CAJ | 학술논문

目的：研究肾移植术后就业与非就业对移植患者生活质量的影响和领悟社会支持的对比，进一步探讨系统化的健康教育内容和方法。方法采用世界卫生组织（WHO）生活质量量表简表（WHOQOL-BREF）及领悟社会支持量表（PSSS）分别对125例就业和71例非就业的门诊肾移植术后随访患者进行开放调查，收回有效问卷93份和71份，并进行统计相关分析和t检验。结果 WHOQOL-BREF调查结果显示：就业组在心理领域、环境领域和社会关系领域三个维度均优于非就业组，差异有统计学意义（均P＜0.05）；PSSS调查结果也显示，就业组与非就业组在获得家庭外支持和社会支持总和方面差异有统计学意义（均P＜0.01）。结论肾移植术后就业有助于患者利用社会支持，有效提高生活质量，移植中心应该建立、建全患者回访制度，强化患者自我管理，给予患者自立、自强的健康教育和延续护理，满足患者延续的生理、心理的健康需求，增强心理调适能力，提高生活质量。
목적：연구신이식술후취업여비취업대이식환자생활질량적영향화령오사회지지적대비，진일보탐토계통화적건강교육내용화방법。방법채용세계위생조직（WHO）생활질량량표간표（WHOQOL-BREF）급령오사회지지량표（PSSS）분별대125례취업화71례비취업적문진신이식술후수방환자진행개방조사，수회유효문권93빈화71빈，병진행통계상관분석화t검험。결과 WHOQOL-BREF조사결과현시：취업조재심리영역、배경영역화사회관계영역삼개유도균우우비취업조，차이유통계학의의（균P＜0.05）；PSSS조사결과야현시，취업조여비취업조재획득가정외지지화사회지지총화방면차이유통계학의의（균P＜0.01）。결론신이식술후취업유조우환자이용사회지지，유효제고생활질량，이식중심응해건립、건전환자회방제도，강화환자자아관리，급여환자자립、자강적건강교육화연속호리，만족환자연속적생리、심리적건강수구，증강심리조괄능력，제고생활질량。
Objective To compare the effect of employment and unemployment on the quality of life and perceived social support in patients after kidney transplantation,and explore systematic health education contents and methods. Methods 125 employed and 71 unemployed patients after kidney transplantation were evaluated in clinic with World Health Organization(WHO)Quality of Life instrument(WHOQOL-BREF)and perceived social support scale(PSSS)questionnaire,and 93 and 71 valid questionnaires were retrieved in each group respectively. The results were statistically analyzed. Results The WHOQOL-BREF survey showed that the employed group had better results in psychological,environmental and social domains than the unemployed group. The differences were statistically significant(all P<0.05). PSSS results also showed statistically significant differences in the sum of extra-familial and social support between the two groups were found(both P<0.01). Conclusions Employment after kidney transplantation is conducive for patients to win social support and quality of life. The transplant center should establish a comprehensive followup system to help patients'self-management,give them self-reliant health education and subsequent care,satisfy patients'continuous physical and psychological needs and improve patients'psychologic adjustment ability and quality of life.