肝移植受者的心理彈性與生存質(zhì)量的相關(guān)性研究
發(fā)布時間：2019-03-21 10:18
【摘要】：目的:本研究以接受原位肝移植手術(shù)(Orthotopic Liver Transplantion,OLP)術(shù)后患者為研究對象,主要了解其心理彈性水平及生存質(zhì)量現(xiàn)狀,探討社會人口學資料及臨床相關(guān)資料對肝移植受患者的心理彈性和生存質(zhì)量的影響,并探討肝移植受者的心理彈性與生存質(zhì)量之間的關(guān)系,為肝移植受者的心理疏導及心理治療提供理論依據(jù),為提高肝移植受者生存質(zhì)量尋找方法與途徑。方法:本研究采用橫斷面調(diào)查研究,抽樣方法為便利抽樣,隨機選擇了從2015年7月至2016年11月在廣州軍區(qū)廣州總醫(yī)院門診隨診和住院治療并符合納入標準和排除標準的肝移植術(shù)后患者進行問卷調(diào)查。問卷由三部分組成,分別為Connor和 Davidson 心理彈性量表(Connor-Davidson Resilience scale,CD-RISC)中文版、健康狀況問卷(Short Form 36 Health Survey Questionnaire,SF-36)中文版及自制一般資料調(diào)查問卷。將收集到的數(shù)據(jù)結(jié)果錄入excle表格進行整理,采用均數(shù)及標準差、構(gòu)成比等對樣本資料進行統(tǒng)計學描述;采用獨立樣本t檢驗將肝移植受者的心理彈性和生存質(zhì)量分別與其對應(yīng)常模比較;采用t檢驗、方差分析對人口學資料及臨床相關(guān)資料對肝移植受者的心理彈性及生存質(zhì)量的影響進行分析;肝移植受者心理彈性的影響因素采用多元逐步回歸分析;肝移植受者的心理彈性與生存質(zhì)量各因子采用pearson相關(guān)分析;心理彈性高低分組對生存質(zhì)量的影響采用獨立樣本t檢驗。使用SPSS 21.0進行統(tǒng)計軟件分析。當P0.05時,認為差異有統(tǒng)計學意義。結(jié)果:(1)研究顯示,肝移植受者的心理彈性總分及各因子均低于中國常模,差異有統(tǒng)計學意義(P0.05);肝移植受者的生存質(zhì)量八個方面得分均低于中國常模(P0.05)。(2)社會人口學資料及臨床相關(guān)資料與肝移植受者心理彈性關(guān)系的研究結(jié)果顯示:不同性別、年齡、婚姻狀況、教育程度、宗教信仰、月收入情況、醫(yī)保類型、原發(fā)病類型、移植年限、并發(fā)癥者,其心理彈性水平存在差異(P0.05)。(3)對影響肝移植受者心理彈性的社會人口學因素及臨床相關(guān)因素作多元逐步回歸分析,結(jié)果顯示性別、醫(yī)療類型、并發(fā)癥因素收入以心理彈性為因變量的回歸方程,三者共同解釋了整體的的59.3%(P0.05),并且性別、醫(yī)療類型有顯著正向影響,并發(fā)癥有顯著負向影響。(4)社會學資料及臨床相關(guān)資料與肝移植受者軀體相關(guān)生存質(zhì)量、生理相關(guān)生存質(zhì)量關(guān)系的研究結(jié)果顯示:不同性別、年齡、婚姻狀況、教育程度、宗教信仰、月收入情況、醫(yī)保類型、移植年限、并發(fā)癥者,其心理彈性水平存在差異(P0.05);不同原發(fā)病類型在患者軀體相關(guān)生存質(zhì)量存在差異(P0.05),在心理生存質(zhì)量相關(guān)不存在差異(P0.05)。(5)肝移植受者的心理彈性得分與生理機能、生理職能、軀體疼痛、一般健康狀況、精力、社會功能、情感職能以及精神健康成顯著正相關(guān)(P0.05)。結(jié)論:(1)肝移植受者的心理彈性總體水平比較低,其中表現(xiàn)為樂觀性最差;肝移植受者的生存質(zhì)量水平較低。(2)肝移植受者的心理彈性受性別、年齡、婚姻狀況、教育程度、收入情況、宗教信仰、社會支持、醫(yī)保類型、原發(fā)病類型、移植年限、并發(fā)癥等因素影響。其中,男性、年齡高、已婚、教育程度高、收入情況好、有宗教信仰、有醫(yī)療保險、原發(fā)病為肝癌、移植年限較長者的心理彈性水平較高。性別、醫(yī)療類型、并發(fā)癥因素為影響患者心理彈性的重要因素。(3)肝移植受者的軀體相關(guān)生存和心理相關(guān)生存質(zhì)量均受性別、年齡、婚姻狀況、教育程度、收入情況、宗教信仰、社會支持、醫(yī)保類型、移植年限、并發(fā)癥等因素影響;另外,原發(fā)病類型也是軀體相關(guān)生存質(zhì)量的影響因素。(4)肝移植受者的心理彈性與生存質(zhì)量成正比,患者心理彈性越高,生存質(zhì)量越好。
[Abstract]:Objective: To study the effect of socio-demographic data and relevant data on the psychological elasticity and the quality of life of patients with liver transplantation. The relationship between the psychological elasticity and the quality of life of the recipient of the liver transplantation is also discussed. Methods: The cross-sectional survey was used in this study. The sampling method was used to facilitate the sampling. The patients were randomly selected from July 2015 to November 2016 in Guangzhou General Hospital of Guangzhou Military Region. The questionnaire consisted of three parts: the Chinese version of the Conor-Davidson's Psychological elasticity scale (CD-RISC), the Chinese version of the health status questionnaire (Short Form 36 Health Survey, SF-36) and the self-made general data questionnaire. the collected data results are input into an exle table to be sorted, and the sample data is statistically described by using a mean number and a standard deviation, a component ratio and the like; the psychological elasticity and the survival quality of the liver transplantation recipient are compared with the corresponding norm by using the independent sample t test; t test is adopted, The effect of variance analysis on the psychological elasticity and the quality of life of the recipients of liver transplantation was analyzed. The factors influencing the psychological elasticity of the liver transplantation recipients were analyzed by multiple stepwise regression. The psychological and survival quality factors of liver transplantation recipients were analyzed by pearson. The effect of psychoelastic high and low groups on the quality of life was tested by independent sample t. The statistical software was analyzed using SPSS 21.0. When P0.05, the difference was considered to be of statistical significance. Results: (1) The total score of the psychological elasticity and the factors of the liver transplantation recipients were lower than that of the Chinese norm (P0.05). The score of the survival quality of the liver transplantation recipients was lower than that of the Chinese norm (P0.05). (2) The results of the study of the relationship between the socio-demographic data and the clinical data and the psychological elasticity of the recipient of the liver transplantation show that the different sex, age, marital status, educational level, religious belief, monthly income, medical insurance type, the type of the original, the length of the transplant, the complication, There was a difference in the level of psychological elasticity (P0.05). (3) The social and demographic factors and the clinical-related factors that affected the psychological elasticity of the recipient of the liver transplantation were analyzed by stepwise regression. The results showed that the sex, the medical type, the complication and the income of the complication were the regression equation of the dependent variable, which together accounted for 59.3% of the whole (P0.05). There was a significant positive effect on the type of gender and medical treatment, and there was a significant negative effect on the complications. (4) The results of the study on the relationship between the quality of life and the quality of life in the body of the recipient of the liver transplantation in the study of the relationship between the quality of life and the quality of life in the body of the recipient of the liver transplantation show that the different sex, age, marital status, educational level, religious belief, monthly income, medical insurance type, and the year of transplantation, There was a difference in the level of psychological elasticity of the patients (P0.05). There was a difference in the quality of life-related life of the patients (P0.05). There was no difference in the quality of the psychological survival (P0.05). (5) The psychological elastic score of liver transplantation recipients was positively correlated with physiological function, physical function, physical pain, general health status, energy, social function, emotional function and mental health (P0.05). Conclusion: (1) The overall level of psychological elasticity of liver transplantation recipients is low, in which the performance is the worst; the quality of life in the recipients of the liver transplantation is lower. (2) The psychological elasticity of the recipient of liver transplantation is affected by the factors such as sex, age, marital status, educational level, income, religious belief, social support, type of medical insurance, type of original disease, age of transplantation, and complications. Among them, the male, the high, the married, the educational level is high, the income is good, has the religious belief, has the medical insurance, the original disease is the liver cancer, the transplant life is higher, the psychological elasticity level of the elder is higher. The factors of gender, medical type and complication are the important factors that affect the psychological elasticity of the patient. (3) The body-related survival and psychological-related quality of life in the recipient of liver transplantation are affected by the factors such as sex, age, marital status, educational level, income, religious belief, social support, type of medical insurance, age of transplantation, and complications; in addition, The original type of the disease is also the influence factor of the body-related quality of life. (4) The psychological elasticity of the recipient in the liver transplantation is directly proportional to the quality of life, and the higher the psychological elasticity of the patient, the better the quality of life.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R657.3
，
本文編號：2444851
[Abstract]:Objective: To study the effect of socio-demographic data and relevant data on the psychological elasticity and the quality of life of patients with liver transplantation. The relationship between the psychological elasticity and the quality of life of the recipient of the liver transplantation is also discussed. Methods: The cross-sectional survey was used in this study. The sampling method was used to facilitate the sampling. The patients were randomly selected from July 2015 to November 2016 in Guangzhou General Hospital of Guangzhou Military Region. The questionnaire consisted of three parts: the Chinese version of the Conor-Davidson's Psychological elasticity scale (CD-RISC), the Chinese version of the health status questionnaire (Short Form 36 Health Survey, SF-36) and the self-made general data questionnaire. the collected data results are input into an exle table to be sorted, and the sample data is statistically described by using a mean number and a standard deviation, a component ratio and the like; the psychological elasticity and the survival quality of the liver transplantation recipient are compared with the corresponding norm by using the independent sample t test; t test is adopted, The effect of variance analysis on the psychological elasticity and the quality of life of the recipients of liver transplantation was analyzed. The factors influencing the psychological elasticity of the liver transplantation recipients were analyzed by multiple stepwise regression. The psychological and survival quality factors of liver transplantation recipients were analyzed by pearson. The effect of psychoelastic high and low groups on the quality of life was tested by independent sample t. The statistical software was analyzed using SPSS 21.0. When P0.05, the difference was considered to be of statistical significance. Results: (1) The total score of the psychological elasticity and the factors of the liver transplantation recipients were lower than that of the Chinese norm (P0.05). The score of the survival quality of the liver transplantation recipients was lower than that of the Chinese norm (P0.05). (2) The results of the study of the relationship between the socio-demographic data and the clinical data and the psychological elasticity of the recipient of the liver transplantation show that the different sex, age, marital status, educational level, religious belief, monthly income, medical insurance type, the type of the original, the length of the transplant, the complication, There was a difference in the level of psychological elasticity (P0.05). (3) The social and demographic factors and the clinical-related factors that affected the psychological elasticity of the recipient of the liver transplantation were analyzed by stepwise regression. The results showed that the sex, the medical type, the complication and the income of the complication were the regression equation of the dependent variable, which together accounted for 59.3% of the whole (P0.05). There was a significant positive effect on the type of gender and medical treatment, and there was a significant negative effect on the complications. (4) The results of the study on the relationship between the quality of life and the quality of life in the body of the recipient of the liver transplantation in the study of the relationship between the quality of life and the quality of life in the body of the recipient of the liver transplantation show that the different sex, age, marital status, educational level, religious belief, monthly income, medical insurance type, and the year of transplantation, There was a difference in the level of psychological elasticity of the patients (P0.05). There was a difference in the quality of life-related life of the patients (P0.05). There was no difference in the quality of the psychological survival (P0.05). (5) The psychological elastic score of liver transplantation recipients was positively correlated with physiological function, physical function, physical pain, general health status, energy, social function, emotional function and mental health (P0.05). Conclusion: (1) The overall level of psychological elasticity of liver transplantation recipients is low, in which the performance is the worst; the quality of life in the recipients of the liver transplantation is lower. (2) The psychological elasticity of the recipient of liver transplantation is affected by the factors such as sex, age, marital status, educational level, income, religious belief, social support, type of medical insurance, type of original disease, age of transplantation, and complications. Among them, the male, the high, the married, the educational level is high, the income is good, has the religious belief, has the medical insurance, the original disease is the liver cancer, the transplant life is higher, the psychological elasticity level of the elder is higher. The factors of gender, medical type and complication are the important factors that affect the psychological elasticity of the patient. (3) The body-related survival and psychological-related quality of life in the recipient of liver transplantation are affected by the factors such as sex, age, marital status, educational level, income, religious belief, social support, type of medical insurance, age of transplantation, and complications; in addition, The original type of the disease is also the influence factor of the body-related quality of life. (4) The psychological elasticity of the recipient in the liver transplantation is directly proportional to the quality of life, and the higher the psychological elasticity of the patient, the better the quality of life.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R657.3
，
本文編號：2444851
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