Factors affecting anxiety, depression, and self-care ability in patients who have undergone liver transplantation

作     者：Sami Akbulut Ali Ozer Hasan Saritas Sezai Yilmaz 

作者机构：Liver Transplant InstituteInonu University Faculty of MedicineMalatya 44280Turkey Department of Public HealthInonu University Faculty of MedicineMalatya 44280Turkey Department of Surgical NursingSiirt University Faculty of NursingSiirt 56100Turkey 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2021年第27卷第40期

页      面：6967-6984页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Liver transplantation Biliary complications Hepatocellular carcinoma Socioeconomic status Depression Anxiety Self-care capabilities 

摘      要：BACKGROUND Depression,anxiety,and altered self-care ability are among the most important factors affecting the quality of life of liver transplant *** on the severity of the underlying liver disease,signs and symptoms of anxiety and depression may become more *** To evaluate the factors affecting depression,anxiety and self-care abilities of liver transplant *** Recipients who are≥18 years and who underwent liver transplantation at Inonu University Liver Transplantation Institute were included in this descriptive and cross-sectional *** size analysis showed that the minimum number of recipients should be 301(confidence level=95%,confidence interval=2.5,population=1382).Three hundred and twenty recipients were interviewed and 316 recipients that have answered the questionnaires accurately were *** dependent variables were the Beck Depression Scale,State-Trait Anxiety Scale(Form I and II),and Self-Care Agency *** independent variables of the study were sociodemographic characteristics,biliary complications,hepatocellular carcinoma,recommending liver transplantation to other patients,and the interval of out-patient clinic *** Self-care ability scores were lower(P=0.002)and anxiety scores were higher(P=0.004)in recipients with biliary *** the other hand,in recipients with hepatocellular carcinoma,self-care scores were lower(P=0.006)while depression(P=0.003)and anxiety scores(P=0.009)were *** transplantation recipients with a monthly income3000 Turkish liras had higher depression(P0.001)and anxiety(P=0.003)*** recipients who stated that they would not recommend liver transplantation to others had lower self-care scores(P=0.002),higher depression(P0.001),higher state anxiety(P=0.02),and trait anxiety(P0.001)*** Presence of biliary complications and hepatocellular carcinoma,low income level,and an obligation for monthly visits to the outpatient clini