心死亡器官捐献肝移植受者生存质量与社会支持的相关性分析

发布时间：2018-05-04 20:00

本文选题：肝移植 + 社会支持　；参考：《中国医药导报》2016年36期

【摘要】：目的分析心死亡器官捐献肝移植受者生存质量与社会支持的关系。方法以社会支持评定量表(SSRS)和世界卫生组织生存质量测定量表中文版简表(WHOQOL-BREF)为研究工具,对2016年3~9月在广州军区广州总医院肝移植门诊随访的64例心死亡器官捐献肝移植受者进行测评。结果 164例随访患者社会支持总分低于全国常模(P0.01),在社会支持的3个维度中,客观支持和对支持的利用度低于全国常模(P0.01),主观支持高于全国常模(P0.01)。2在生存质量的4个维度中,生理领域得分低于全国常模(P0.01),心理领域、社会关系领域及环境领域得分均高于全国常模(P0.01)。3社会支持总分与生存质量总分呈显著正相关(P=0.001),主观支持对生存质量总分呈显著正向影响(P=0.018)。4客观支持与社会关系领域呈正相关(P0.05);对支持的利用度与心理领域、社会关系领域呈正相关(P0.05);单项低分项对生理领域、心理领域及社会关系领域呈负相关(P0.05)。结论心死亡器官捐献肝移植受者社会支持水平与生存质量密切相关,两者受多种因素影响,医务人员应注重社会支持系统对患者生存质量的影响,并采取方法有效利用。
[Abstract]:Objective to analyze the relationship between quality of life and social support of donor liver transplantation recipients with cardiac death. Methods 64 cases of cardiac death in Genenral Hospital of PLA Guangzhou Military Area of Genenral Hospital of PLA Guangzhou Military Area during 3~9 month of 2016 were followed up by the social support rating scale (SSRS) and the Chinese version of the WHO quality of life scale (WHOQOL-BREF) as the research tool. Results the total score of social support in 164 cases was lower than the national norm (P0.01). In the 3 dimensions of social support, objective support and support were lower than the national norm (P0.01), and the subjective support was higher than the national norm (P0.01).2 in the 4 dimensions of the quality of life, and the score of the physiological field was lower than that of the national norm. The national norm (P0.01), psychological field, social relations domain and environmental field were higher than the national norm (P0.01).3 social support total score positive correlation (P=0.001), subjective support has a significant positive impact on the total score of quality of life (P=0.018).4 objective support is positively correlated with the social relationship field (P0.05); and support for the total score (P0.05) There is a positive correlation between the degree of utilization and the field of psychological and social relations (P0.05); the single item has a negative correlation with the field of physiology, psychology and social relations (P0.05). Conclusion the level of social support is closely related to the level of social support for donor liver transplantation recipients of cardiac death organs. The two are affected by many factors and the medical staff should pay attention to the social support department. The influence of the system on the quality of life of patients and the effective use of the method.

【作者单位】：广州中医药大学研究生院;广州军区广州总医院院办;
【基金】：广东省科技计划重点项目(2012A030400023) 广东省广州市科技计划重点项目(2014Y2-00132)
【分类号】：R657.3

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