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肝移植候选者的生活质量、宗教信仰以及焦虑和抑郁症状

Quality of life, religiosity, and anxiety and depressive symptoms in liver transplantation candidates.

作者信息

Paglione Heloisa Barboza, Oliveira Priscilla Caroliny de, Mucci Samantha, Roza Bartira de Aguiar, Schirmer Janine

机构信息

Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.

Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2019 Mar 28;53:e03459. doi: 10.1590/S1980-220X2018010203459.

Abstract

OBJECTIVE

To evaluate quality of life, religiosity and anxiety and depressive symptoms in liver transplant candidates.

METHOD

An epidemiological and cross-sectional study carried out with liver transplant candidates attended at the outpatient clinic of a University Hospital from 2014 to 2016.

RESULTS

Fifty (50) patients with a mean age of 52.5 years old participated in the study, predominantly male (58.0%), having access to primary education (48.0%), Model for End-Stage Liver Disease between 10-19 and having viral hepatitis as the main etiology. They presented an average quality of life score (4.1), high intrinsic religiosity index (5.6) and the presence of anxiety (52.0%) and depressive symptoms (48.0%). It was possible to observe an association between religiosity and quality of life in the worry domain, with higher non-organizational religiosity leading to higher quality of life; anxiety and depressive symptoms were not associated with quality of life and religiosity. However, patients with higher levels of education were more likely to present depressive symptoms.

CONCLUSION

The analysis of quality of life and religiosity was significant, reinforcing the need for the care team to consider religiosity as a coping strategy for the disease.

摘要

目的

评估肝移植候选者的生活质量、宗教信仰以及焦虑和抑郁症状。

方法

对2014年至2016年在某大学医院门诊就诊的肝移植候选者进行了一项流行病学横断面研究。

结果

五十(50)名平均年龄为52.5岁的患者参与了该研究,其中男性占主导(58.0%),接受过小学教育(48.0%),终末期肝病模型评分在10 - 19之间,主要病因是病毒性肝炎。他们的生活质量平均得分(4.1),内在宗教信仰指数较高(5.6),存在焦虑症状(52.0%)和抑郁症状(48.0%)。在担忧领域观察到宗教信仰与生活质量之间存在关联,非组织性宗教信仰程度越高,生活质量越高;焦虑和抑郁症状与生活质量及宗教信仰无关。然而,受教育程度较高的患者更有可能出现抑郁症状。

结论

对生活质量和宗教信仰的分析具有重要意义,这强化了护理团队将宗教信仰视为应对疾病策略的必要性。

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