Skip to main content

Advertisement

SpringerLink
Log in

Die Herztransplantation

Kein einmaliges Ereignis

Heart transplantation

Not a one-time event

  • Übersicht
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Die Herztransplantation (HTX) sollte nicht nur aus medizinischer Sicht, sondern ebenso auch unter dem Blickwinkel psychischer Belastungen nicht als einmaliges Ereignis betrachtet werden. Transplantation ist ein Prozess – sie bedeutet Hoffnung und Lebensqualität aber auch eine Gratwanderung mit ungewissem Ausgang. Die wichtigsten Phasen von der Wahrnehmung der schlechten Prognose und der Mitteilung über die Notwendigkeit der Herztransplantation bis hin zum Langzeitverlauf (berufliche Wiedereingliederung) werden dargestellt, um ein besseres Verständnis für den gesamten Transplantationsprozess zu ermöglichen.

Abstract

Heart transplantation should not be treated as one event, not only from a medical perspective but also even from the perspective of mental stress. Transplantation is a process—it represents hope and quality of life but also means a tightrope walk with an uncertain outcome. The main stages will be shown below, so as to enable a better understanding of the entire transplant process.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Stehlik J et al (2010) The Registry of the International Society for Heart and Lung Transplantation: twenty-seventh official heart transplant report 2010. J heart Lung Transplant 29(10):1083–1141

    Article  PubMed  Google Scholar 

  2. Scheld HH, Deng M, Hammel D (1997) Leitfaden Herztransplantation. Steinkopff, Darmstadt

  3. Christopherson LK (1971) Selection of cardiac transplant recipients and their subsequent psychological adjustment. Semin Psychiatry 3(36):36–45

    PubMed  CAS  Google Scholar 

  4. Freeman AM, Watts D, Karp R (1984) Evaluation of cardiac transplant candidates: preliminary observations. Psychosomatics 25(3):197–207

    PubMed  Google Scholar 

  5. Mai FM, Mc Kenlie FN, Kostuk WJ (1986) Psychiatric aspects of heart transplantation: preoperative evaluation an postoperative sequele. Br Med J 292:311–3134

    Article  CAS  Google Scholar 

  6. Shapiro PA (1990) Life after heart transplantation. Progr Cardiovasc Dis 32(6):405–418

    Article  CAS  Google Scholar 

  7. Allender J, Shisslak C, Kazniak A, Copeland J (1983) Stages of psychosocial adjustment associated with heart transplantation. J Herat Transplant 2:228–231

    Google Scholar 

  8. Kuhn WF, Davis MH, Lippmann SB (1988) Emotional adjustment to cardiac transplantation. Gen Hosp Psychiatry 10:108–113

    Article  PubMed  CAS  Google Scholar 

  9. Johann B, Muthny F (2000) Psychosomatische Betreuung von Transplantations-patienten. In: Senf W, Broda M (Hrsg) Praxis der Psychotherapie, 2. Aufl. Theime, Stuttgart, S 606–612

  10. Bunzel B (1993) Herztransplantation: Psychosoziale Grundlagen und Forschungsergebnisse zur Lebensqualität. Thieme, Stuttgart

  11. Christopherson LK (1976) Cardiac transplant: preparation for dying of for living. Health Soc Work 1(1):58–72

    PubMed  CAS  Google Scholar 

  12. Bunzel B, Gundböck A, Schubert MT (1991) Ein neues Herz – auch für Partner? System Familie 4(4):249–252

    Google Scholar 

  13. Kuhn WF, Myers B, Davis MH (1988): Ambivalence in cardiac transplantation candidates. Int J Psychiatry Med 18(4):305–314

    Article  PubMed  CAS  Google Scholar 

  14. Kuhn WF, Davis MH, Lippmann SB (1988) Emotional adjustment to cardiac transplantation. Gen Hosp Psychiatry 10(2):108–113

    Article  PubMed  CAS  Google Scholar 

  15. Christopherson LK (1971) Selection of cardiac transplant recipients and their subsequent psychological adjustment. Semin Psychiatry 3(36):36–45

    PubMed  CAS  Google Scholar 

  16. Freeman AM, Watts D, Karp R (1984) Evaluation of cardiac transplant candidates: preliminary observations. Psychosomatics 25(3):197–207

    PubMed  Google Scholar 

  17. Mai FM, Mc Kenlie FN, Kostuk WJ (1986) Psychiatric aspects of heart transplantation: preoperative evaluation an postoperative sequele. Br Med J 292:311–3134

    Article  CAS  Google Scholar 

  18. Twillman RK, Manetto C, Wellisch DK et al (1993) The Transplant Evaluation Rating Scale. a revision of the psychosocial levels system for evaluating organ transplant candidates. Psychosomatics 34:144–153

    PubMed  CAS  Google Scholar 

  19. Kuhn WF, Brennan AF, Lacefield PK et al (1990) Psychiatric distress during stages of the heart transplant protocol. J Heart Transplant 9:25–29

    PubMed  CAS  Google Scholar 

  20. Porter RR, Krout L, Parks V et al (1994) Perceived stress and coping strategies among candidates for heart transplantation during the organ waiting period. J Heart Lung Transplant 13:102–107

    PubMed  CAS  Google Scholar 

  21. Muirhead J, Meyerowitz BE, Leedham B et al (1992) Quality of life and coping in patients awaiting heart transplantation. J Heart Lung Transplant 11:265–272

    PubMed  CAS  Google Scholar 

  22. Dracup K, Walden JA, Stevenson LW, Brecht ML (1992) Quality of life in patients with advanced heart failure. J Heart Lung Transplant 11:273–279

    PubMed  CAS  Google Scholar 

  23. Mai FM (1993) Psychiatric aspects of heart transplantation. Br J Psychiatry 163:285–292

    Article  PubMed  CAS  Google Scholar 

  24. Jalowiec A, Grady KL, White-Williams C (1994) Stressors in patients awaiting a heart transplant. Behav Med 19:145–155

    Article  PubMed  CAS  Google Scholar 

  25. Fisher DC, Lake KD, Reutzler THJ, Emery R (1995) Changes in health-related quality of life and depression in heart transplant recipients. J Heart Lung Transplant 14:373–381

    PubMed  CAS  Google Scholar 

  26. Grady KL (1993) Quality of life in patients with chronic heart failure. Crit Care Nurs. Clin North Am 4:661–670

    Google Scholar 

  27. Grady KL, Jalowiec A, White-Williams C et al (1995) Predictors of quality of life in patients with advanced heart failure awaiting transplantation. J Heart Lung Transplant 14:12–10

    Google Scholar 

  28. Christophersen LK (1987) Cardiac transplantation: a psychological perspective. Circulation 75:57–62

    Article  Google Scholar 

  29. Kübler-Ross E (1969) On death and dying. The Macmillian Co, New York

  30. Christopherson LK (1987) Cardiac transplantation: A psychological perspective. Circulation 75:57–62

    Article  PubMed  CAS  Google Scholar 

  31. Kuhn WF, Davis MH, Lippman SB (1988) Emotional adjustment cardiac transplantation. Gen Hosp Psychiatry 10:108–113

    Article  PubMed  CAS  Google Scholar 

  32. Frierson RL, Lippmann MD, Brennan AF (1990) Patients refuse heart transplantation. J Heart Transplant 9(4):385–391

    PubMed  CAS  Google Scholar 

  33. Dew MA, Kormos RL, Roth LH et al (1999) Early post-transplant medical compliance and mental health predict physical morbidity and mortality one to three years after heart transplantation. J Heart Lung Transplant 18:549–562

    Article  PubMed  CAS  Google Scholar 

  34. Riedel-Keil B, Strenge H (1994) Praktische Erfahrungen in der psychologischen Betreuung von Herztransplantierten. In: Strenge H, Strauß B, Stauch C (Hrsg) Ein neues Herz. Medizinische und psychosoziale Aspekte der Herztransplantation. Hogrefe, Göttingen, S 111–125

  35. Worl Health Organisation (1986) Basic documents, 36. Aufl. Geneva

  36. Bunzel B, Wollenek G, Zuckermann A (1994) Veränderungen der Lebensqualität nach Herztransplantation – die subjektive Sicht der betroffenen Patienten- Teil 1. Herz Kre4islauf 26(2):41–46

    Google Scholar 

  37. Jalowiec A, Grady KL, White-Williams C et al (1997) Symptom distress three months after heart transplantation. J Heart Lung Transplant 16(6):604–614

    PubMed  CAS  Google Scholar 

  38. Dew MA (2000) Quality of life in transplantation. Cambridge University Press, New York, S 67–145

Download references

Interessenkonflikt

Keine Angaben.

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Thorax-, Herz- und Gefäßchirurgie, Universitätsklinikum Münster, Albert Schweitzer Str. 33, 48149, Münster, Deutschland

    G. Drees & H.H. Scheld

Authors
  1. G. Drees
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H.H. Scheld
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to G. Drees.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Drees, G., Scheld, H. Die Herztransplantation. Z Herz- Thorax- Gefäßchir 25 (Suppl 1), 9–13 (2011). https://doi.org/10.1007/s00398-011-0832-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00398-011-0832-3

Schlüsselwörter

Keywords

Search

Navigation