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目的了解肾移植受者术前的应对方式和社会支持,为加强术前、术中和术后的心理干预、康复指导提供参考依据。方法采用医学应对方式问卷(MCMQ)和社会支持评定量表(SSRS),由患者手术前自己填写。结果肾移植受者采用回避和屈服的方式较多,且年龄越小,采取屈服的应对方式越明显(r=-0.330,P﹤0.05)。肾移植受者有很好的社会支持(t=6.04,P=0.0000);已婚者、年龄大者,社会支持总分、主观支持分更高(P﹤0.01);社会支持总分、主观支持分越高,采用面对的应对方式越多(P﹤0.05)。结论肾移植受者有良好的社会支持,但患者常采用“屈服”“回避”等应对方式,早期有针对性的心理干预,指导患者学习利用良好的社会支持,采取积极的应对方式可能会减少术后心理障碍的发生。
Objective To understand the preoperative coping style and social support of renal transplant recipients and provide reference for strengthening the psychological intervention and rehabilitation guidance before, during and after surgery. Methods The Medical Coping Style Questionnaire (MCMQ) and Social Support Rating Scale (SSRS) were used to fill in patients before surgery. Results There were many ways to avoid and yield in renal transplant recipients, and the younger the age, the more obvious the coping style was († = -0.330, P <0.05). The recipients of kidney transplantation had good social support (t = 6.04, P = 0.0000). The married persons, older persons, the total social support scores and the subjective support scores were higher (P <0.01). The social support total scores and subjective The higher the supportive points, the more coping styles faced (P <0.05). CONCLUSIONS: Kidney transplant recipients have good social support. However, patients often respond with “yield ” “avoidance ” and other early psychological interventions to guide patients to learn to use good social support and adopt a positive response Ways may reduce the incidence of postoperative psychological disorders.