某大学医院候诊器官供体患者的焦虑、抑郁和生活质量评价

F. İzci, Ebru Fındıklı, S. Zincir, Akif Camkurt, Ozlem Kazan Kizilkurt, Ferzan Ergun Giynas, S. Korkmaz, E. B. Akin
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引用次数: 2

摘要

某大学附属医院候诊器官供体患者的焦虑、抑郁及生活质量评估目的:对候诊器官供体患者进行心理评估,探讨候诊器官供体患者的焦虑、抑郁及生活质量。材料与方法:本研究于2015年5月至2016年2月进行。其中包括102名志愿者。采用社会人口学数据收集表、DSM-IV临床访谈表-轴诊断临床版本结构(SCID-I/CV)、Beck焦虑量表(BAI)、Beck抑郁量表(BDI)、症状检查表(SCL-90-R)和SF-36生活质量调查(SF-36)对患者进行治疗。结果:平均年龄为41.64±12.02岁,男性占42.2% (n=43),女性占57.8% (n=59)。在潜在捐赠者和接受者之间的亲缘程度方面,57.8% (n=59)是一级亲属,19.6% (n=20)是配偶,22.5% (n=23)是其他亲属和/或亲密关系。根据供体候选人对受者的亲和程度进行分组,BDI、BAI、SCL-90-R总分和人际敏感分量表得分差异有统计学意义。结论:与全球平均水平相比,活体供体数量高于尸体供体数量;捐赠者候选人大多是配偶和一级亲属。因此,受移植过程直接或间接影响的家庭成员和一级亲属作为供体候选人/供体更多地暴露于社会和心理影响。除了接受者之外,评估捐赠者的心理社会状态至关重要,以便以更适当的方式管理长期的移植过程,这是一个需要治疗和护理的过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychiatric Evaluation of Organ Donor Candidates in a University Hospital and Their Anxiety, Depression and Quality of Life Levels
Psychiatric evaluation of organ donor candidates in a university hospital and their anxiety, depression and quality of life levels Objective: The aim of this study was to conduct a psychiatric evaluation of organ donor candidates and to investigate their levels of anxiety, depression and quality of life. Material and Methods: This study was performed between May 2015 and February 2016. It included 102 volunteers. The socio-demographic Data Collection Form, DSM-IV Clinical Interview Form – Clinical Version Structured for Axis Diagnoses (SCID-I/CV), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Symptom Checklist (SCL-90-R), and SF-36 Quality of Life Survey (SF-36) were administered to the patients. Results: The average age of the applicants was found to be 41.64±12.02, 42.2% (n=43) being male and 57.8% (n=59) being female. When it comes to the degree of affinity between potential donors and recipients, 57.8% (n=59) were first-degree relatives, 19.6% (n=20) were spouses, and 22.5% (n=23) were other relatives and/or close relations. By dividing donor candidates into groups by the degree of their affinity to recipients, there were statistically significant differences revealed between BDI, BAI and SCL-90-R total scores and interpersonal sensitivity subscale scores. Conclusion: As compared to the global average, the number of living donors is higher than cadaver donors; and donor candidates mostly comprise spouses and first-degree relatives. Therefore, family members and first-degree relatives who are affected directly or indirectly by the transplant process are exposed to social and psychological effects more as the donor candidates/donors. It is of crucial importance to evaluate the psychosocial states of donors, in addition to recipients, in order to manage the long-lasting transplant process, a treatmentand caredemanding one in a more appropriate way.
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