肾移植受者健康促进生活方式的调查研究  

Survey on health-promoting lifestyle of kidney transplant recipients

作　　者：郭姣[1] 段学峰[1] 冯红霞[1] 郭果香[1] 张卓[1] 辛燕[1] 

机构地区：[1]内蒙古医科大学第三附属医院内蒙古包钢医院皮肤性病科,内蒙古自治区包头市014010

出　　处：《中华器官移植杂志》2015年第8期469-473,共5页Chinese Journal of Organ Transplantation

摘　　要：目的探讨肾移植受者生活方式现状及其影响因素，促进其身心健康提供健康宣教内容和宣教依据。方法采用国际通用的健康促进生活方式评定量表，对入选的104例长期随访的肾移植受者进行生活方式调查；同时选择性别、年龄相匹配的同期163名在体检中心经体检未发现异常的健康志愿者。结果104例受者中，20例HPLP评分为优，67例为良好，17例为一般，无一例为差，总体优良率为83．65％。129名健康志愿者的总体优良率为70．55％。肾移植受者得分指标排在第1位的是营养行为，第2位是健康责任行为，最低的是运动行为；而健康志愿者则不同，得分指标排在第1位的是人际支持行为，第2位是营养行为，最低的是健康责任行为。相关分析结果表明，肾移植受者HPLP总分与年龄（r=0．307，P=0．002）和文化程度（r=0．370，P=0．000）成明显的正相关性，与受者的性别、民族、职业、供肾来源均无明显相关性（P〉0．05）。肾移植受者HPLP总分高于健康志愿者，其中肾移植受者的自我实现、健康责任的维度得分与健康志愿者比较，差异均有统计学意义（P〈0．05）；而。肾移植受者的运动、营养、人际支持、压力管理等维度的得分与健康志愿者比较，差异均无统计学意义（P〉0．05）。结论肾移植受者的生活方式总分高于健康志愿者，其中压力管理行为和运动行为相对较弱，也是肾移植受者的生活方式重点改进项目。Objective By discussing the state of lifestyle as well as affecting factors of kidney transplant recipients, to provide more health education content and basis for their physical and psychological health. Method With internationally accepted Health-Promoting Lifestyle Profile （HPLP）, we surveyed the lifestyle of the selected 104 long-term follow-up cases of kidney transplant recipients. At the same time, 163 sex- and age-matched healthy volunteers, who had no obvious abnormalities in the medical test, were chosen. Result For HPLP scores among the 104 eases of recipients, 20 eases were excellent, 67 cases good, 17 cases common, and none was inferior. As a whole, its excellent rate was 83.65%. As for 129 healthy volunteers, their overall excellent rate was 70. 550/oo. The HPLP scores for the nutrition behavior ranked top in kidney transplant recipients, followed by healthy responsibility behavior, and lowest for exercise behavior. For the healthy volunteers, the HPLP scores for interpersonal support behavior ranked top, followed by nutrition behavior, and lowest for healthy responsibility. Correlation analysis revealed that the HPLP scores in kidney transplant recipients were significantly and positively correlated with age （r = 0. 307, P = 0. 002） and educational level （r= 0. 370, P = 0. 000）, and not with gender, ethnicity, occupation and kidney sources （P〉0. 05）. The HPLP scores in idney transplant recipients were higher than those in healthy volunteers, among which self-actualization and healthy responsibility showed statistically significant differences （P 〈 0.05）, there was no significant difference in exercise, nutrition, interpersonal support and stress management between recipients and healthy volunteers （P〉0. 05）. Conclusion The HPLP scores in kidney transplants was higher than in healthy volunteers, thereinto, stress management behavior and exercise behavior were relatively weak, which were the focused improvement projects of lifestyle of kidney transplant recipients.

关 键 词：健康促进生活方式 肾移植 影响因素 

分 类 号：R699.2[医药卫生—泌尿科学]