全人照護模式下心理健康對移植患者長期預後之影響

The key Impact of Mental Health on Long-Term Outcomes in Transplant Recipients under a Holistic Care Model

在器官移植照護中，心理健康對患者的長期預後具有顯著影響。本文透過文獻回顧聚焦全人照護模式下生理、心理、社會及靈性層面的醫療整合，深入剖析心理健康對移植患者預後的作用機制及特定器官移植與心理健康的異質性。心理健康對移植患者預後之影響機轉，研究指出，心理健康可透過行為依從性、免疫功能調節與社會支持等路徑，深刻影響器官存活率與生活品質。尤其在亞洲地區，文化因素對患者心理狀態與照護需求具有深遠影響，應納入全人照護模式加以因應與調整。本文倡議於移植照護流程中整合心理健康評估與介入策略，實踐以人為本的整合性醫療，提升移植患者的長期預後與整體福祉。

In organ transplant care, mental health has a significant impact on patients’long-term outcomes. This literature review focuses on the integration of medical care across physical, psychological, social, and spiritual dimensions within a holistic care model. It explores the mechanisms through which mental health influences transplant outcomes and highlights the heterogeneity across different types of organ transplants. Studies suggest that mental health can profoundly affect graft survival and quality of life through pathways such as treatment adherence, immune regulation, and social support. Particularly in Asian contexts, cultural factors exert a strong influence on patients’psychological status and care needs, necessitating culturally responsive adaptations within holistic care models. This paper advocates for the integration of mental health assessments and interventions into the transplant care continuum to implement person-centered, integrated care, ultimately enhancing long-term outcomes and overall well-being for transplant recipients.