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通过自我评估对肾移植受者的抑郁和创伤后成长进行调查。

Investigation of Depression and Post-Traumatic Growth in Renal Transplant Recipients via Self-Assessment.

作者信息

Simsek Yaban Zuleyha, Bulbuloglu Semra

机构信息

Division of Surgical Nursing, Department of Nursing, Faculty of Health Sciences, Kocaeli University, Kocaeli 41380, Turkey.

Division of Surgical Nursing, Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, Istanbul 34295, Turkey.

出版信息

J Pers Med. 2024 Sep 20;14(9):999. doi: 10.3390/jpm14090999.

Abstract

In this study, we aimed to determine post-traumatic growth and depression levels in renal transplant recipients and the relationship between these two variables. The study was conducted with a descriptive, cross-sectional, and correlational design. The data for the study were collected at the organ transplant unit of a research and training hospital located in the west of Turkey. The sample of the study included 122 kidney transplant recipients (n = 122). A Sociodemographic Information Form, the Post-Traumatic Growth (PTG) Inventory, and the Beck Depression Inventory (BDI) were employed to collect data. In the analyses of the data, descriptive statistics, ANOVA, an independent-samples -test, post hoc tests, and Pearson correlation tests were used. As the ages of the renal transplant recipients increased, their depression scores decreased, while their PTG scores increased. Higher depression levels were identified in the female participants compared to the male participants and in those with a low income compared to other income groups. The lowest PTG levels were found in the recipients who received their kidney transplants from third-degree relatives. Age, gender, economic status, and time of transplant were predictors of depression. The identity of the donor was the most significant predictor of PTG (62% explanation rate). A strong and inverse correlation was found between depression and PTG ( < 0.05). Post-traumatic growth was found to decrease depression. However, while poor economic status led to depression, high economic status did not lead to a significant change in PTG. As education levels increased, PTG decreased, but education status did not have any significant effect on depression. On the other hand, there was a negative correlation between PTG and depression. The results obtained in this study are valuable and important in terms of understanding depression better and determining PTG as a significant factor that could alleviate it.

摘要

在本研究中,我们旨在确定肾移植受者的创伤后成长和抑郁水平以及这两个变量之间的关系。本研究采用描述性、横断面和相关性设计。研究数据在位于土耳其西部的一家研究和培训医院的器官移植科收集。研究样本包括122名肾移植受者(n = 122)。使用社会人口统计学信息表、创伤后成长(PTG)量表和贝克抑郁量表(BDI)收集数据。在数据分析中,使用了描述性统计、方差分析、独立样本t检验、事后检验和皮尔逊相关检验。随着肾移植受者年龄的增加,他们的抑郁得分降低,而PTG得分升高。与男性参与者相比,女性参与者以及与其他收入组相比低收入者的抑郁水平更高。在接受三级亲属肾脏移植的受者中发现PTG水平最低。年龄、性别、经济状况和移植时间是抑郁的预测因素。供体身份是PTG最显著的预测因素(解释率为62%)。抑郁与PTG之间存在强烈的负相关(<0.05)。发现创伤后成长可减轻抑郁。然而,虽然经济状况差会导致抑郁,但经济状况好并不会导致PTG发生显著变化。随着教育水平的提高,PTG降低,但教育状况对抑郁没有任何显著影响。另一方面,PTG与抑郁之间存在负相关。本研究获得的结果对于更好地理解抑郁以及将PTG确定为可缓解抑郁的重要因素具有重要价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9e2/11433626/7cb507a2c2e4/jpm-14-00999-g001.jpg

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