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目的:本研究调查肝移植门诊随访患者社会支持与生存质量的现状,并就两者的相关性进行分析。方法:以社会支持评定量表(SSRS)和世界卫生组织生存质量测定量表中文版简表(WHOQOL-BREF)作为研究工具,对仁济医院肝移植门诊65例随访患者进行调查。结果:65例患者社会支持3个维度中,主观支持得分高于全国常模(P<0.05),客观支持和支持利用度低于全国常模(P<0.01),总的社会支持相对较低;65例患者生存质量4个维度中,生理领域得分低于全国常模(P<0.01),心理领域、社会关系领域和环境领域得分均高于全国常模(P<0.01),总的生存质量相对较高;肝移植患者社会支持和生存质量均受诸多因素影响,社会支持的影响因素包括年龄、工作情况和家属关心程度,生存质量影响因素包括年龄和社会支持;肝移植患者社会支持和生存质量相关系数r=0.636(P<0.01),呈正相关。结论:肝移植患者社会支持水平较低,生存质量水平较高,两者受多种因素影响。肝移植患者社会支持和生存质量之间呈正相关。
OBJECTIVE: This study investigated the status of social support and quality of life in patients following liver transplant follow-up and analyzed the correlation between the two. Methods: The SSRS and WHOQOL-BREF were used as research tools to investigate the 65 follow-up patients in Renji Hospital liver transplant clinic. Results: The subjective support score was higher than the national norm (P <0.05), the objective support and support utilization was lower than the national norm (P <0.01), and the total social support was relatively low among 65 patients with three dimensions of social support (P <0.01). The scores of psychology, social relations and environment were all higher than those of the national norm (P <0.01), and the overall survival was higher in the four dimensions of 65 patients with quality of life The quality of life is relatively high; the social support and quality of life in patients with liver transplantation are affected by many factors, including social factors such as age, job status and family members’ concerns, quality of life factors including age and social support, social support and Correlation coefficient of quality of life r = 0.636 (P <0.01), was positively correlated. Conclusion: Patients with liver transplantation have lower level of social support and higher quality of life, both of which are affected by many factors. There was a positive correlation between social support and quality of life in patients with liver transplantation.