Caregiver burden in lung transplantation: A review

JHLT Open Pub Date : 2025-05-01 Epub Date: 2025-03-04 DOI:10.1016/j.jhlto.2025.100239
Keerthana Sankar MD , Anne Johnson LCSW , Kathryn McRae LCSW , Reinaldo Rampolla MD , Nicholas A. Kolaitis MD, MAS
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Abstract

Caregivers play a pivotal role in supporting patients undergoing lung transplant and often experience significant psychological, physical, and financial burdens. The current literature suggests that caregivers face heightened depression and anxiety in both the pre- and post-transplant periods. Caregivers of lung transplant patients may face unique challenges compared to other caregiver populations due to fears regarding pre- and post-transplant survival, lifestyle changes associated with post-transplant complications, and financial burden due to job loss and relocation. Caregiver well-being is linked to patient outcomes, with increased burden associated with higher post-transplant mortality. This review summarizes the symptoms associated with caregiver burden, assessment tools to evaluate caregiver strain, patient outcomes and social determinants of health as it relates to caregiver-patient relationships, and interventions to mitigate caregiver burden in the lung transplant population.
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肺移植患者的护理负担:综述
护理人员在支持接受肺移植的患者方面发挥着关键作用,并且经常经历重大的心理,身体和经济负担。目前的文献表明,护理人员在移植前和移植后都面临着高度的抑郁和焦虑。与其他护理人群相比,肺移植患者的护理人员可能面临着独特的挑战,因为他们担心移植前和移植后的生存,移植后并发症相关的生活方式改变,以及失业和搬迁带来的经济负担。护理人员的幸福感与患者的预后有关,而负担的增加与移植后死亡率的升高有关。本文综述了肺移植人群中与照顾者负担相关的症状、评估照顾者压力的评估工具、患者结局和健康的社会决定因素,因为它与照顾者-患者关系有关,以及减轻照顾者负担的干预措施。
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