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肝移植后的心理韧性、创伤后成长及移植影响——性别差异:一项横断面研究

Resilience, Post-Traumatic Growth, and Transplant Effects-Gender Differences Following Liver Transplantation: A Cross-Sectional Study.

作者信息

Fernández-Alonso Víctor, Moro-Tejedor María Nieves, Pérez-Gómez Manuela, Leñero-Cirujano Miriam, Hernández-Matías Ana María

机构信息

Gregorio Maranon Health Research Institute (IiSGM), 28007 Madrid, Spain.

Red Cross University School of Nursing, Autonomous University of Madrid, 28003 Madrid, Spain.

出版信息

Healthcare (Basel). 2024 Dec 26;13(1):24. doi: 10.3390/healthcare13010024.

Abstract

: The state of patients' health following liver transplantation is influenced by a number of factors. To provide personalized nursing care, it is essential to understand the impact that the transplant has had on the patient's life. The primary aim of this study was to examine gender differences in the overall health effect following liver transplantation. : A cross-sectional study was conducted using the Connor-Davidson 10 Resilience Scale, the 21-item Post-Traumatic Growth Inventory, and the Transplant Effects Questionnaire. Data were collected during May-July 2021, and statistical analyses were performed. : A sample of 174 liver transplant patients who completed questionnaires were included in this study. Of these, 24.1% were women. Psychological resilience in men was correlated with personal strength, whereas in women, it was associated with relationships with others. Significant gender differences were found in psychological post-traumatic growth since liver transplantation. Additionally, resilience levels were positively and significantly associated with adherence to immunosuppressive therapy following the transplant. However, no mediating or moderating effect of resilience was identified. : The results provide valuable insights for validating and improving interventions from a gender perspective. Nursing care must incorporate a gender perspective to deepen our understanding of the emotional determinants and the ability to deal with them.

摘要

肝移植后患者的健康状况受多种因素影响。为提供个性化护理,了解移植对患者生活的影响至关重要。本研究的主要目的是探讨肝移植后总体健康影响方面的性别差异。

采用康纳 - 戴维森10项心理韧性量表、21项创伤后成长量表和移植影响问卷进行横断面研究。于2021年5月至7月收集数据并进行统计分析。

本研究纳入了174名完成问卷的肝移植患者样本。其中,24.1%为女性。男性的心理韧性与个人力量相关,而女性的心理韧性与人际关系相关。肝移植后创伤后心理成长存在显著性别差异。此外,韧性水平与移植后免疫抑制治疗的依从性呈显著正相关。然而,未发现韧性有中介或调节作用。

研究结果为从性别角度验证和改进干预措施提供了有价值的见解。护理必须纳入性别视角,以加深我们对情绪决定因素及其应对能力的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bce/11720365/e5319cd15cca/healthcare-13-00024-g001.jpg

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