Abstract:

Objective To explore the effect of early attribution training on liver transplant recipients after surgery. Methods A retrospective analysis was conducted on 240 liver transplant recipients who underwent livertransplantation surgery at the Second Affiliated Hospital of Guangxi Medical University from January 1，2023 toDecember 31，2024. According to the random number method，the recipients were divided into two groups，with 120cases in each group. The control group received routine nursing care，while the intervention group received attributiontraining in addition to the routine nursing care. The changes in attribution style，sleep quality，and medical coping strategies between the two groups before and after 4 weeks of intervention were compared. Results After 4 weeks，the total attribution score，internal and external factors，prevalence，and stability of intervention groups were higherthan those of the control group（P ＜ 0.05）；The scores of surrender，avoidance，and facing in medical copingstrategies were higher than those in the control group（P ＜ 0.05）. Conclusion Early attribution training for liver transplant recipients can improve their attribution style，alleviate emotional management difficulties，improve sleep quality，and enhance their medical coping strategies. 

Key words:

Liver transplantation , Attribution training , Negative emotions , Sleep quality , Medical coping strategies

摘要：

目的 探究肝移植受者术后早期实施归因训练的效果。 方法 回顾性分析 2023 年 1 月 1 日至 2024 年 12 月 31 日在广西医科大学第二附属医院行肝移植手术受者 240 例。按照随机数字法将受者分为 2 组，每组 120 例。对照组实施常规护理，干预组在对照组的基础上加施归因训练。对比干预前及干预 4 周后两组归因方式、睡眠质量、医学应对方式等变化情况。 结果 4 周后，两组归因总分、内外、普遍、稳定均高于对照组（P ＜ 0.05）；医学应对方式中屈服、回避、面对分均高于对照组（P ＜ 0.05）。 结论 肝移植受者在术后早期进行归因训练可改善受者归因方式，缓解情绪管理困难，改善睡眠质量，提高其医学应对方式。

关键词: 肝移植 , 归因训练 , 负性情绪 , 睡眠质量 , 医学应对方式