CAJ | 학술논문

目的评估肝移植术后患者的依从性及相关因素,为提高其依从性提供依据.方法采用一般情况问卷和肝移植患者依从性调查表对54例肝移植术后超过6个月的患者进行随访和调查.结果肝移植术后患者具有较好的免疫抑制药物依从性(3.67±0.51)分和良好生活习惯依从性(3.30±0.44)分,随访依从性(3.05±0.89)分和自我监测依从性(2.00±0.89)分较差.影响依从性的主要因素是家庭人均月收入(P<0.01)和术后时间(P<0.01).结论应加强肝移植术后患者随访和自我监测的依从性教育,对家庭经济困难患者和术后时间较长患者的依从性应更加关注.
목적 평고간이식술후환자적의종성급상관인소,위제고기의종성제공의거.방법 채용일반정황문권화간이식환자의종성조사표대54례간이식술후초과6개월적환자진행수방화조사.결과 간이식술후환자구유교호적면역억제약물의종성(3.67±0.51)분화량호생활습관의종성(3.30±0.44)분,수방의종성(3.05±0.89)분화자아감측의종성(2.00±0.89)분교차.영향의종성적주요인소시가정인균월수입(P<0.01)화술후시간(P<0.01).결론 응가강간이식술후환자수방화자아감측적의종성교육,대가정경제곤난환자화술후시간교장환자적의종성응경가관주.
Objective To assess compliance in liver transplant recipients,ascertain related factors,and help clinical nunrses take measures to improve compliance. Methods Questionnaires including social demo-graphic variables and questionnaire about compliance after liver transplant,were used to investigate 54 liver transplant recipients whose post transplant time>6 months.Results Liver transplant recipients had good compliance to immunosuppressive medication,scored(3.67±0.51),and health lifestyle,scored(3.30±0.44),but relatively poor compliance to follow-up.scored(3.05±0.89)and self-monitoring,scored(2.00±0.89).The main factors influencing the compliance were average monthly per capita family income(P<0.01)and post trans-plant time(P<0.01).Conclusions The importance of compliance to follow-up and self-monitoring should be emphasized in health education to the recipients and more attention should be paid to those re-cipients with lower income or longer post transplant time.