Psychological State、Quality Of Life And Related Factors In Renal Transplantation Recipients

Objective:Investigate the psychological state and quality of life in renal transplantation recipients. Analyze related factors influencing recipients’ psychological state and quality of life.Methods:Three hundred and three renal transplantation recipients were asked to participate in a cross-sectional questionnaire study.The questionnaire consisted of renal transplantation related situation scale, psychological integration scale,Self-Rating Anxiety Scale(SAS), Self-Rating Depression Scale (SDS), Eysenck Personality Questionnaire Revised, Short Scale for Chinese(EPQ-RSC) and the MOS item short from health survey(SF-36). Through comparing with the normal reference values, realized recipients’ psychological state and quality of life. Single factor analysis,factor analysis,Pearson and Spearman correlation analysis, multiple regression analysis were used to analyze the data, to identify related factors influencing recipients’ psychological state and quality of life.Results:1. In general, renal transplantation recipients perceived the transplant as part of themselves (84.2%), half of the patients still had frequent thoughts about the donor, and19.8%of patients believed that they have adopted the donor’s characteristic traits,32%of patients thought that transplantation plays a sustrained and inportant role in their life. Factor analysis reveals the two-dimensional structure of the questionnaire items’organ integration’(factor1) and’relationship with the donor’(factor2). The organ integration of married patients was better than unmarried patients, the patients of living renal resource had closer relationship with donor.Compared with general population, renal transplantation recipients’ SAS score and SDS score were higher. Analysis showed that recipients’ psychological integration is associated with psychological problems. 2.Each dimension score of EPQ-RSC were P scale50.02±10.07,E scale53.48±12.81, N scale49.84±11.23. Correlation analysis showed that E value was associated with SAS score, N value was associated with organ integration situation, SAS scores and SDS scores, N value of patients who suffered acute or chronic rejection reactions after transplantation was higher.3.Compared with general population, renal transplantation recipients had lower scores in eight dimensions of SF-36. PF was associated with postoperative time、SDS score、age、education background、gender and whether suffered high blood pressure; RP was associated with postoperative time、SAS score、marital status and age; BP was associated with SAS score、gender、postoperative time and type of health care; GH was associated with SDS score、whether suffered lung infection after transplantation、type of health care、whether suffered rejection reactions after transplantation and renal source; VT was associated with SAS score、organ integration situation、per capita income of family and marital status; SF was associated with SAS score、postoperative time、organ integration situation、professional status and whether suffered lung infection after transplantation; RE was associated with SAS score、organ integration situation、renal source、postoperative time and per capita income of family; MH was associated with SAS score、organ integration situation、place of residence、marital status and SDS score. P value of EPQ-RSC was negatively correlated with RE, E value was positively correlated with patient’s GH、VT、SF、RE and MH, N value was negatively correlated with patient’s RP、BP、GH、VT.SF、RE and MH.Conclusions:1.The majority of renal transplantation recipients had good psychological integration,but also a minority of recipients had problems with psychological integration.2.Compared with normal population, renal transplantation recipients’ psychological state and quality of life were still poorer.3.Personality traits affected recipients’ psychological state and quality of life on a certain extent.4.Facing the growing group of renal transplant recipients,we should know more about recipients’psychological experience,recognize individual differences of recipients and improve their psychological state and quality of life.