摘要
目的研究肝移植受者出院后的疲乏症状与其生活状态的相关性,为预防患者术后出现疲乏症状提供参考依据。方法2018年9—12月,以方便抽样法选取就诊于复旦大学附属中山医院肝移植门诊的280例肝移植受者,采用问卷调查法获得患者的各项临床资料,分析患者术后出现疲乏症状的相关因素。结果共纳入280例患者,其中出现疲乏症状的有130例占46.4%。单因素分析结果显示,患者的术后存活天数、性别、近1周锻炼总时间、体质量指数、工作状态、医疗费用支付方式、睡眠质量、负面情绪、营养风险会影响到患者的疲乏症状(P<0.01)。多因素分析结果表明,近1周锻炼总时间(OR=0.674,95%CI 0.512~0.887)、术后存活天数(OR=0.993,95%CI 0.989~0.997)和负面情绪量表得分(OR=1.484,95%CI 1.157~1.902)对患者的疲乏症状有显著影响(P<0.01)。结论术后存活天数、锻炼时间和负面情绪是影响患者疲乏症状的主要因素,医护人员要对患者的心理与活动锻炼情况做好评估与管理,以改善疲乏症状。
Objective To study the correlation between fatigue symptoms and living condition of liver transplant recipients after discharge from hospital,so as to provide reference basis for preventing postoperative fatigue symptoms in recipients.Methods From September 2018 to December 2018,280 liver transplant recipients were selected from the liver transplantation clinic of a grade-three hospital in Shanghai by convenience sampling method,and clinical data of the patients were obtained by questionnaire survey to analyze factors of the symptom of postoperative fatigue.Results A total of 280 patients were included,among which 130 patients showed fatigue symptoms,accounting for 46.4%.The results of single-factor analysis showed that the postoperative survival days,gender,total time of exercise,body mass index,working status,mode of payment of medical expenses,Sleep quality,negative emotions,and nutritional risk all exert an influence on fatigue symptoms(P<0.05).The results of multi-factor analysis showed that the total time of exercise during a week(OR=0.674,95%CI:0.512-0.887),postoperative survival days(OR=0.993,95%CI:0.989-0.997)and the score of negative emotion scale(OR=1.484,95%CI:1.157-1.902)had significant influence on fatigue symptoms in patients(P<0.01).Conclusions Postoperative survival days,exercise time and negative emotions are the main factors affecting fatigue symptoms.Medical staff should evaluate and manage patients'psychological and activity exercise to improve fatigue symptoms.
作者
俞静娴
章琪
陈潇
周海英
徐影
张玉侠
Yu Jingxian;Zhang Qi;Chen Xiao;Zhou Haiying;Xu Ying;Zhang Yuxia(Department of Nursing,Zhongshan Hospital,Fudan University,Shanghai 200032,China)
出处
《中国实用护理杂志》
2020年第21期1601-1606,共6页
Chinese Journal of Practical Nursing
基金
2018年复旦大学—复星护理科研基金(FNF201839)。
关键词
肝移植
疲乏
影响因素
Liver transplantation
Fatigue
Influencing factor
