亲体肝移植供者术后照顾需求现状及其影响因素分析

Status quo and influencing factors of postoperative care needs of parental liver transplantation donors

目的:调查亲体肝移植供者术后照顾需求及照顾负担水平,并分析照顾需求的影响因素。方法:采用一般情况调查表、亲体肝移植儿童供者照顾需求问卷和Zarit照顾负担量表对两家肝移植中心移植术后随访的219名亲体肝移植供者进行调查。结果:219名亲体肝移植供者术后的照顾需求问卷得分为(102.22±13.29)分,其中知识与信息需求以及经济与居住需求尤为突出。供者术后照顾需求与照顾负担呈正相关。线性回归分析显示,影响其术后照顾需求的主要因素为照顾负担、文化程度、每天睡眠时间、居住状况、移植术后时间以及每天照顾时长。结论:亲体肝移植供者在术后存在较高的照顾需求和照顾负担,应及时评估并采取相应的支持措施以满足其照顾需求,降低照顾负担。

Objective:To investigate the postoperative care needs and care burden level of parental liver transplantation donors,and analyze the influencing factors of care needs.Method:Totally 219 pediatric donors followed up after transplantation in two major liver transplant centers were investigated using general information questionnaire,parental liver transplant child donor care needs questionnaire and the Zarit Caregiver Burden Inventory.Result:The average level of postoperative care needs among 219 pediatric donors was(102.22±13.29),among which knowledge and information needs,economic and housing needs were particularly prominent.There was a positive correlation between donor's postoperative care needs and care burden.Linear regression analysis showed that the main factors affecting their postoperative care needs were care burden,education level,sleep time per day,living status,time after liver transplant and care duration per day.Conclusion:Parental liver transplantation donors have high level of care needs and care burden,and corresponding support measures should be timely evaluated and taken to meet their care needs and reduce the care burden.