心脏移植术后患者创伤后成长及其影响因素  

Related Factors of Posttraumatic Growth in Patients After Heart Transplantation

作　　者：李燕君[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院心血管外科,湖北武汉430022

出　　处：《解放军护理杂志》2016年第21期16-20,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：湖北省自然科学基金(2014CFB997)

摘　　要：目的探讨心脏移植术后患者创伤后成长的现况及影响因素。方法2015年1-11月便利抽样选取武汉市某三级甲等医院心血管外科行心脏移植术后的患者70例,采用一般情况调查表以及创伤后成长测评量表(posttraumatic growth inventory,PTGI)对其进行调查,并分析结果。结果患者的PTGI总分为(64.77±17.53)分;与他人关系维度为(17.57±5.08)分;新的可能性维度为(9.20±2.92)分;个人力量维度为(12.96±3.62)分;精神改变维度为(9.21±3.37)分;对生活的欣赏(15.83±5.15)分。多元线性回归结果显示,与PTGI存在一定回归关系的变量有职业类别(t=-2.46,P=0.02)、锻炼(t=2.43,P=0.02)、术后是否重返工作(t=-2.11,P=0.04)。结论心脏移植术后患者表现出一定的成长水平,临床医护人员需要重视对心脏移植术后患者积极心态的培养,积极探索有效的干预模式,以促进患者的身心康复,提高其术后生活质量。Objective To investigate the status of postoperative posttraumatic growth in patients after heart transplantation, and to analyze the influencing factors. Methods By convenience sampling, 70 cases were selected and investigated by using posttraumatic growth inventory （PTGI） , and the results were analyzed. Results The total score of PTGI was （64.77±17.53）.The dimension scores of the relationships with others, new possibilities, personal strength, the dimension of spiritual change and appreciation of life were （17.57±5.08）, （9.20±2.92）, （12.96±3.62）, （9.21±3.37）, （15.83±5.15）, respectively.Multiple linear regression analysis showed that professional （t =- 2.46, P = 0.02）, exercise （t = 2.43, P = 0.02） and time after operation and returning to work （t =- 2.11 ,P =0.04） were the influencing factors of PTGI. Conclusions Patients had a certain level of postoperative posttraumatic growth after heart transplantation. Clinical medical staffs should focus on the cultivation of positive attitudes of patients, and search for the effective interventional mode, thus to promote the rehabilitation and quality of life of after surgery.

关 键 词：心脏移植术 创伤后成长 影响因素 

分 类 号：R473.6[医药卫生—护理学]