肝移植受者焦虑状况及其影响因素的研究

目的]了解肝移植术后受者的焦虑状况,并探讨其影响因素。方法]将100例肝移植受者按时间段分为3组,第1组为术后1个月~6个月,第2组为术后6个月至1年,第3组为术后1年~3年,用焦虑自评量表（SAS）和一般资料调查表对3组肝移植受者进行调查,并与国内常模比较,用方差分析和多元逐步回归分析探讨肝移植受者术后焦虑的影响因素。结果]肝移植受者SAS总分和不同时间段SAS总分与国内常模比较差异均有统计学意义（P〈0.01）;第1组SAS得分与第2组、第3组比较,差异均有统计学意义（P〈0.01）;影响肝移植受者SAS得分的因素为术后并发症、性别、丙氨酸氨基转移酶（ALT）浓度;影响第1组肝移植受者SAS得分的因素为术后并发症;影响第2组肝移植受者SAS得分的因素为术后并发症、性别和ALT;影响第3组肝移植受者SAS得分的因素为术后并发症和甲胎蛋白浓度。结论]肝移植受者焦虑水平高于一般人群,肝移植受者焦虑的主要影响因素为术后并发症、性别、ALT浓度。

Study on anxiety of recipients of liver transplantation and its influencing factors

Objective：To know postoperative anxiety state and its influencing factors of recipients after accepting liver transplantation.Methods：A total of 100 liver transplantation recipients were divided into 3 groups according to their postoperative time period.Recipients of group A were at 1 month to 6 months after transplantation.Recipients of group B were at 6 months to 1 year after the operation.And recipients of group C were at 1 year to 3 years after the operation.Then all recipients were investigated by adopting self-rating anxiety scale（SAS） and general information.The outcomes of the investigation were compared to the domestic norm.And influencing factors of anxiety of liver transplantation recipients were analyed by variance analysis and multiple regression analysis.Results：In terms of total anxiety score and anxiety scores of different time periods,there were statistical significant differences between liver transplantation recipients and the domestic norm（P0.01）.There were statistical significant differences in terms of SAS score between recipients of group A and group B and between recipients of group A and group C（P0.01）.Factors influencing the total SAS scores of liver transplantation recipients included postoperative complications,gender,and concentration of alanine aminotransferase.Factors influencing the SAS scores of liver transplantation recipients of group A were postoperative complications.Factors influencing the SAS scores of liver transplantation recipients of group B were postoperative complications,gender and alanine aminotransferase.And factors influencing the SAS scores of liver transplantation recipients of group C were postoperative complications and the alpha-fetoprotein concentration.Conclusion：The anxiety level of liver transplantation recipients was higher than that of the ordinary crowds.And mian influencing factors of liver transplantation recipients with anxiety include postoperative complications,gender and alanine aminotransferase concentration.