Suzuki R, Nakamiya Y, Watanabe M, Ando E, Tanichi M, Koga M, Kohno K, Usui J, Yamagata K, Ohkohchi N, Toda H, Saito T, Yoshino A, Takahara S, Yamauchi K, Yuzawa K
Department of Psychiatry, National Defense Medical College, Tokorozawa, Saitama, Japan; Department of Transplantation Surgery, National Hospital Organization Mito Medical Center, Higashiibaraki, Ibaraki, Japan; Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan; Department of Advanced Technology for Transplantation, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Department of Transplantation Surgery, National Hospital Organization Mito Medical Center, Higashiibaraki, Ibaraki, Japan.
Transplant Proc. 2019 Apr;51(3):761-767. doi: 10.1016/j.transproceed.2018.12.034. Epub 2019 Jan 9.
It has been reported that transplant recipients are exposed to physical and psychosocial stresses even after transplant surgery and exhibit psychological disorders such as depression.
In this study, we extracted trends concerning how recipients of kidney transplants cope with stress, and we also examined how they cope with depression and its countermeasures.
We administered questionnaire surveys to 109 kidney transplant recipients. These included items on personal attributes, medical information, depression, and stress-coping type scales. Statistical analysis was performed using factor analysis and multiple regression analysis.
Fifteen out of 109 (13.8%) were found to be high-risk patients for depression based on responses to the questionnaire using the depression scale. We extracted 2 factors of stress-coping type, namely Factor 1, "Directly coping with the problem," of patients who try to directly resolve the problem in a positive manner and Factor 2, "Stress-release while avoiding the problem," for those who relieve their feelings in response to the stress without resolving the problem itself. When multiple regression analysis was conducted with the depression scale as the dependent variable and the stress-coping factor as the independent variable, Factor 1 tended to be associated with reduced depression and Factor 2 with increased depression.
Results showed that to improve the mental health of those who receive kidney transplants, it is necessary to examine the depression and stress-coping types of such patients at an early stage and carry out education on stress-coping, focusing on resolving the actual problem.
据报道，移植受者即使在移植手术后也会面临身体和心理社会压力，并表现出诸如抑郁等心理障碍。
在本研究中，我们提取了肾移植受者应对压力的趋势，还研究了他们如何应对抑郁及其对策。
我们对109名肾移植受者进行了问卷调查。这些问卷包括个人属性、医疗信息、抑郁和压力应对类型量表等项目。使用因子分析和多元回归分析进行统计分析。
根据使用抑郁量表的问卷调查结果，109名受者中有15名（13.8%）被发现是抑郁的高危患者。我们提取了压力应对类型的2个因子，即因子1“直接应对问题”，指那些试图以积极方式直接解决问题的患者；因子2“回避问题时释放压力”，指那些在不解决问题本身的情况下应对压力释放情绪的患者。当以抑郁量表作为因变量、压力应对因子作为自变量进行多元回归分析时，因子1往往与抑郁减轻相关，而因子2与抑郁增加相关。
结果表明，为改善肾移植受者的心理健康，有必要在早期检查此类患者的抑郁和压力应对类型，并开展以解决实际问题为重点的压力应对教育。
