摘要
目的：探讨肝移植术后患者心理弹性状况与依从性、生存质量的关系，为提高肝移植术后患者依从性和生存质量提供理论依据。方法2009年2月—2013年10月采用便利抽样选取随访的116例肝移植术后患者作为研究对象。收集患者的一般资料，采用 Conner-Davidson 心理弹性量表、依从性量表和健康状况调查问卷（SF-36）分别对肝移植术后患者的心理弹性、依从性和生存质量进行测量。采用Spearman 相关系数对肝移植术后患者心理弹性与服药依从性、生存质量的关系进行分析。结果肝移植术后1，6，12个月患者心理弹性的总分分别为（54．79±7．81），（55．42±7．33），（58．76±7．75）分，低于国内常模（65．4±13．9）分，差异有统计学意义（P ＜0．05）。肝移植术后1，6，12个月患者依从性总分比较差异无统计学意义（P ＞0．05）；生存质量方面，除肝移植术后1，6个月患者躯体角色功能和活力得分比较差异无统计学意义（P ＞0．05），其余各 SF-36量表维度得分、SF-36生理健康总分、SF-36心理健康总分均呈升高趋势，各组间比较差异有统计学意义（P ＜0．05）。Spearman 相关分析结果显示肝移植术后患者心理弹性水平与生存质量和依从性呈正相关（P ＜0．05）。结论肝移植术后患者心理弹性水平较低，心理弹性水平与患者生存质量和依从性相关，通过加强患者心理弹性，可以有效改善肝移植术后患者的生存质量。
Objective To investigate relationship between resilience and compliance,quality of life in patients after liver transplantation,so as to provide theoretical foundation for improving their postoperative compliance and quality of life.Methods One hundred and sixteen recipients who received liver transplantation from February 2009 to October 2013 and who were followed up were selected by convenience sampling as objects.General data of these patients were collected,and their psychological resilience,compliance and quality of life after the surgery were assessed by Conner-Davidson resilience scale,compliance scale and the MOS 36-item short-form health survey （SF-36）respectively.Spearman correlation coefficients were used to analyze the relationship between resilience and their drug therapy compliance and quality of life.Results Total scores of patients′resilience were （54.79 ±7.81）,（55.42 ±7.33）and （58.76 ±7.75）at 1,6 and 12 months after the transplantation,lower than that of domestic norm （65.4 ±13.9 ）（P 〈0.05 ）.The differences of compliance scores at 1,6 and 12 months after the transplantation were not statistically significant （P 〉0.05）. For quality of life,the scores of role-physical and vitality were not different when compared at 1 and 6 months after the transplantation.The scores of other SF-36 dimensions,total scores of physiological health and mental health of SF-36 all showed a trend of rising （P 〈0.05）.It was shown in Spearman correlation analysis results that psychological resilience of patients after the transplantation was positively correlated with quality of life and compliance （P 〈0.05 ）.Conclusions Resilience level of patients,proved to be relatively low after liver transplantation,is correlated with their quality of life and compliance.Strengthening patients′resilience can effectively improve their quality of life after liver transplantation.
出处
《中华现代护理杂志》
2016年第17期2399-2403,共5页
Chinese Journal of Modern Nursing
关键词
肝移植
心理弹性
依从性
生存质量
Liver transplantation
Resilience
Compliance
Quality of life
