Clinical investigation of psychological integration in patients with kidney transplantation
ZHOU Qin-fei1 ZHANG Ya-lin2▲
1.Department of General Medicine,Zhejiang Cancer Hospital,Hangzhou 310022,China;
2.Department of Mental Health, the Second Hospital of Xiangya in Central South University of Hunan Province,Changsha 410011,China
Abstract：ObjectiveTo investigate the anxiety and depression of psychological state and so on and psychological integration status of patients after kidney transplantation,and analyze the psychological experience of patients after kidney transplantation.Methods303 cases after kidney transplantation treated by three affiliated hospitals of Central South U-niversity from May to September 2012 were included.Formulary questionnaire including basic information table,selfrating anxiety scale(SAS),self-rating depression scale (SDS)and psychological integration scale were used to investigate the psychological integration of patients after kidney transplantation and the correlation between psychological integration and psychological state.ResultsSAS score of patients with kidney transplantation was (40.99±10.08)points, SDS score was(44.84±11.93)points,and SAS and SDS score were higher than those of the norm[(37.23±12.59)points, (41.88±10.57)points](P=0.000).The vastmajority(84.2%)of patientswith kidney transplant believed that the transplanted kidney had become a partof the body,but still a small part of the patients(11.5%)were not sure even some patients(21.8%)thought that the kidney transplanted were still a foreign body.Factor analysis of psychological integration was conducted and two factors extracted—organ integration and the relationship with donor.Correlation analysis showed that organ integration and the relationship with donor were significantly correlated with SAS and SDS score (P＜0.05).ConclusionMost of patients with kidney transplant have good psychological integration,but there is still a part of patients with persistent abnormal psychological integration process,early identification of psychological integration problems of patients and timely intervention can improve the psychological status and quality of life of patientswith kidney transplantation.
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