CAJ | 학술논문

目的：探讨不同器官来源的肾移植受者术后心理状态的差异，为实施肾移植受者术后的心理干预提供理论依据。方法112例肾移植受者按不同器官来源分为活体供肾（ LD）组、尸体供肾（ CD）组、心死亡供肾（ DCD）组，比较三组肾移植受者术后的焦虑自评量表（ SAS）和抑郁自评量表（ SDS）评分情况。结果三组肾移植受者SAS、SDS 评分组间比较差异均有统计学意义，且DCD组的SAS、SDS评分均高于其他两组（P＜0.05），焦虑及抑郁状态程度较其他两组重（P＜0.05）。结论不同器官来源的肾移植受者术后均存在不同程度的焦虑、抑郁症状，临床护理工作者应尽早全面评估受者术后的心理反应，寻找影响其心理健康可能的原因，采取相应措施进行心理干预，从而改善移植受者的心理状态。
목적：탐토불동기관래원적신이식수자술후심리상태적차이，위실시신이식수자술후적심리간예제공이론의거。방법112례신이식수자안불동기관래원분위활체공신（ LD）조、시체공신（ CD）조、심사망공신（ DCD）조，비교삼조신이식수자술후적초필자평량표（ SAS）화억욱자평량표（ SDS）평분정황。결과삼조신이식수자SAS、SDS 평분조간비교차이균유통계학의의，차DCD조적SAS、SDS평분균고우기타량조（P＜0.05），초필급억욱상태정도교기타량조중（P＜0.05）。결론불동기관래원적신이식수자술후균존재불동정도적초필、억욱증상，림상호리공작자응진조전면평고수자술후적심리반응，심조영향기심리건강가능적원인，채취상응조시진행심리간예，종이개선이식수자적심리상태。
Objective To investigate the postoperative psychological status in renal transplant patients with different organ sources in order to provide a theoretical basis of psychological intervention for the patients after renal transplant.Methods A total of 112 patients with renal transplant in our organ transplant center were retrospectively analyzed,and divided into three groups according to different organs sources including living donor kidney (LD group),cadaveric donor kidney (CD group),and cardiac death donors ( DCD group) .Postoperative psychological status of the patients was observed.Results In this study,patients in all the three groups had anxiety and depressive in different degree.SAS and SDS scores in the three groups were significantly different ( P<0.05) .In the DCD group,SAS and SDS scores were significantly higher and degree of anxiety and depression was more serous when compared to an-other two groups (all P<0.05).Conclusion Renal transplant patients with different organs sources show different levels of postoper-ative anxiety and depressive,and especially worse in the DCD group.Clinical workers should assess psychological reaction of the pa-tients comprehensively after transplantation,look for the reasons and take the corresponding psychological intervention,thereby,to im-prove their mental status.