An exploration of psychosocial adjustment to cardiopulmonary transplantation
AuthorsCheater, Hilary J.
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AbstractThe aims of this assessment of needs research were: to explore psychosocial adjustment to cardiopulmonary transplantation among a sample of recipients; to gain an insight into the importance of psychosocial support for recipients; and to reveal any differences within demographic data, with regards to psychosocial adjustment. The research strategy employed was quantitative, and a cross-sectional study was undertaken, using the Psychosocial Adjustment to Illness Scale (Derogatis, 1983). A purposeful sample of 69 recipients were invited to participate in the research, and data was analysed using a variety of statistical tests within the Statistical Package for the Social Sciences (SPSS) Version 12. A total response rate of 47.8% (n=33) was achieved, with results indicating that 69.7% of recipients who participated in this research reflected 'maladjustment' or 'maladjustment within the clinical range' to cardiopulmonary transplantation. The clinical and statistical significance of results identified groups of patients at higher risk for maladjustment to cardiopulmonary transplantation, namely, those who were unemployed, those who lived further away from the transplant unit, and those who were between one and three years post-transplant. These findings may be useful to the cardiopulmonary transplant unit where the research took place, and to other units and health care institutions throughout the United Kingdom. The results have the potential to influence policy decisions regarding health promotion interventions which may reduce the risk of maladjustment to cardiopulmonary transplantation. Furthermore, expansion of multi-disciplinary team services offered to cardiopulmonary transplant recipients may be considered. The findings may also have resonance with other chronic conditions with regards to the psychosocial support and intervention necessary to facilitate appropriate adjustment to illness and optimum patient recovery.
TypeThesis or dissertation
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