CAJ | 학술논문

目的探讨肝移植受者应对方式与其生活质量的相关性。方法采用便利抽样方法选取141例肝移植受者，用一般情况调查表、医学应对问卷（MCMQ）和简明健康调查表（SF-36）对肝移植受者进行调查。MCMQ得分采用Feifel调查数据作为常模进行比较，SF-36得分与四川省常模进行比较，并对肝移植受者应对方式与生活质量进行相关性分析。结果肝移植受者面对应对方式得分为（19.38±3.98）分，回避应对方式得分为（15.01±3.17）分，屈服应对方式得分为（8.01±2.67）分。回避方式得分显著高于Feifel常模（P＝0.008），面对和屈服方式得分均显著低于Feifel常模（P＝0.046和P＝0.001）。肝移植受者生理健康生活质量（PCS）得分为（50.96±6.80）分，精神健康生活质量（MCS）得分为（50.10±9.22）分。PCS中生理功能（PF）、躯体疼痛（BP）和一般健康状况（GH）维度得分均显著低于四川省常模（均P＜0.05），而生理职能（RP）维度得分与四川省常模比较差异无统计学意义（P＝0.581）。MCS中精力（VT）、社会功能（SF）、情感职能（RE）维度得分与四川省常模比较差异均无统计学意义（均P＞0.05），而精神健康（MH）维度得分显著高于四川省常模（P＜0.01）。肝移植受者的生活质量得分与面对和回避应对方式均无相关性，与屈服应对方式呈显著负相关（r＝-0.310～-0.542，P＜0.05或P＜0.01）。结论肝移植术后精神方面各维度得分显著优于生理方面各维度得分。屈服应对方式对肝移植受者生活质量有负性影响。
목적탐토간이식수자응대방식여기생활질량적상관성。방법채용편리추양방법선취141례간이식수자，용일반정황조사표、의학응대문권（MCMQ）화간명건강조사표（SF-36）대간이식수자진행조사。MCMQ득분채용Feifel조사수거작위상모진행비교，SF-36득분여사천성상모진행비교，병대간이식수자응대방식여생활질량진행상관성분석。결과간이식수자면대응대방식득분위（19.38±3.98）분，회피응대방식득분위（15.01±3.17）분，굴복응대방식득분위（8.01±2.67）분。회피방식득분현저고우Feifel상모（P＝0.008），면대화굴복방식득분균현저저우Feifel상모（P＝0.046화P＝0.001）。간이식수자생리건강생활질량（PCS）득분위（50.96±6.80）분，정신건강생활질량（MCS）득분위（50.10±9.22）분。PCS중생리공능（PF）、구체동통（BP）화일반건강상황（GH）유도득분균현저저우사천성상모（균P＜0.05），이생리직능（RP）유도득분여사천성상모비교차이무통계학의의（P＝0.581）。MCS중정력（VT）、사회공능（SF）、정감직능（RE）유도득분여사천성상모비교차이균무통계학의의（균P＞0.05），이정신건강（MH）유도득분현저고우사천성상모（P＜0.01）。간이식수자적생활질량득분여면대화회피응대방식균무상관성，여굴복응대방식정현저부상관（r＝-0.310～-0.542，P＜0.05혹P＜0.01）。결론간이식술후정신방면각유도득분현저우우생리방면각유도득분。굴복응대방식대간이식수자생활질량유부성영향。
Objective This study was designed to investigate the impact of various coping modes on the quality of life(QOL)in liver transplant recipients. Methods A total of 141 liver transplant recipients,who were selected through convenient sampling method,were evaluated using the scale of basic conditions,medical coping modes questionnaire(MCMQ)and short-form 36-item questionnaire(SF-36). MCMQ scores were compared with Feifel norm,while SF-36 scores were compared with Sichuan Province norm,and the correlation between oping modes and QOL was analyzed. Results The scores of confrontation,avoidance and acceptance-resignation coping styles of liver transplant recipients were 19.38±3.98,15.01±3.17 and 8.01±2.67,respectively. The score of avoidance was significantly higher than that of the Feifel norm(P=0.008),whereas the score of confrontation and acceptance-resignation were significantly lower than that of the Feifel norm(P=0.046 and P=0.001 respectively). The physical component summary(PCS)and mental component summary(MCS)scores of the SF-36 were 50.96±6.80 and 50.10±9.22,respectively. The recipients had lower scores of physical function(PF),domains of body pain(BP)and general health(GH)compared to the norm(P<0.05). However,there were no statistical differences between the recipients and norm of the scores of role-physical(RP),regarding vitality(VT),social functioning(SF),role-emotional(RE)(P>0.05),while the mental health(MH)score was significantly higher than that of the norm(P<0.01). The QOL scores in liver transplant recipients were negatively correlated with acceptance-resignation scores(r=-0.310 to-0.542,P<0.05 or P<0.01),but not correlated with confrontation or avoidance scores. Conclusion Liver transplant recipients have significantly better MCS domain scores than PCS domain scores. Acceptance-resignation coping mode has negative impact on the QOL of liver transplantation recipients.