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目的通过对36例亲属活体供肾供体术前心理干预、了解肾移植供体的社会心理变化规律,探讨供肾者心理干预的个体化干预措施,为临床护理干预措施的制定提供科学的依据,进而能为亲属供肾者提供更好的心理干预的服务。方法分析36例亲属供肾者心理问题,针对不同的心理问题进行对应的心理干预,了解肾移植供体心理状况,并观察干预前后供肾者心理变化。结果本组亲属供肾者心理干预后精神紧张、焦虑、对手术有顾虑、担心受体恢复情况、担心手术疼痛等心理问题发生率显著低于干预前(P<0.05)。结论对亲属活体肾移植供肾者个体化心理干预,可使供肾者进行有效的自我调适,减轻供体心理压力,促进供体和受体之间的感情,加强了肾移植供体术后随访依从性,消除了供体因术后生理上的变化而导致的担忧、恐惧心理,对促进供体术后身心健康的恢复有显著帮助作用。
Objective To investigate the psychological changes of donor recipients in 36 relatives of living donors and to find out the individualized interventions of psychological intervention for those with kidney donors so as to provide a scientific basis for the formulation of clinical nursing interventions , Which in turn can provide better psychological intervention for the relatives of kidney services. Methods The psychological problems of 36 cases of relatives and kidneys were analyzed. Corresponding psychological interventions were conducted according to different psychological problems to understand the psychological status of the donor and to observe the psychological changes of the donor before and after the intervention. Results After the psychological intervention, the relatives of the relatives and the kidneys had psychological stress, anxiety, concerns about surgery, fear of recovery of the receptors, and the incidence of psychological problems such as surgical pain were significantly lower than those before intervention (P <0.05). Conclusion Individualized psychological intervention on living donor kidney donors can result in effective self-adjustment of donor kidneys, alleviation of donor psychological stress and promotion of feelings between donors and recipients, as well as enhanced postoperative donor kidney transplantation Follow-up compliance, eliminating the donor due to postoperative physiological changes caused by fear, fear and mentality, to promote donor and post-recovery of physical and mental health play a significant role in helping.