中华器官移植杂志
中華器官移植雜誌
중화기관이식잡지
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
2013年
9期
537-541
,共5页
廖苑%郑宗珩%韩明%潘雄英%伍梅娟%成守珍
廖苑%鄭宗珩%韓明%潘雄英%伍梅娟%成守珍
료원%정종형%한명%반웅영%오매연%성수진
肝移植%受者%焦虑%抑郁%危险因素%社会支持
肝移植%受者%焦慮%抑鬱%危險因素%社會支持
간이식%수자%초필%억욱%위험인소%사회지지
Liver transplantation%Recipients%Anxiety%Depression%Risk factors%Social support
目的 评价肝移植受者的焦虑、抑郁状态及其影响因素.方法 在移植前及移植后1、6、12、24和36个月,采用一般情况调查表、焦虑自评量表、抑郁自评量表和社会支持评定量表对42例肝移植受者进行问卷调查.结果 移植前及移植后1、6、12、24和36个月受者焦虑评分分别为37.2±5.3、32.2±6.2、32.1±6.6、31.9±5.1、30.1±4.6和28.5±4.1,抑郁评分分别为46.7±7.1、37.9±10.7、36.7±7.9、37.1±6.4、34.3±5.8和32.1±5.6.肝移植受者术前至术后各时间段的焦虑评分的差异有统计学意义(P＜0.001),抑郁评分的差异有统计学意义(P＜0.001)；术后各时间点至术后36个月间受者焦虑评分的差异有统计学意义(P＜0.001),抑郁评分的差异有统计学意义(P＜0.001).肝移植术后受者焦虑的影响因素为主观支持、支持利用度.抑郁的影响因素为术前抑郁评分、客观支持、主观支持、支持利用度.结论 肝移植受者术后焦虑及抑郁状态较术前减轻,术后3年时受者焦虑及抑郁状态较术后0～2年时轻.
目的 評價肝移植受者的焦慮、抑鬱狀態及其影響因素.方法 在移植前及移植後1、6、12、24和36箇月,採用一般情況調查錶、焦慮自評量錶、抑鬱自評量錶和社會支持評定量錶對42例肝移植受者進行問捲調查.結果 移植前及移植後1、6、12、24和36箇月受者焦慮評分分彆為37.2±5.3、32.2±6.2、32.1±6.6、31.9±5.1、30.1±4.6和28.5±4.1,抑鬱評分分彆為46.7±7.1、37.9±10.7、36.7±7.9、37.1±6.4、34.3±5.8和32.1±5.6.肝移植受者術前至術後各時間段的焦慮評分的差異有統計學意義(P＜0.001),抑鬱評分的差異有統計學意義(P＜0.001)；術後各時間點至術後36箇月間受者焦慮評分的差異有統計學意義(P＜0.001),抑鬱評分的差異有統計學意義(P＜0.001).肝移植術後受者焦慮的影響因素為主觀支持、支持利用度.抑鬱的影響因素為術前抑鬱評分、客觀支持、主觀支持、支持利用度.結論 肝移植受者術後焦慮及抑鬱狀態較術前減輕,術後3年時受者焦慮及抑鬱狀態較術後0～2年時輕.
목적 평개간이식수자적초필、억욱상태급기영향인소.방법 재이식전급이식후1、6、12、24화36개월,채용일반정황조사표、초필자평량표、억욱자평량표화사회지지평정량표대42례간이식수자진행문권조사.결과 이식전급이식후1、6、12、24화36개월수자초필평분분별위37.2±5.3、32.2±6.2、32.1±6.6、31.9±5.1、30.1±4.6화28.5±4.1,억욱평분분별위46.7±7.1、37.9±10.7、36.7±7.9、37.1±6.4、34.3±5.8화32.1±5.6.간이식수자술전지술후각시간단적초필평분적차이유통계학의의(P＜0.001),억욱평분적차이유통계학의의(P＜0.001)；술후각시간점지술후36개월간수자초필평분적차이유통계학의의(P＜0.001),억욱평분적차이유통계학의의(P＜0.001).간이식술후수자초필적영향인소위주관지지、지지이용도.억욱적영향인소위술전억욱평분、객관지지、주관지지、지지이용도.결론 간이식수자술후초필급억욱상태교술전감경,술후3년시수자초필급억욱상태교술후0～2년시경.
Objective To evaluate the anxiety and depression status of the liver transplant recipients and to investigate the related impact factors.Method Forty-two liver transplant recipients were under survey by General Information Questionnaire (GIQ),Social Support Rating Scale (SSRS),Self-rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) before and 1,6,12,24 and 36 months after operation.Result The mean anxiety scores before and 1,6,12,24 and 36 months after operation were 37.2 ± 5.3,32.2 ± 6.2,32.1 ± 6.6,31.9± 5.1,30.1 ± 4.6 and 28.5 ± 4.1,respectively.The mean depression scores at those 6 time points were 46.7 ± 7.1,37.9 ± 10.7,36.7 ±7.9,37.1 ± 6.4,34.3 ± 5.8 and 32.1 ± 5.6,respectively.Both the anxiety and depression scores showed statistically significant difference (P＜0).001) before and after operation (all time points).Also there was statistically significant difference (P＜0.001) between post-operative month 36 and other post-operative time points.The impact factors for anxiety of liver transplant recipients were subjective supports and the utilization level of the supports.The impact factors of depression of liver transplant recipients were pre-operative depression score,objective support,subjective supports and the utilization level of the supports.Conclusion Liver transplant recipients suffer less anxiety and depression after operation.The anxiety status can be further improved from 24 to 36 months postoperation.
