Practical Journal of Organ Transplantation(Electronic Version) ›› 2014, Vol. 2 ›› Issue (4): 235-239.DOI: 10.3969/j.issn.2095-5332.2014.04.007

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Influence of nursing intervention on the obedience of liver transplantation from cardiac death organ donation

Zhou Xin1，Ye Qifa1，2，Jiang Yudi1，Li Shuanghui1，Wang Yanfeng1，He Xueyu1.
  

  1. 1. Institute of HepatobiliaryDiseases，Zhongnan Hospital of Wuhan University，Wuhan 430071，Hubei，China ； 2. Research Center of NationalHealth Ministry on Transplantation Medicine Engineering and Technology，the 3rd Xiangya Hospital of Central SouthUniversity，Changsha 410013，Hunan，China
  • Online:2014-07-20 Published:2021-05-09

护理干预对心脏死亡器官捐献肝移植患者依从性的影响

周鑫 1 ，叶啟发 1，2，姜雨笛 1 ，李双卉 1 ，王彦峰 1 ，贺学宇 1
  

  1. 1. 武汉大学中南医院肝胆疾病研究院，湖北 武汉 430712 ； 2. 中南大学湘雅三医院卫生部移植医学工程技术研究中心，湖南 长沙 410013
  • 基金资助:

    国家自然科学基金重点项目（21334005）；

    湖北省自然科学基金项目（2012FFA044 ；2013CFB258）；

    武汉市科学技术计划项目（2013060705010326；2013060602010247）；

    中央高校基本科研业务费专项资金（303274022；303247056；2042014kf0101）

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Abstract:

Objective To discussing the influence of normative postoperative nursing intervention onthe obedience of liver transplantation patient，extend the medical intervention to family and outside hospital，andreduce the transplantation organ damage caused by violated medical treatment. Methods Forty post-operationliver transplantation patients in follow-up center were randomly enrolled as the research objects. A detailedquestionnaire survey about impact factors of follow-up-such as age，income，education，transplant post-operativetime，individual patients' request were conducted. One-way ANOVA was used to conduct statistical analysis viaSPSS application. Results Different age，income，education，transplant post-operative time lead to differentrequests for follow-ups，and then affect the follow-up frequency and results which lead lower obedience. Theresults of living habitobedience and self-monitoring obedience of young patients and whose post-operation timenot less than one year was worse，and the results of self-paid patients was worse than those had health insurance（all P ＜ 0.05）. Conclusion Reasonable nursing intervention can improve the follow-up frequency and results.Postoperative survival rate and life quality can be improved by enhancing obedience through setting individual follow-up plan to different patients according to their own needs in different time.

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摘要：

目的 探讨规范的移植术后护理干预对肝移植患者依从性的影响，将医疗干预延续至院外及家庭，以减少不遵医疗行为导致的移植器官损害。方法 在本院移植医学中心随访门诊处，随机抽取进行术后随访的肝移植患者 40 例作为调查研究对象。针对不同患者需求以及年龄、经济、文化、移植术后时间等影响随访的因素进行问卷调查，调查结果采用单因素方差分析比较，应用 SPSS 软件进行统计学分析。结果 年龄、经济、文化、移植术后时间的不同导致患者对随访的需求不同，进而影响随访频率及随访效果，导致依从性下降。在移植术后依从性中，年轻患者及术后时间≥ 1 年的患者在生活习惯依从性及自我监测依从性方面表现较差，且自费患者生活习惯依从性较医保患者差（均 P ＜ 0.05）。结论 合理的护理干预可以提高随访频率及随访效果，根据患者个体差异制定不同随访计划以满足患者不同时期需求，可以增强移植患者的依从性，有助于提高术后长期生存率及生活质量。

关键词:

Practical Journal of Organ Transplantation(Electronic Version)
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