延续性健康管理在改善肾移植术后患者负性情绪希望水平及生活质量中的效果  

Effect of continuous health management on improving the negative emotional,hope level and quality of life in patients undergoing kidney transplantation

作　　者：李利娜 赵丽莉 杜亚泽 杨豆 Li Lina;Zhao Lili;Du Yaze;Yang Dou(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2025年第2期77-82,共6页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨延续性健康管理对肾移植术后患者负性情绪、希望水平及生活质量的影响。方法 将72例实施肾移植手术患者按照随机数字表法分为观察组和对照组,各36例。对照组患者给予常规管理,观察组患者在对照组基础上给予延续性健康管理。干预前后,采用广泛性焦虑障碍量表(GAD-7)、患者健康问卷(PHQ-9)抑郁症状群量表、中文版Herth希望量表(HHI)、肾移植受者自我管理支持量表、肾移植后患者生活质量评分专用量表评估两组患者的负性情绪、希望水平、自我管理能力、生活质量。统计并比较两组患者术后并发症发生情况。结果 干预后,两组患者GAD-7、PHQ-9评分较干预前降低,且观察组低于对照组(P<0.01)。干预后,两组患者HHI总分及各维度评分、肾移植受者自我管理支持量表各维度评分、肾移植后患者生活质量评分专用量表各项目评分较干预前升高,且观察组高于对照组(P<0.05或0.01)。观察组患者护理总满意率高于对照组(P<0.05)。观察组患者术后并发症总发生率低于对照组,差异无统计学意义(P>0.05)。结论 延续性健康管理应用于肾移植术后患者,效果较好,值得临床推广。Objective To explore the influences of continuous health management on negative emotions,hope level and quality of life of patients undergoing kidney transplantation.Methods Seventy-two patients undergoing kidney transplantation were divided into observation and control group according to random number table method,with 36 ones in each.Controls received routine management and observation group did continuous health management on the basis of controls.The Generalized Anxiety Disorder-7 item(GAD-7),Patient Health Questionnaire-9(PHQ-9),Chinese version of Herth Hope Index(HHI),Self-management Scale for Renal Transplant Recipients(SMSRTR)and Questionnaire for Assessing the Quality of Life for Chinese Renal-transplant Recipients(QOL)were used to assess negative emotions,hope level,self-management ability and quality of life for both groups before and after intervention.Postoperative complications of the two groups were counted and compared.Results After intervention,the GAD-7 and PHQ-9 scores of both groups lowered compared with pre-intervention and those were lower in observation than control group(P<0.01).After intervention,the total and each dimension scores of the HHI,each dimension scores of the SMSRTR and each item scores of the QOL in both groups elevated compared with pre-intervention and those were higher in observation than control group(P<0.05 or 0.01).Total nursing satisfaction was higher in observation than control group(P<0.05).The total incidence of post-operative complications was lower in observation than control group,Conclusion Continuous health management has a good effect in patients undergoing kidney transplantation and is worthy of clinical promotion.

关 键 词：延续性健康管理 肾移植手术 负性情绪 希望水平 生活质量 

分 类 号：R395.5[哲学宗教—心理学] R699.2[医药卫生—医学心理学]