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肝移植受体直接照顾者生活质量调查分析 被引量:26

An Investigation of Life Quality of Principal Caregivers to Liver Transplantation Recipients
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摘要 目的探讨肝移植受体直接照顾者的生活质量及影响因素。方法对肝移植受体直接照顾者46例进行一般情况和SF-36量表调查,采用Spearm an相关分析和多元回归分析影响因素。结果(1)与正常人群相比,在小于40岁的照顾者中,男性情感职能得分高于正常人群(P<0.05),其余纬度无统计学意义;女性情感职能得分高于正常人群(P<0.05),生理职能与精神状态得分低于正常人群(P<0.05),其余纬度无统计学意义;在大于40岁的照顾者中,男性生理职能、情感职能、社会功能、精神状态及健康总评价得分均低于正常人群(P<0.05);女性生理职能、情感职能、社会功能、精神状态及活力的分值均低于正常人群(P<0.01),其余纬度无统计学意义。(2)影响照顾者生活质量的因素:年龄、文化程度、经济状况、受体有无并发症、受体术后时间、医疗费用支付方式。结论肝移植受体直接照顾者当中,大年龄组较正常人群生活质量明显下降,而小年龄组较正常人群虽有所下降,但却能采取积极的应对方式,改善不良情绪对生活质量的影响;通过分析,发现影响这些照顾者生活质量的因素是多方面的;提示在临床工作当中,关注这部分特殊人群,有必要采取有效的干预措施,提高其生活质量。 Objective To explore the quality of life and related factors of principal caregivers to liver transplantation recipients. Methods A questionnaire of SF-36 and personal characteristics was used to investigate 46 principal caregivers to liver transplantation recipients and the influential factors were analyzed by Spearman's correlation and multiple regression analysis. Results (1)The grades of male and female caregivers less than 40 years old in the item of emotion were higher than those of the normal population(P〈 0.05), but the grades of the females in the items of physical function and mental states were significantly lower than those of the normal population (P〈0.05). The general grades of those males more than 40 years old were lower than those of the norms in respect of physical function, emotional state, social state, mental state and health state (P〈0.05), while the grades of those females more than 40 years old were lower than those of the norms in respect of physical function, emotional state, social state, mental state and vital force (P〈0.01). (2)The factors influencing the caregivers included age, education, economic state, complications in the recipients, duration for postoperative recovery, and medial expenses. Conclusion The quality of life among the principal caregivers of old ages drops dramatically, while that of the younger goes down as well but they can alleviate the influence by taking an active measure to cope. By analysis, the factors impacting their quality of life are found to be multiple, indicating we may improve their quality of life by attaching importance to them and take pertinent intervention measures.
出处 《护理学报》 2006年第12期4-7,共4页 Journal of Nursing(China)
关键词 肝移植 直接照顾者 生活质量 liver transplantation principal caregiver quality of life
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