肾移植受者术前应对方式和社会支持的调查  

The survey on coping style and social support of kidney transplant recipients before surgery

作　　者：张倬秋[1] 江葳[2] 程蓉[3] 赖华[1] 

机构地区：[1]四川大学华西医院心理卫生中心,四川成都610041 [2]四川大学华西医院肾内科 [3]四川大学华西医院第三综合病房

出　　处：《现代预防医学》2013年第10期1899-1900,1909,共3页Modern Preventive Medicine

摘　　要：目的了解肾移植受者术前的应对方式和社会支持,为加强术前、术中和术后的心理干预、康复指导提供参考依据。方法采用医学应对方式问卷(MCMQ)和社会支持评定量表(SSRS),由患者手术前自己填写。结果肾移植受者采用回避和屈服的方式较多,且年龄越小,采取屈服的应对方式越明显(r=-0.330,P﹤0.05)。肾移植受者有很好的社会支持(t=6.04,P=0.0000);已婚者、年龄大者,社会支持总分、主观支持分更高(P﹤0.01);社会支持总分、主观支持分越高,采用面对的应对方式越多(P﹤0.05)。结论肾移植受者有良好的社会支持,但患者常采用"屈服""回避"等应对方式,早期有针对性的心理干预,指导患者学习利用良好的社会支持,采取积极的应对方式可能会减少术后心理障碍的发生。OBJECTIVE To study the coping style and social support of kidney transplant recipients before surgery and offer reference for guidance of strengthening the preoperative, intraoperative, postoperative psychosocial intervention and rehabilita- tion work. METHODS The kidney transplant recipients filled out the medical coping modes questionnaires （MCMQ） and the social support rating scales （SSRS） before surgery. RESULTS Most of kidney transplant recipients were evasive and yield. The younger patients were more significantly yield than elder ones （r = -0.330, P 〈 0.05）. Kidney transplant recipients had good so- cial support （t = 6.04, P = 0.000 0）. Patients who married and were elder had a higher score of social support and subjective support （P 〈 0.01）. The patients with higher social support and subjective support scores used more coping style of face （P 〈 0.05）. CONCLUTION The kidney transplant recipients have good social support, but patients often adopt surrendering and evasive coping style. The early psychological intervention can guide patients to learn to exploit good social support and take an active coping style which may reduce patients＇ mental disorder after surgery.

关 键 词：肾移植 医学应对方式 社会支持 

分 类 号：R617[医药卫生—外科学]