康复期器官移植患者家属身心状态与移植器官长期存活的相关性分析

目的 了解康复期器官移植患者家属心身状态对移植器官长期存活的影响.方法 采用Zung焦虑自评量表(SAS)、简易应对方式量表,对600例康复期器官移植患者家属进行问卷调查,并对结果进行分析.结果 康复期器官移植患者家属的焦虑状况高于国内常模(P<0.01);不同性别、文化程度、经济收入状况、医疗费用来源的患者家属焦虑状况差异有统计学意义(P<0.05);患者家属多采用积极应对方式,较少采用消极应对方式(P<0.01).积极应对与患者家属的焦虑水平呈负相关(P<0.01),与移植器官长期存活呈正相关(P<0.05);消极应对与患者家属的焦虑水平呈正相关(P<0.05),与器官移植长期存活呈负相关.结论 焦虑普遍存在于康复期器官移植患者家属中,不同性别、文化程度、经济收入状况、医疗费用来源的患者家属焦虑状况有差异;采取积极应对方式越多,其焦虑水平越低,移植器官存活时间越长;采取消极应对方式越多,其焦虑水平越高,移植器官存活时间越短.

The correlation analysis of the physical and mental status of organ transplanted patients' family members during the patients' rehabilitation period and the long term survival of the transplanted organ

Objective To know about the correlation analysis of the physical and mental status of organ transplanted patients' family members during the patients' rehabilitation period and the long term survival of the transplanted organs.Methods A total of 600 organ transplanted patients' family members were investigated by Zung self-rating anxiety scale (SAS) and simple coping style questionnaire.The results underwent subsequent analysis.Results Anxious state of organ transplanted patients' family members was more severe than that of domestic norm (P<0.01).There were some differences in terms of anxious state of family members with different genders,education backgrounds,income and the resource of medical expenditure (P<0.05).Family members most took positive coping styles,whereas fewer adopted negative coping styles (P<0.01).Positive coping styles were negatively correlated with the anxiety of family members (P<0.01) and positively correlated with long term survival of transplanted organ(P<0.05).However,negative coping styles of family members were significantly positively correlated with their anxiety (P<0.05) and were negatively correlated with long term survival of transplanted organ.Conclusions The anxiety generally exists in organ transplanted patients' family members.There are differences in terms of anxious state among family members of different genders,different education backgrounds,income or with the resource of medical expenditure.The more they adopt positive coping styles,the lower anxiety level they show and the longer the transplanted organ survive.Conversely,the more they adopt negative coping styles,the higher anxious level they show and the shorter the transplanted organ survive.