摘要
目的调查接受体外肝移植患者术前焦虑和抑郁情绪发生率,分析其发生的相关影响因素。方法采用横断面调查设计和抽样的方法,研究2011年5月~2016年4月在我院接受肝移植患者72例,另选择同期健康体检者72例,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)调查两组人群情绪变化,分别对人口社会学特征和焦虑或抑郁情绪进行调查和评定,应用二分类Logistic逐步回归分析影响因素。结果接受肝移植的患者焦虑与抑郁评分分别为(46.40±5.30)分和(48.25±4.14)分,焦虑发生率为30.6%,抑郁发生率为43.1%,均明显高于健康人的(29.45±6.34)分、(28.13±5.42)分、5.6%和8.3%(P<0.05);二分类Logistic逐步回归分析结果显示年龄、受教育程度、家庭月收入和婚姻状况为导致接受肝移植患者焦虑和抑郁情绪发生的主要独立危险因素(P<0.05)。结论接受肝移植患者术前焦虑和抑郁情绪比较严重,多与患者的年龄、受教育程度、家庭月收入和婚姻状况有关,要积极进行对症护理和干预。
Objective To investigate the preoperative anxiety and depression in patients underwent orthotopic liver transplantation （OLT） and analysis the influencing factors. Methods 72 patients underwent OLT and 72 healthy adult persons were recruited in this study between May 2011 and April 2016,and the population characteristics,anxiety and depression emotions were investigated by cross-sectional survey and convenient sampling method. The influencing factors were analyzed by Logistic regression analysis. Results The scores of anxiety and depression in patients underwent OLT were （46.40＋5.30） and （48.25±4.14）,and the incidence of anxiety and depression were 30.6% and 43.1%, respectively, significantly higher than those （ 29.45±6.34 ）, （ 28.13±5.42 ）, 5.6 % and 8.3%,in the control （P〈0.05）. Binary Logistic stepwise regression analysis showed that the age,education, family month income and marital status were the major independent risk factors for preoperative anxiety and depression in patients underwent OLT （P〈0.05）. Conclusion The preoperative anxiety and depression in patients underwent OLT are common,and the major independent risk factors are multiple. We need actively carry out symptomatic nursing intervention.
作者
鲍春
Bao Chun.(Intensive Care Unit,First Clinical College,Harbin Medical University,Harbin 150001,Heilongjiang Province,China)
出处
《实用肝脏病杂志》
CAS
2017年第2期219-222,共4页
Journal of Practical Hepatology
关键词
肝移植
焦虑
抑郁
危险因素
Liver transplantation
Anxiety
Depression
Risk factors
