Abstract:

Objective To understand and explore the cause of change in perioperative psychology inpatients undergone liver transplantation in order to put forward the corresponding nursing measures. Methods Sixtypatients undergone allograft orthotopic liver transplantation in the People's Liberation Army 302 Hospital betweenSeptember 2011 and February 2011 were enrolled. Through the way of clinical observation and communication，theperioperative psychological of liver transplant recipients was investigated with self-reported depression scale（SDS）. Thepreoperative and postoperative SDS score in recipients was compared，and the incidence of depression at different postoperative period was recorded. Results With prolongation of postoperative time，the SDS score of recipientswas gradually declined ；there was significant difference in SDS score between half a month of pre-operation and halfa month of post-operation（59.30±3.51 vs. 48.07±4.93，P ＜ 0.05）. After liver transplantation，the recipientswith depression at different period were gradually lowered as well as the incidence of depression（the incidence ofdepression postoperative 1-3 months，4-6 months，and 7-12 months was 31.7%，26.7%，20.0%，respectively）withoutstatistical difference（P ＞ 0.05）. Conclusion Reconstruction of psychological change in patients undergoneliver transplantation，taking effective mental dredge and targeted nursing can effectively avoid the occurrence of psychological problems，and improve the quality of survive.

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摘要：

目的 了解并探讨肝移植患者围手术期心理变化的原因，并提出相应的护理对策。方法 选择解放军三〇二医院 2011 年 9 月至 2013 年 2 月进行的同种异体原位肝移植术患者 60 例。通过临床观察和沟通的方式，用抑郁自评量表（SDS）对肝移植受者进行调查，比较受者手术前后的抑郁评分，并记录术后不同时间段的抑郁发生率。结果 随着肝移植术后时间的延长，肝移植受者的抑郁评分不断降低，术前半个月与术后半个月抑郁评分结果比较差异有统计学意义（分 ：59.30±3.51 比 48.07±4.93，P ＜ 0.05）；且发生抑郁的肝移植受者数量不断减少，其发生率不断降低（术后 1 ～ 3 个月、4 ～ 6 个月、7 ～ 12 个月的抑郁发生率分别为 31.7%

26.7%、20.0%），但差异无统计学意义（P ＞ 0.05）。结论 重视肝移植患者的心理变化，并采取有效心理疏通和针对性护理，能够有效避免心理问题的发生，提高移植患者的生存质量。

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