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

World Journal of Gastroenterology 2021年第40期27卷 6967-6984页

作者： Sami Akbulut Ali Ozer Hasan Saritas Sezai Yilmaz Liver Transplant Institute Inonu University Faculty of MedicineMalatya 44280Turkey Department of Public Health Inonu University Faculty of MedicineMalatya 44280Turkey Department of Surgical Nursing Siirt University Faculty of NursingSiirt 56100Turkey

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 incomeself-care scores(P=0.002),higher depression(P<0.001),higher state anxiety(P=0.02),and trait anxiety(P<0.001)*** Presence of biliary complications and hepatocellular carcinoma,low income level,and an obligation for monthly visits to the outpatient clini

关键词： Liver transplantation Biliary complications Hepatocellular carcinoma Socioeconomic status Depression Anxiety self-care capabilities

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