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儿童肾移植受者术后生存质量和心理状况现状及影响因素分析

周苗苗 朱有华 赵闻雨 王凤娇 濮世俊 李烟花

周苗苗, 朱有华, 赵闻雨, 等. 儿童肾移植受者术后生存质量和心理状况现状及影响因素分析[J]. 器官移植, 2021, 12(6): 713-719. doi: 10.3969/j.issn.1674-7445.2021.06.011
引用本文: 周苗苗, 朱有华, 赵闻雨, 等. 儿童肾移植受者术后生存质量和心理状况现状及影响因素分析[J]. 器官移植, 2021, 12(6): 713-719. doi: 10.3969/j.issn.1674-7445.2021.06.011
Zhou Miaomiao, Zhu Youhua, Zhao Wenyu, et al. Analysis of current situation and influencing factors of postoperative quality of life and psychological status of pediatric recipients after kidney transplantation[J]. ORGAN TRANSPLANTATION, 2021, 12(6): 713-719. doi: 10.3969/j.issn.1674-7445.2021.06.011
Citation: Zhou Miaomiao, Zhu Youhua, Zhao Wenyu, et al. Analysis of current situation and influencing factors of postoperative quality of life and psychological status of pediatric recipients after kidney transplantation[J]. ORGAN TRANSPLANTATION, 2021, 12(6): 713-719. doi: 10.3969/j.issn.1674-7445.2021.06.011

儿童肾移植受者术后生存质量和心理状况现状及影响因素分析

doi: 10.3969/j.issn.1674-7445.2021.06.011
基金项目: 

上海市科学技术委员会科研计划项目 19ZR1478200

海军军医大学第一附属医院第四期护理科研立项课题 2021HLCY06

详细信息
    作者简介:

    周苗苗,女,1994年生,本科,护师,研究方向为移植护理,Email: zhmmiao1209@163.com

    通讯作者:

    李烟花,女,1981年生,本科,主管护师,研究方向为护理管理、移植护理,Email: yanhua200403@163.com

  • 中图分类号: R617, R395.1

Analysis of current situation and influencing factors of postoperative quality of life and psychological status of pediatric recipients after kidney transplantation

More Information
  • 摘要:   目的  探讨儿童肾移植受者术后生存质量和心理状况现状并分析其影响因素。  方法  选取96例儿童肾移植受者为研究对象,收集受者的一般资料,采用儿童生存质量量表(PedsQLTM3.0)评估其生存质量,采用长处和困难问卷(SDQ)评估其心理状况,对儿童肾移植受者术后生存质量和心理状况的影响因素进行单因素和多因素分析。  结果  儿童肾移植受者术后生存质量总分为(71±14)分,困难总分为(12.4±5.8)分。单因素分析结果显示,性别、术后体质量指数(BMI)和肾移植术后并发症是儿童肾移植受者术后生存质量总分的影响因素(均为P < 0.05);性别、肾移植术后并发症和肾移植术后随访时间是儿童肾移植受者困难总分的影响因素(均为P < 0.05)。多因素分析结果显示,性别、术后BMI、肾移植术后并发症、肾移植前透析种类是儿童肾移植受者术后生存质量的影响因素,性别、肾移植术后并发症、肾移植术后随访时间是儿童移植受者术后心理状况的影响因素(均为P < 0.05)。  结论  儿童肾移植受者术后生存质量和心理状况较好,临床中应重点关注女性、术后BMI偏低、肾移植术后出现并发症及肾移植术后随访时间较短的患儿,预防性给予干预措施,进一步提高生存质量。

     

  • 表  1  儿童肾移植受者术后生存质量及心理状况影响因素的单因素分析

    Table  1.   Univariate analysis of influencing factors on the postoperative lifequality and psychological status of pediatric kidney transplant recipients(x±s, score)

    变量 n 生存质量总分 P 困难总分 P
    性别     0.002   0.003
      男 48 76±12   10.6±5.2  
      女 48 67±15   14.1±5.9  
    移植时年龄     0.971   0.851
      < 10岁 36 71±12   12.5±5.4  
      ≥10岁 60 71±16   12.3±6.2  
    术后BMI     0.016   0.588
      < 18.5 kg/m2 52 68±15   12.7±5.8  
      ≥18.5 kg/m2 44 75±12   12.0±5.9  
    医疗费用支付方式     0.843   0.292
      自费 46 71±16   11.7±6.1  
      医保 50 72±12   13.0±5.6  
    原发病     0.606   0.991
      慢性肾小球肾炎 59 71±14   12.4±5.7  
      IgA肾病 9 75±15   12.3±6.4  
      其他疾病 28 70±16   12.4±6.2  
    肾移植前透析时间     0.930   0.221
      < 18个月 42 72±15   11.5±5.4  
      ≥18个月 54 71±14   13.0±6.2  
    肾移植前透析种类     0.094   0.153
      血液透析 4 74±11   16.5±1.7  
      腹膜透析 66 71±14   12.6±6.4  
      血液透析联合腹膜透析 22 68±14   11.6±4.3  
      未做 4 87±10   7.5±0.6  
    原发病确诊至肾移植时间     0.414   0.077
      < 40个月 68 72±16   11.7±6.1  
      ≥40个月 28 69±9   14.0±5.0  
    肾移植术后并发症     0.021   0.005
      无 56 74±13   11.0±5.8  
      有 40 67±15   14.3±5.4  
    肾移植术后随访时间     0.488   0.002
      < 30个月 50 72±15   14.1±6.0  
      ≥30个月 46 70±13   10.5±5.1  
    下载: 导出CSV

    表  2  儿童肾移植受者术后生存质量影响因素的多因素分析

    Table  2.   Multivariate analysis of influencing factors on the postoperative life quality of pediatric kidney transplant recipients

    变量 B 标准误 β t 容差 P
    常数项 90.701 6.517 - 13.917 - < 0.001
    性别 -6.326 2.777 -0.223 -2.278 0.880 0.025
    术后BMI 7.131 2.842 0.251 2.509 0.846 0.014
    肾移植术后并发症 -6.945 2.650 -0.242 -2.620 0.994 0.010
    肾移植前透析种类            
      血液透析 -20.718 9.461 -0.292 -2.190 0.475 0.031
      腹膜透析 -16.650 6.961 -0.545 -2.392 0.163 0.019
      血液透析联合腹膜透析 -18.735 7.181 -0.556 -2.609 0.186 0.011
    注:①-为无数据。肾移植前透析种类虚拟变量以未做透析组为参照组。该回归模型的决定系数R2为0.248,校正R2为0.197。
    下载: 导出CSV

    表  3  儿童肾移植受者术后心理状况影响因素的多因素分析

    Table  3.   Multivariate analysis of influencing factors on the psychological status of pediatric kidney transplant recipients

    变量 B 标准误 β t 容差 P
    常数项 10.844 1.128 - 9.617 - < 0.001
    性别 3.216 1.080 0.277 2.978 0.984 0.004
    肾移植术后并发症 2.759 1.114 0.234 2.478 0.951 0.015
    肾移植术后随访时间 -2.604 1.108 -0.224 -2.351 0.937 0.021
    注:①-为无数据。该回归模型的决定系数R2为0.220,校正R2为0.194。
    下载: 导出CSV
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  • 收稿日期:  2021-06-17
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