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Journal of Korean Critical Care Nursing 2014;7(1):11-23.
Published online June 30, 2014.

심장이식 수혜자의 사회적지지, 우울 및 건강상태
박병준, 신나미
1고려대학교 간호대학
2고려대학교 간호대학
Social Support, Depression and Health Status in Heart Transplantation Recipients
Byung-Jun Park, Nah-Mee Shin
1College of Nursing, Korea University
2College of Nursing, Korea University
Abstract
Purpose
As the number of cases of heart transplantation (HT) and the survival rate have increased, concerns regarding post-HT life have grown. This study was conducted to explore the relationships of perceived social support to the depression and health status of HT recipients.
Methods
This descriptive study targeted all recipients who had undergone HT at S University Hospital since 1994, and 32 recipients were recruited.
Results
90.6% of the recipients were men, and the average age at the time of surgery was $47.4{pm}13.4$ years. The ejection fraction was increased from $18.47{pm}5.63%$ to $63.25{pm}7.57%$, and 31 cases of New York Heart Association (NYHA) class III and IV improved to class I or II after HT. The patients reported mild depression even with high perceived social support and improved health status after HT. Among those resource persons who offered support, they reported their spouse, doctors, and nurses as most meaningful to them.
Conclusion
This study confirmed the positive effects of HT on the recipients' physical improvement. It also added the discovery that the importance of recipients' subjective perception of social support might be critical for their more successful recovery and adjustment to post-HT life. Focusing on a different approach to social support and types of social resources in the recovery phase is suggested for future studies on quality of life after HT.
Key Words: Heart transplantation recipients, Social support, Depression, Health status
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