CAJ | 학술논문

目的：了解并探讨肝移植患者围手术期心理变化的原因，并提出相应的护理对策。方法选择解放军三〇二医院2011年9月至2013年2月进行的同种异体原位肝移植术患者60例。通过临床观察和沟通的方式，用抑郁自评量表（SDS）对肝移植受者进行调查，比较受者手术前后的抑郁评分，并记录术后不同时间段的抑郁发生率。结果随着肝移植术后时间的延长，肝移植受者的抑郁评分不断降低，术前半个月与术后半个月抑郁评分结果比较差异有统计学意义（分：59.30±3.51比48.07±4.93，P＜0.05）；且发生抑郁的肝移植受者数量不断减少，其发生率不断降低（术后1～3个月、4～6个月、7～12个月的抑郁发生率分别为31.7%、26.7%、20.0%），但差异无统计学意义（P＞0.05）。结论重视肝移植患者的心理变化，并采取有效心理疏通和针对性护理，能够有效避免心理问题的发生，提高移植患者的生存质量。
목적：료해병탐토간이식환자위수술기심리변화적원인，병제출상응적호리대책。방법선택해방군삼〇이의원2011년9월지2013년2월진행적동충이체원위간이식술환자60례。통과림상관찰화구통적방식，용억욱자평량표（SDS）대간이식수자진행조사，비교수자수술전후적억욱평분，병기록술후불동시간단적억욱발생솔。결과수착간이식술후시간적연장，간이식수자적억욱평분불단강저，술전반개월여술후반개월억욱평분결과비교차이유통계학의의（분：59.30±3.51비48.07±4.93，P＜0.05）；차발생억욱적간이식수자수량불단감소，기발생솔불단강저（술후1～3개월、4～6개월、7～12개월적억욱발생솔분별위31.7%、26.7%、20.0%），단차이무통계학의의（P＞0.05）。결론중시간이식환자적심리변화，병채취유효심리소통화침대성호리，능구유효피면심리문제적발생，제고이식환자적생존질량。
Objective To understand and explore the cause of change in perioperative psychology in patients undergone liver transplantation in order to put forward the corresponding nursing measures. Methods Sixty patients undergone allograft orthotopic liver transplantation in the People's Liberation Army 302 Hospital between September 2011 and February 2011 were enrolled. Through the way of clinical observation and communication,the perioperative psychological of liver transplant recipients was investigated with self-reported depression scale(SDS). The preoperative and postoperative SDS score in recipients was compared,and the incidence of depression at different postoperative period was recorded. Results With prolongation of postoperative time,the SDS score of recipients was gradually declined;there was significant difference in SDS score between half a month of pre-operation and half a month of post-operation(59.30±3.51 vs. 48.07±4.93,P<0.05). After liver transplantation,the recipients with depression at different period were gradually lowered as well as the incidence of depression(the incidence of depression postoperative 1-3 months,4-6 months,and 7-12 months was 31.7%,26.7%,20.0%,respectively)without statistical difference(P>0.05). Conclusion Reconstruction of psychological change in patients undergone liver transplantation,taking effective mental dredge and targeted nursing can effectively avoid the occurrence of psychological problems,and improve the quality of survive.