自尊与10多年前接受原位肝移植的60岁以上患者的生活质量的关系。

Self-Esteem Related to Quality of Life in Patients Over 60 Years Old Who Received an Orthotopic Liver Transplantation More Than 10 Years Ago.

作者信息

Jover-Aguilar Marta, Martínez-Alarcón Laura, Ramis Guillermo, Gago Felipe Alconchel, Pons José Antonio, Ríos Antonio, Febrero Beatriz, García César Carrillo, Hiciano Guillermo Alberto Inocencio, Ramírez Pablo

机构信息

Transplant Unit, Surgery Service, University Clinical Hospital Virgen de la Arrixaca, Murcia, Spain; Biomedical Research Institute of Murcia IMIB-Arrixaca, Murcia, Spain.

出版信息

Transplant Proc. 2020 Mar;52(2):562-565. doi: 10.1016/j.transproceed.2019.12.017. Epub 2020 Feb 11.

DOI:10.1016/j.transproceed.2019.12.017

PMID:32057494

Abstract

BACKGROUND

Orthotopic liver transplantation (OLT) represents an improvement in the quality of life (QoL) in the short to medium term. However, there is little information about QoL in the long-term post-transplant and its relation with psychological variables such as self-esteem.

OBJECTIVE

To analyze the perceived QoL in relation to the level of self-esteem in patients over 60 years of age who received an OLT more than 10 years ago.

MATERIALS AND METHODS

Cross-sectional descriptive study. Including patients from the Hospital Clínico Universitario Virgen de la Arrixaca (HCUVA).

INSTRUMENT

to evaluate the QoL: EuroQol-5D questionnaire; to evaluate health status: 1. social transfer index and 2. visual analog scale (VAS); to measure self-esteem level: Rosenberg scale. Sociodemographic and clinical variables. Nonparametric analysis (P < .05).

RESULTS

Analyzed 46 patients, 70% men (n = 32) and 30% women (n = 14); mean age of 70.85 ± 6.7 years and mean years of post-OLT survival of 15.91 ± 5.3 years. Average score in QoL: 0.8 ± 0.17 in the social transfer index and 77.07 ± 16.82 in the VAS. Average level of self-esteem: 34 ± 3.55 point. When analyzing the variables, there are no differences in age or post-OLT years. There are significant differences according to sex (P = .001). However, the diagnosis influences the patient's perception of QoL (P < .001). The post-OLT survival correlates negatively with social transfer index (P = .017) and self-esteem level (P = .045). In addition, those patients living in the city presented a higher level of self-esteem (P = .03).

CONCLUSION

Sex, diagnosis, post-OLT years, social environment, and place of residence have an influence on the QoL and self-esteem of patients.

摘要

背景

原位肝移植（OLT）在短期至中期可改善生活质量（QoL）。然而，关于移植后长期的生活质量及其与自尊等心理变量的关系，相关信息较少。

目的

分析10多年前接受OLT的60岁以上患者的生活质量感知与自尊水平之间的关系。

材料与方法

横断面描述性研究。纳入来自阿利克斯卡圣母大学临床医院（HCUVA）的患者。

工具

用于评估生活质量：欧洲五维健康量表问卷；用于评估健康状况：1. 社会转移指数和2. 视觉模拟量表（VAS）；用于测量自尊水平：罗森伯格量表。社会人口统计学和临床变量。非参数分析（P <.05）。

结果

分析了46例患者，70%为男性（n = 32），30%为女性（n = 14）；平均年龄为70.85±6.7岁，OLT后平均生存年限为15.91±5.3年。生活质量平均得分：社会转移指数为0.8±0.17，VAS为77.07±16.82。自尊平均水平：34±3.55分。分析变量时，年龄或OLT后年限无差异。根据性别有显著差异（P =.001）。然而，诊断影响患者对生活质量的感知（P <.001）。OLT后生存与社会转移指数呈负相关（P =.017），与自尊水平呈负相关（P =.045）。此外，居住在城市的患者自尊水平较高（P =.03）。