心脏移植受者术后社会支持与焦虑抑郁状况和躯体功能相关性分析  

Correlation analysis of postoperative cardiac transplant recipients of social support and anxiety depression status and physical function

作　　者：张欢 蒋威[2] 李燕君[1] ZHANG Huan;JIANG Wei;LI Yan-jun(Department of Cardiology and Macrovascular Surgety,Affiliated Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of operating room,Affiliated Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院心脏大血管外科,湖北省武汉市430022 [2]华中科技大学同济医学院附属协和医院手术室,湖北省武汉市430022

出　　处：《中国心血管病研究》2019年第5期420-425,共6页Chinese Journal of Cardiovascular Research

基　　金：湖北省自然科学基金(2014CFB997).

摘　　要：目的探讨心脏移植受者术后社会支持与焦虑抑郁状况和躯体功能相关性。方法选取2014年12月至2015年12月于我院心脏移植外科接受同种心脏移植且手术顺利出院的受者192例作为研究对象。采用自制《心脏移植受者居家康复状况问卷》收集受者的一般资料,采用《心脏移植受者躯体功能评估表》评估其躯体功能,采用《焦虑抑郁量表(HAD)》评估其心理功能;采用《社会支持评定量表(SSRS)》评估社会支持能力,然后采用单因素和多因素Logistic回归分析心脏移植受者康复影响因素;采用Spearman分析社会支持和焦虑抑郁状况、躯体功能相关性。结果心脏移植受者躯体功能评分为(15.30±4.31)分,各项得分来看,躯体功能由好到差分别为:自我照顾、活动功能、心肺功能、睡眠以及疲劳状况。焦虑得分为(6.24±2.16)分,其中120例(62.50%)无症状,8例(4.17%)症状可疑,64例(33.33%)存在症状。抑郁得分为(6.39±1.72)分。其中112例(58.33%)无症状,48例(25.00%)症状可疑,32例(16.67%)存在症状。社会支持总分、客观支持、主观支持以及社会支持利用度得分分别为(33.01±5.89)分、(8.62±2.79)分、(17.59±3.91)分和(6.79±1.71)分。单因素结果显示,影响心脏移植受者躯体功能的危险因素有文化程度、月药费支出以及是否重返工作;影响心脏移植受者心理功能的危险因素有文化程度、职业、月药费支出和医疗支付方式;影响社会支持的危险因素为是否重返工作。Logistic回归分析结果显示,影响躯体功能的因素是文化程度和是否重返工作岗位,影响心理功能的因素是职业和文化程度,影响社会支持的因素是是否重返工作岗位。Spearman相关性分析结果显示,社会支持总分与躯体功能评分呈明显的正相关关系,而与焦虑和抑郁评分呈明显的负相关关系(P<0.05)。结论给予心脏移植受者足够的社会支持有利于心脏移植受者躯体�Objective To investigate the correlation of social support and anxiety depression status and physical function correlation of the postoperative cardiac transplant recipients.Methods From December 2014 to December 2015,192 cases of heart transp la nt surgery smoothly discharged in our hospital were selected as the research objects.The self-made "heart transplant recipients home rehabilitation status questionnaire" was used to get general infonnation.The physical function evaluation table of heart transplant recipients was used to assess their physical function and the anxiety depression scale(HAD)was used to assess their mental functions.Social support rating scale(SSRS)to was adopted assess social support ability.And then factors influencing rehabilitation heart transplant recipients were analyzed by the single factor and multiple factors Logistic regression.The correlation of social support and anxiety depression status and physical function were analyzed by Spearman.Results Cardiac transplant recipients body function score was(15.30±4.31)points.Body function was from the good to the bad respectively:self-care,activity function,cardiopulmonary function,sleep and fhtigue condition.Anxiety score was(6.24 ±2.16)points,of which 120 cases(62.50%)of asymptomatic,8 cases(4.17%)symptoms suspected,64 cases(33.33%)symptoms.Depression score was(6.39± 1.72)points,of which 112 cases(58.33%)of asymptomatic,48 cases(25.00)symptoms,suspicious symptoms of 32 cases(16.67%).Social support,objective support,subjective support and social support utilization degree scores were(33.01 ±5.89),(8.62 ± 2.79),(17.59±3.91)and(6.79± 1.71),respectively.Single factor according to the results affecting the physical function of risk factors were heart transplant recipients'educated degree,drug expenditure and whether to return to work.Risk factors affecting the psychological features were heart transplant recipients'educated degree,occupation,monthly expenses for medicine expenditure and medical payment.Risk factors of affecting the socia

关 键 词：心脏移植 社会支持 焦虑 抑郁 躯体功能 

分 类 号：R49[医药卫生—康复医学]