实用器官移植电子杂志 ›› 2020, Vol. 8 ›› Issue (3): 214-218.DOI: 10.3969/j.issn.2095-5332.2020.03.013

• 论著 • 上一篇    下一篇

肝移植受者术后生存质量影响因素分析

韩雪莉,叶海丹,张利姗,于瑞   

  1. 中山大学附属第一医院器官移植科,广东 广州 510080
  • 出版日期:2020-05-20 发布日期:2021-06-22

Analysis of influencing factors of postoperative life quality in liver transplant recipients

Han Xueli,Ye Haidan,Zhang Lishan,Yu Rui.    

  1. Department of Organ Transplantation,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,Guangdong,China
  • Online:2020-05-20 Published:2021-06-22

摘要:

目的 探讨肝移植受者术后的生存质量及其相关影响因素。 方法 对 2017 年 12 月— 2018 年 1 月期间在中山大学附属第一医院器官移植科参加第七届器官移植移友交流会及回院复查的 117 例肝移 植受者,使用一般资料问卷及世界卫生组织生存质量简表,分析受者术后生存质量现状,应用多元线性 回归分析影响肝移植受者生存质量的因素。 结果 参与本研究的 117 例肝移植受者生存质量平均分为 (209.3±56.6)分,其中生理领域得分平均为(52.7±18.0)分,心理领域得分平均为(51.8±18.8)分,社 会关系领域得分平均为(51.9±16.5)分,环境领域得分平均为(50.1±16.9)分,4 个领域的得分均低于常 模组,除环境领域外,差异均具有统计学意义(P < 0.05)。 结论 肝移植受者的生存质量主要受婚姻状态、 术后生存时间、术后有无并发症、术后有无再就业及术后有无规律随访等因素的影响,医护人员应给予相 应群体更多关注及帮助,从而提高其生存质量。

关键词: 肝移植 , 生存质量 , 影响因素

Abstract:

Objective To investigate the quality of life after liver transplantation and its influencing factors. Methods From December 2017 to January 2018,a total number of 117 cases of liver transplant recipients who participated in the 7th organ transplantation exchange meeting as well as follow-up visits in the first affiliated hospital of Sun Yat-sen University were included in the study. The present life quality was analyzed using general questionnaire and the World Health Organization quality of life questionnaire. Multiple linear regression method is applied to analyze the factors affecting the quality of life in liver transplant recipients. Results The average grade of life quality in 117 cases of liver transplant recipients of this study was(209.3±56.6)scores,the average physical field scoring was(52.7±18.0)scores,the average psychological field scoring was(51.8±18.8)scores, the average score for social relations field was(51.9±16.5)scores,the average environmental scoring was(50.1± 16.9)scores. The scoring of all four areas was lower than the normal population,in addition to the environmental area,the difference was statistically significant(P < 0.05). Conclusion The quality of life of liver transplantation recipients is mainly affected by marital status,postoperative survival time,postoperative complications,postoperative employment and irregular follow-up etc. Medical staff should pay more attention and help the liver transplantation recipients improve their quality of life.

Key words: Liver transplantation, Quality of life, Influencing factors