心理干预对活体肝移植供者围手术期的作用研究

Study on the effect of psychological intervention for living donor liver transplantation the role of perioperative

目的:探讨心理干预在活体肝移植供者围手术期护理中的方法及效果。方法:随机抽取我院收治的10例活体肝移植供者,应用心理护理结合基础护理,随访1～5年,采用状态一特质焦虑问卷(STAI)、抑郁状态量表(SDS)和焦虑自评量表(SAS)评估供者心理,并统计其总体健康(GH)、生理功能(PF)、生理职能(RP)、社会功能(SF)、情感职能(RE)、精神健康(MH)等生活质量指标。结果:护理前后相比,护理后供者的上述心理评分变化和生活质量指标均优于护理前(P<0.05)。结论:早期对活体肝移植供者行心理护理干预,可改善其生活质量,避免产生抑郁、焦虑等负性心理。

Abstract Objective： To investigate the methods and effect of psychological intervention in living donor liver transplantation. Methods ： Randomly selected 10 patients in our hospital living donor liver transplantation. Basic nursing care combined with the use of psychological follow -up after 1 -5 years, using state of a Trait Anxiety Inventory （ STAI）, depression scale （SDS） and Self - Rating Anxiety Scale （SAS） for the psychological evaluation ,and their over- all health statistics （GH）, physical function （PF）, physical function （RP）, social function （SF）, emotional function （RE）, mental health （M H） and other quality of life indicators. Results：Compared before and after care,after care for those who score above the psychological changes and care quality of life indicators are better than before （ P 〈 0.05 ）. Conclusion： Early on living donor liver transplantation underwent psychological care for the intervention, can improve their quality of life, to avoid depression, anxiety and other psychological instability.