-4. 364, P<0. 001] and per capital monthly income≤1000 yuan(OR=1. 491, 95％CI:1. 315-3. 433, P=0. 004). The independent risk factors affecting quality of life were age >60 years(OR =2. 974, 95％CI:1. 482-3. 112, P=0. 001) and chronic diseases(OR=2. 435, 95％CI:1. 463-6. 341, P=0. 002). The independent risk factors affecting psychological resilience were age >60 years ( OR =1. 647, 95％CI: 1. 122-4. 178, P=0. 005) and life stress events(OR=1. 724, 95％CI:1. 216-4. 989, P=0. 003). Quality of life score was positively correlated with psychological resilience and social support(r=0. 678, 0. 712, both P<0. 001). Conclusion Life quality of recipients waiting for heart transplantation is low, which is closely associated with social support and psychological resilience.
Keywords：Recipients of heart transplantationQuality of lifeSocial supportPsychological resilience
Publication Date：2020-04-08
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 534-538 )