亲属活体肾移植供者术后应对方式及影响因素调查

目的了解亲属活体肾移植供者术后应对方式及其影响因素。方法采用医学应对问卷（MCMQ）和观察访谈法,以便利抽样法,对符合入选标准的亲属活体肾移植供者52例进行调查。结果研究对象的面对得分与常模相似,组间差异无统计学意义（t=1．462,P〉0．05）;回避得分（t=2．320,P〈0．05）、屈服得分（t=3．065,P〈0．05）均高于常模,组间比较差异均具有统计学意义（P〈0．05）。亲属肾移植受者未来的健康状况、经济负担、孤肾生存的危险等是影响供者应对方式的主要因素。结论护理人员在准确评估亲属活体肾移植供者术后应对方式的基础上,采取针对性的护理措施,最大限度地帮助供者走出应对误区,最终提高生存质量。’

Investigation on the coping mode and influencing factors of the relative living donor of kidney transplantation

Objective To investigate the coping style and influencing factors of the relative living donor of kidney transplantation.Methods Medical coping modes questionnaire (MCMQ) and observation-interview were performed by sampling survey.52 case of relative living donor of kidney transplantation according to the adopted standard were analyzed.Results The confronting score of all the cases were close to that of normal model ( t =1.462,P ＞ 0.05 ),but the avoiding score ( t =3.320,P ＜ 0.05 ) and yielding score ( t =3.065,P ＜0.05) were significantly increased.The prospective health conditions of the relative donors,economic burden and the survival risk of unilateral renal were the main factors affecting the coping style of the recipients.Conclusions Based on the accurate evaluation of the coping style,nursing intervention should be aimed at the relative liying donor of kidney transplantation,which might help the donors to create a correct coping style and improve the outcome and life quality of donors.