摘要
目的 探讨肝移植术后患者家属的焦虑状况及其影响因素。方法 以自2005年1月至2008年12月在中山大学附属第三医院肝脏移植中心接受肝移植术并随访的患者的家属50名为研究对象，采用焦虑自评量表（SAS）调查其焦虑状况，与国内SAS量表常模进行比较。应用多重线性回归分析探讨影响肝移植术后患者家属SAS评分的因素。结果 50名肝移植术后患者家属的SAS评分为（35．1±8．1）分，明显高于国内SAS量表常模（1158人）的（29．8±10．1）分，差异有统计学意义俨〈0．05）。多重线性回归分析显示，肝移植术后患者家属SAS评分受职业、家庭人均月收入和患者术后并发症的影响，具有明显的相关性（P〈0．10），职业为行政工作人员、医师、教师和公司职员者的SAS评分高于职业为私人企业主、工人和农民者（P〈0．10），人均月收入3500元以下者SAS评分高于家庭人均月收入7000元以上者（P〈0．05），有术后并发症的患者的家属SAS评分高于无术后并发症者（P〈0．01）。结论 肝移植术后患者家属的焦虑水平高于一般人群，受职业、家庭收入和患者术后并发症的影响。
Objective To investigate the anxiety in relatives of liver transplant （LT） recipients and explore its impact factors. Methods The anxiety in 50 relatives of LT recipients who admitted to our hospital from January 2005 to December 2008, was assessed by Self-rating Anxiety Scale （SAS） and compared with that of domestic norm. The impact factors of anxiety in relatives of LT recipients were analyzed by Stepwise logistic regression analysis. Results The scores of anxiety in 50 relatives of LT recipients were （35.1±8.1）, which was statistically higher than that of the norm （29.8±10.1, n=1158, P〈 0.05）. Stepwise logistic regression analysis showed that occupation, monthly per capita income and postoperative complications of the patients were the impact factors of anxiety in relatives; the relatives being administrative staff, physician, teacher and office worker had significantly higher SAS scores than the relatives being private business owner, worker and peasant family （P〈0.10）; the relatives with lower per capita income （〈3500 RMB） had obviously higher SAS scores than the relatives with higher per capita income （〉7000 RMB, P〈0.05）; the relatives of patients with postoperative complications had significantly higher SAS scores than the relatives of patients without postoperative complications （P〈 0.01）. Conclusion The level of anxiety in relatives of LT recipients is higher than that of general population, and it may be affected by their per capita income and patient＇s postoperative complications.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2012年第10期1046-1049,共4页
Chinese Journal of Neuromedicine
基金
国家重点基础研究发展规划项目（973分课题）（2009CB522404）
关键词
焦虑
肝移植术
家属
Anxiety
Liver transplantation
Relative
