肾移植受者应对方式和社会支持与术前情绪的相关分析

The relationship of emotional with coping style and social support for renal transplantation patients before surgery

目的了解肾移植受者应对方式和社会支持与术前情绪的关系,为加强术前、术中和术后的心理干预、康复指导提供参考依据。方法采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)、医学应对方式问卷(MCMQ)和社会支持评定量表(SSRS),在患者手术前自己填写。结果患者的焦虑分(37.98±8.65),抑郁分(44.93±7.78),社会支持总分(40.91±8.01),均高于常模;患者的焦虑、抑郁情绪与性别、文化、婚姻状况无统计学意义,(P>0.05),但与年龄有关,年龄越小,焦虑抑郁情绪越重;焦虑、抑郁与屈服纬度有正向效应,但与社会支持纬度无关。结论肾移植受者术前焦虑、抑郁较为常见,年龄越小,焦虑抑郁情绪越明显,且与患者能获得较高的社会支持无关。应了解患者的应对方式,教会患者恰当的应对措施;完善心理评估,及早进行心理干预并将心理干预渗透到整个康复过程。

Objective To learn the relationship of emotional with coping style and social support of renal transplant patients before surgery,and to provide a reference for strengthen psychological intervention in preoperative,intraoperative,postoperative and rehabilitation guidance.Methods Using Zung self-rating anxiety scale(SAS),self-rating depression scale(SDS),medical coping style questionnaire(MCMQ) and the social support rating scale(SSRS),the patients filled them before surgery.Results The patient′s anxiety score was(37.98 ± 8.65),depression score was(44.93 ± 7.78),social support total score was(40.91 ± 8.01),all higher than the norm.The relationship of patients anxiety and depression with gender,culture,marital status were no statistically significant,P>0.05.However,it was age-related,the younger,more severe anxiety and depression.The anxiety and depression had a positive effect with yield,and no relation with social support.Conclusion Preoperative renal transplant patients with anxiety,depression were more common,the younger,more obvious anxiety and depression,and the patient could obtain a higher social support had no related with it.The patient′s coping style should be learn,and told them the appropriate response measures.The psychological assessment should be improved.The psychological intervention should be done as soon as possible and it should permeate the entire rehabilitation process.