特集「臓器移植前後のメンタルサポート：今日的課題」
心臓移植前後の心理的支援についての今日的課題
2019 年 54 巻 1 号 p. 3-7
詳細
2019 年 54 巻 1 号 p. 3-7
In the last 10 years, the demand for psychological support for patients undergoing heart transplantation has increased, and the content has also changed with recent technical innovations. The psychological support provided, however, has not kept up with the changes in heart transplant technology. Support should be aimed at three major issues. The first is the mental and physical stress due to heart failure. The second is the pre-transplant psychosocial assessment of the recipient because the psychosocial background before transplant may affect the transplantation prognosis. The third is related to implantable ventricular assist devices (VAD). Due to the technological innovations of the VAD, the quality of life and activity of the patients have increased. In conjunction, responsibilities of self-care and economic self-reliance for the patients and their families have also increased, leading to various psychological issues.
