肾移植受者恐惧疾病进展现状及影响因素研究  

The status and factors associated with fear of progression in recipients of renal transplantation

作　　者：林韦彤 刘立芳[2] 万晶晶[3] 刘晶晶[2] 杨梦 马航霞 LIN Weitong;LIU Lifang;WAN Jingjing;LIU Jingjing;YANG Meng;MA Hangxia

机构地区：[1]中南大学湘雅护理学院,长沙市410013 [2]中南大学湘雅三医院器官移植中心 [3]中南大学湘雅三医院门急诊手术室

出　　处：《中华护理杂志》2022年第1期73-78,共6页Chinese Journal of Nursing

摘　　要：目的调查肾移植受者的恐惧疾病进展情况,并分析其影响因素。方法采用便利抽样方法,于2021年2月—6月选取长沙市某三级甲等医院221例肾移植受者为调查对象,采用一般资料调查表、中文版恐惧疾病进展简化量表、积极心理资本问卷、简易版疾病感知问卷和中文版痛苦表露指数量表进行问卷调查。结果肾移植受者中文版恐惧疾病进展简化量表得分为(28.13±7.87)分,≥34分者51例(23.08%),积极心理资本问卷得分为(124.05±21.06)分,简易版疾病感知问卷得分为(37.67±11.10)分,中文版痛苦表露指数量表得分为(36.09±8.98)分。多元线性回归分析显示,简易版疾病感知问卷得分(β=0.527,P<0.001)和积极心理资本问卷得分(β=-0.135,P=0.043)是肾移植受者恐惧疾病进展的影响因素,共解释35.3%的总变异。结论肾移植受者的恐惧疾病进展发生率较高,总体处于中等水平,临床工作者应重视肾移植受者的心理状况,改善患者的疾病感知,增强患者的积极心理资本,以降低其恐惧疾病进展水平。Objective To investigate the status and factors associated with fear of progression in recipients of renal transplantation.Methods By using the convenient sampling method,221 recipients of renal transplantations were selected from February to June 2021 in a tertiary hospital in Changsha.General information questionnaire,Fear of Progression Questionnaire-Short Form,Positive Psychological Capital Questionnaire,Brief Illness Perception Questionnaire,Distress Disclosure Index were used to conduct the investigation.Results The score of fear of progression of recipients of renal transplantation was(28.13±7.87);51 cases(23.08%)were≥34 points;the positive psychological capital score was(124.05±21.06);the illness perception score was(37.67±11.10);the distress disclosure score was(36.09±8.98).Multiple linear regression analysis showed that illness perception and positive psychological capital were the influencing factors of fear of progression(P<0.05),which explained 35.3%of the total variation.Conclusion The incidence of fear of progression in recipients of renal transplantation is high,which is generally in the middle level.Clinicians should pay attention to the psychological status of renal transplant recipients,and reduce recipients’illness perception,enhance patients’positive psychological capital,and reduce their fear of disease progression.

关 键 词：肾移植 恐惧疾病进展 心理资本 疾病感知 自我表露 护理 

分 类 号：R473.6[医药卫生—护理学]