心死亡器官捐献肝移植受者生存质量与社会支持的相关性分析  

Relationship between quality of life and social support in patients with DCD liver transplantation

作　　者：范琳琳[1,2] 黄海[2] 

机构地区：[1]广州中医药大学研究生院,广东广州510000 [2]广州军区广州总医院院办,广东广州510010

出　　处：《中国医药导报》2016年第36期93-96,共4页China Medical Herald

基　　金：广东省科技计划重点项目(2012A030400023);广东省广州市科技计划重点项目(2014Y2-00132)

摘　　要：目的 分析心死亡器官捐献肝移植受者生存质量与社会支持的关系。方法 以社会支持评定量表（SSRS）和世界卫生组织生存质量测定量表中文版简表（WHOQOL-BREF）为研究工具,对2016年3-9月在广州军区广州总医院肝移植门诊随访的64例心死亡器官捐献肝移植受者进行测评。结果①64例随访患者社会支持总分低于全国常模（P〈0.01）,在社会支持的3个维度中,客观支持和对支持的利用度低于全国常模（P〈0.01）,主观支持高于全国常模（P〈0.01）。②在生存质量的4个维度中,生理领域得分低于全国常模（P〈0.01）,心理领域、社会关系领域及环境领域得分均高于全国常模（P〈0.01）。③社会支持总分与生存质量总分呈显著正相关（P=0.001）,主观支持对生存质量总分呈显著正向影响（P=0.018）。④客观支持与社会关系领域呈正相关（P〈0.05）;对支持的利用度与心理领域、社会关系领域呈正相关（P〈0.05）;单项低分项对生理领域、心理领域及社会关系领域呈负相关（P〈0.05）。结论 心死亡器官捐献肝移植受者社会支持水平与生存质量密切相关,两者受多种因素影响,医务人员应注重社会支持系统对患者生存质量的影响,并采取方法有效利用。Objective To analyze the relationship between quality of life and social support in patients with donation after cardiac death （DCD） liver transplantation. Methods 64 patients with DCD liver transplantation in Guangzhou General Hospital of Guangzhou Military Command from March to September 2016 were investigated with social support rating scale （SSRS） and the Chinese version of World Health Organization quality of life brief （WHOQOL-BREF）. Results ①The result showed that the total scores of social support of 64 outpatients visited were lower than national norms （P 〈 0.01）, among the three dimensions of social support, the scores of objective support and utilization of support were lower than national norms （P 〈 0.01）, the scores of subjective support were higher than national norms （P 〈 0.01）.②Among the four dimensions of WHOQOL-BREF, the scores of physical health were lower than national norms （P 〈 0.01）, the scores of the domains of psychological health, social relationships and environment were higher than national norms （P 〈 0.01）. ③The total scores of social support were positively correlated with the total scores of WHOQOL-BREF （P=0.001）, and the subjective support contributed most （P=0.018）. ④Objective support scores were positively correlated with the domain of social relationships （P 〈 0.05）, utilization of support scores were positively correlated with the domains of psychological health and social relationships （P 〈 0.05）, the items of low scores were negative correlated with the domains ofphysical health,psychological health and social relationships （P 〈 0.05）. Conclusion There is a significant correlation between the social support and quality of life in the patients with DCD liver transplantation, which affect by many factors. More attention should be payed to the social support system by medical workers, and take effective use.

关 键 词：肝移植 社会支持 生存质量 相关性 

分 类 号：R657.3[医药卫生—外科学]