摘要
目的探讨肺移植患者的社会支持状况,了解其所获得的社会支持现状并分析相关的影响因素,为制定有针对性的干预措施提供相应的理论依据,以期能够帮助患者更好地适应疾病的发生和发展过程,提高生活质量。方法采用便利抽样法选取2011年7月—2013年7月于哈尔滨医科大学附属第四医院进行肺移植手术的160例患者,通过肖水源的"社会支持评定量表(social support rating scale,SSRS)"分析其社会支持现状和生存质量并探讨它们二者之间的关系。结果与国内常模相比,肺移植患者的客观支持维度得分、主观支持维度得分和SSRS总分差异均具有统计学意义(P均<0.05),而支持利用维度的得分差异则无统计学意义(P>0.05);采用后退法以社会支持总分作为因变量进行多元逐步回归分析(α入=0.05,α出=0.10)结果表明,患者的SSRS得分随其年龄、婚姻状况、职业和文化程度以及经济来源的变动,均呈现出明显的差异(P均<0.05)。结论护士群体应成为患者社会支持的重要组成部分,医护人员及肺移植患者家属应努力帮助患者通过主动优化并最大限度地利用社会支持网络适应疾病的发展,维持患者良好的情绪体验缩短术后的恢复时限,提高生存质量。
Objective To study the current status of social support and related factors in lung transplant patients and provide the basis for developing appropriate interventions to help patients to adapt to the disease process as well as improve the life quality of them. Methods By using convenience sampling,160 cases of lung transplant patients in our hospital from July 2011 to July 2013 were enrolled into this study,and ＂Social Support Rating Scale（ social support rating scale,SSRS） ＂was used to study the current status of social support and quality of life of patients,and analyze the relationship between them. Results The difference on objective support,subjective support and SSRS in lung transplant patients when compared with the national norm of China was statistically significant different（ P〈0. 05）,but not in the application of supports（ P〉0. 05）. The multiple stepwise regression analysis（ going from alpha being 0. 05 to 0. 1） taking the gross score of social support as the dependent variable by the backward elimination showed that the scores of SSRS in lung transplant patients changed with theage,education level,marital status,occupation and economic source,and the difference were statistically significant（ P〈0. 05）. Conclusion The nurse groups should become an important part of the social support of patients. To patients with lung transplant,the health care workers and family members should help them to adapt the disease process through utilizing and make the most of the social support networks,so as to maintain good emotional experience of patients,shorten the recovery time after surgery,and improve the quality of life.
出处
《中华全科医学》
2015年第12期2009-2011,2078,共4页
Chinese Journal of General Practice
基金
黑龙江卫生厅立项课题(D200903)
关键词
肺移植
社会支持
护理干预
生存质量
Lung transplant
Social support
Nursing intervention
Quality of life
