肾移植受者围手术期与随诊期社会支持度、心理情绪变化及相关性分析

Analysis of social support and psychological changes in kidney transplant recipients during the perioperative and follow-up periods and their correlation

目的 分析肾移植受者在围手术期与随诊期的社会支持度和心理情绪现状,明确二者的相关性。方法 采用基本情况调查表、社会支持评定表、90项症状自评量表对中日友好医院2021年4月至11月64例围手术期肾移植受者及2019年11月至2021年5月70例随诊期肾移植受者进行问卷调查。结果 围手术期肾移植受者客观支持评分低于随诊期,对支持的利用度评分高于随诊期(P<0.05)。围手术期肾移植受者抑郁分数高于随诊期,焦虑分数低于随诊期(P<0.05)。围手术期肾移植受者心理情绪与社会支持得分无相关性(P>0.05)。随诊期肾移植受者心理情绪与社会支持得分相关,其中社会支持与躯体化、强迫症状、抑郁、偏执呈负相关(r=-0.210、-0.206、-0.229、-0.218,P<0.05);主观支持与躯体化、恐怖和其他呈负相关(r=-0.205、-0.223、-0.214,P<0.05);支持利用度与强迫症状、人际关系敏感、抑郁、焦虑、敌对、偏执、精神病性呈负相关(r=-0.228、-0.206、-0.264、-0.284、-0.30、-0.281、-0.201,P<0.05)。结论 围手术期与随诊期肾移植受者社会支持度和心理情绪存在差异,随诊期肾移植受者其心理情绪更容易受社会支持的影响。

Objective To analyze the social support and psychological status of kidney transplant recipients during the perioperative and follow-up periods,and clarify their correlation.Methods A total of 64 perioperative kidney transplant recipients from April to November 2021 and 70 follow-up kidney transplant recipients from November 2019 to May 2021 in China-Japan Friendship Hospital were investigated by using the basic situation questionnaire,social support assessment scale,and 90-item symptom self-assessment scale.Results The score of objective support in perioperative kidney transplantation was lower than that in follow-up period,and the score of utilization of support was higher than that in follow-up period(P<0.05).The depression scores of kidney transplantation recipients in perioperative period were higher than those in follow-up period,and the anxiety scores were lower than those in follow-up period(P<0.05).There was no correlation between psychological emotion and social support score in perioperative kidney transplantation recipients(P > 0.05).The psychological and emotional scores of kidney transplant recipients were correlated with social support scores,and social support was negatively correlated with somatization,obsessive symptoms,depression,and paranoia(r=-0.210,-0.206,-0.229,-0.218,P<0.05).Subjective support was negatively correlated with somatization,terror,and others(r=-0.205,-0.223,-0.214,P<0.05).Support availability was negatively correlated with obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,paranoia,and psychosis(r=-0.228,-0.206,-0.264,-0.284,-0.30,-0.281,-0.201,P<0.05).Conclusion There are differences in social support and psychological emotions between renal transplant recipients during the perioperative and follow-up periods,and kidney transplant recipients during the follow-up period are more susceptible to the influence of social support on their psychological emotions.