肝移植受者术后的心理状态(附一例报告)

Psychological status of the patients after liver transplantation: one case report

目的为了解肝移植术后患者的精神心理状况。方法对国内首例肝移植术后存活超过４年的患者进行了跟踪调查，方法包括个别交谈及定式量表精神心理测查（症状自评量表、汉密顿焦虑量表、焦虑自评量表、社会功能缺陷筛选量表）。结果患者术后存在抑郁、焦虑情绪及社会功能缺陷等精神科问题。结论患者术后的精神心理状态与其文化水平、经济状况、社会背景及周围环境等多种因素有关，积极、有效的精神科指导将有助于改善患者的精神心理状态。

Objective To study the psychological status of the patient who survived over 4 years after liver transplantation in China. Methods A serial followup survey was given to this patient. The methods of the study included interview and standard scale assessments (symptom checklist 90, selfrating anxiety scale, Hamilton anxiety scale, social disability screening schedule). Results The patient suffered from depression, anxiety and social dysfunction in some aspects. Conclusion The psychological status of this patient was influenced by his cultural, economic and social background. Active and effective psychological intervention may improve the patients psychological status and quality of life.