亲体肝移植供者就寝拖延、抑郁和焦虑的现况调查及影响因素分析

Cross-sectional investigation and analysis of factors influencing bed procrastination,depression,and anxiety among living donors

目的调查亲体肝移植供者就寝拖延、抑郁及焦虑的现状及其影响因素。方法应用调查性研究设计,通过方便抽样法选取亲体肝移植供者97例。基于就寝拖延量表(BPS)、焦虑量表(GAD-7)及抑郁量表(PHQ-9)等制定调查问卷并进行调查。结果研究对象平均年龄(31.8±6.5)岁,身高和体质量分别为(165.7±7.1)cm和(59.9±9.0)kg。就寝拖延得分为29.2±7.3,处于中等偏上水平,和大学生群体比较差异无统计学意义。抑郁得分为7.9±7.0,焦虑得分为8.2±7.1,存在轻度抑郁和轻度焦虑。单因素分析显示,“债务”及“对住房条件是否满意”是抑郁和焦虑的影响因素。多元回归分析显示,焦虑评分和疲惫感是抑郁的影响因素,抑郁评分、疲惫感和幸福指数是焦虑的影响因素。结论肝移植供者的就寝拖延处于中等偏上水平,和大学生群体比较没有差异。焦虑评分和疲惫感是抑郁的影响因素,抑郁评分、疲惫感和幸福指数是焦虑的影响因素。

Objective To investigate the bed procrastination,depression and anxiety of donors involved in pediatric living-related liver transplantation.Methods A total of 97 living donors were assessed via the Bedtime Procrastination Scale,the Generalized Anxiety Disorder 7-item(GAD-7),and the Patient Health Questionnaire 9-item(PHQ-9),among others.Results The average age of the participants was 31.8±6.5 years.Their average height and weight were 165.7±7cm and 59.9±9.0kg,respectively.The mean score of bed procrastination was 29.2±7.3,showing no significant statistical difference compared with college students.The PHQ-9 and GAD-7 scores were 7.9±7.0 and 8.2±7.1,respectively.Single factor analysis showed that“debt”and“satisfaction with housing conditions”were significant impact factors of depression and anxiety.Multiple regression analysis revealed that GAD-7 scores and fatigue were significant impact factors for depression,while PHQ-9 scores,fatigue and happiness were significant impact factors for anxiety.Conclusion The bed procrastination of living donors was slightly higher than the medium level,showing no statistical difference compared to college students.GAD-7 scores and fatigue were found to be significant factors influencing depression,while PHQ-9 scores,fatigue and happiness were significant factors influencing anxiety.