Psychological and sleep statuses of liver transplantation recipients during outbreak of COVID-19_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WAN Juan ¹ ,  YU Jingya ² , YANG Ping ¹ , YANG Xiaoling ¹ , LI Hongyu ¹ , WU Menghang ¹ , YANG Jiayin ³ , YAN Lünan ³

1. Department of Liver Surgery, West China Hospital of Sichuan University / West China School of Nursing, Sichuan University, Chengdu 610041, P. R. China;
2. Department of Day Surgery, West China Hospital of Sichuan University / West China School of Nursing, Sichuan University, Chengdu 610041, P. R. China;
3. Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

YU Jingya, Email: 663444752@qq.com

Keywords：

COVID-19; liver transplantation; anxiety; depression; sleep disorder

DOI：

10.7507/1007-9424.202104035

Video：

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Objective To investigate the psychology and sleep statuses of liver transplantation recipients during the outbreak of COVID-19.Methods Cluster sampling was used to investigate the patients who underwent liver transplantation in the West China Hospital of Sichuan University from January to February 2020. The psychology and sleep statuses were evaluated by the self-designed questionnaire, State-Trait Anxiety Inventory (SAI), Center for Epidemiological Studies Depression Scale (CES-D), and Pittsburgh sleep quality index (PSQI).Results Twenty-seven liver transplantation recipients were included in this study. The questionnaires of the 27 patients were collected. The SAI score was (46.41±8.77); The score of CES-D was (13.11±7.87), there were 2 (7.4%) patients with depression; The PSQI score was (6.44±4.02), there were 7 (25.9%) patients with sleep disorders. The points of anxiety and depression of the patients with different gender, age, education level, marital status, residence, living conditions, primary disease, Child-Pugh classification, whether suffered SARS epidemics, COVID-19 knowledges level, medical insurance, family annual income per capita, and income and expenditure of cash had no significant differences (P>0.05) during the outbreak of COVID-19. However, the points of patients with male or suffered SARS or the family annual income per capita ≥60 000 yuan were higher than those of patients with female or not-suffered SARS or the family annual income per capita <60 000 yuan (P<0.05).Conclusions Anxiety and sleep disorder of liver transplantation recipients are common during the outbreak of COVID-19, which could not be ignored. Knowledges of COVID-19 should be paid to spread so as to reduce psychological pressure and improve sleep quality.

Citation： WAN Juan, YU Jingya, YANG Ping, YANG Xiaoling, LI Hongyu, WU Menghang, YANG Jiayin, YAN Lünan. Psychological and sleep statuses of liver transplantation recipients during outbreak of COVID-19. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(12): 1619-1624. doi: 10.7507/1007-9424.202104035 Copy

1.	中華人民共和國國家衛生健康委員會. 新型冠狀病毒肺炎診療方案(試行第八版). 中華臨床感染病雜志, 2020, 13(5): 321-328.
2.	陳瀟, 張玉俠, 俞靜嫻, 等. 肝移植受者癥狀群及其影響因素的研究. 中華護理雜志, 2019, 54(8): 1130-1135.
3.	Spielberger CD, Gorsuch R, Lushene R, et al. Manual for the State-Trait Anxiety Inventory (Form Y1-Y2). CA: Consulting Psychologists Press, 1983.
4.	鄭曉華, 李延知. 狀態-特質焦慮問卷. 中國心理衛生雜志, 1997, 7(2): 60-62.
5.	Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1977, 1(3): 385-401.
6.	章婕, 吳振云, 方格, 等. 流調中心抑郁量表全國城市常模的建立. 中國心理衛生雜志, 2010, 24(2): 139-143.
7.	Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
8.	劉賢臣, 唐茂芹. 匹茲堡睡眠質量指數的信度和效度研究. 中華精神科雜志, 1996, 29(2): 103-107.
9.	Horton R. Offline: 2019-nCoV—“A desperate plea”. Lancet, 2020, 395(10222): 400.
10.	Rubin GJ, Potts HW, Michie S. The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak: results from 36 national telephone surveys in the UK. Health Technol Assess, 2010, 14(34): 183-266.
11.	Van Bortel T, Basnayake A, Wurie F, et al. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bull World Health Organ, 2016, 94(3): 210-214.
12.	Xiang YT, Yang Y, Li W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry, 2020, 7(3): 228-229.
13.	Cipolletta S, Entilli L, Nucci M, et al. Psychosocial support in liver transplantation: a dyadic study with patients and their family caregivers. Front Psychol, 2019, 10: 2304.
14.	王麗, 羅艷麗. 肝移植受者焦慮與社會支持的相關性研究. 護理學報, 2012, 19(4): 74-75.
15.	陳規劃, 汪根樹, 陸敏強, 等. 肝移植術后受者焦慮狀況調查及病因探討. 中華消化外科雜志, 2007, 6(1): 19-21.
16.	謝曉非. SARS 中的心理恐慌現象分析. 北京大學學報(自然科學版), 2005, 41(4): 628-639.
17.	陳琪爾, 黃儉強, 汪根樹. 肝移植受者焦慮狀況原因分析及護理對策. 護理研究, 2009, 23(9): 788-789.
18.	肖菊蘭, 陳瑜, 方帆, 等. 突發公共衛生事件下公眾焦慮抑郁情緒及其影響因素分析. 現代預防醫學, 2020, 47(19): 3557-3562.
19.	包蓓, 吳韞韜, 石曉欣, 等. 突發公共衛生事件對上海老年人抑郁情緒波動的影響及相關因素分析. 中華老年醫學雜志, 2021, 40(2): 227-231.
20.	曹禮, 周潔, 茍永超. 突發公共衛生事件期間重慶某口腔醫學院學生焦慮狀況調查. 校園心理, 2020, 18(6): 494-496.
21.	劉江偉, 張永久, 雷濤, 等. 肝移植患者的焦慮、抑郁狀態評估. 中國臨床康復, 2006, 10(38): 17-19.
22.	李嘉琪, 劉紅霞, 胡閱, 等. 245 例肝移植受者心理一致感與焦慮抑郁的相關性分析. 護理學報, 2018, 25(24): 33-36.
23.	范蓉, 高振明, 王立明. 肝移植患者抑郁情緒的臨床研究. 中國醫學工程, 2007, 15(1): 40-42.
24.	吳絲絲, 杜春燕, 李嘉琪, 等. 肝移植受者睡眠質量與生活質量的相關性研究. 護理管理雜志, 2017, 17(12): 895-898.
25.	Chew DS, Wilton SB, Kavanagh K, et al. Left ventricular ejection fraction reassessment post-myocardial infarction: Current clinical practice and determinants of adverse remodeling. Am Heart J, 2018, 198: 91-96.
26.	Rodríguez-Jiménez AE, Cruz-Inerarity H, Negrín-Valdés T, et al. Corrected QT-interval dispersion: An electrocardiographic tool to predict recurrence of myocardial infarction. MEDICC Rev, 2019, 21(2-3): 22-25.
27.	張燁, 任蓉, 楊玲慧, 等. 創傷后應激障礙與睡眠障礙. 四川大學學報(醫學版), 2021, 52(1): 28-32.
28.	林曉鴻, 臧運金, 王璐, 等. 肝移植受者的失眠狀況及其影響因素分析. 護理研究, 2016, 2016, 30(20): 2452-2456.

1. 中華人民共和國國家衛生健康委員會. 新型冠狀病毒肺炎診療方案(試行第八版). 中華臨床感染病雜志, 2020, 13(5): 321-328.
2. 陳瀟, 張玉俠, 俞靜嫻, 等. 肝移植受者癥狀群及其影響因素的研究. 中華護理雜志, 2019, 54(8): 1130-1135.
3. Spielberger CD, Gorsuch R, Lushene R, et al. Manual for the State-Trait Anxiety Inventory (Form Y1-Y2). CA: Consulting Psychologists Press, 1983.
4. 鄭曉華, 李延知. 狀態-特質焦慮問卷. 中國心理衛生雜志, 1997, 7(2): 60-62.
5. Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1977, 1(3): 385-401.
6. 章婕, 吳振云, 方格, 等. 流調中心抑郁量表全國城市常模的建立. 中國心理衛生雜志, 2010, 24(2): 139-143.
7. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
8. 劉賢臣, 唐茂芹. 匹茲堡睡眠質量指數的信度和效度研究. 中華精神科雜志, 1996, 29(2): 103-107.
9. Horton R. Offline: 2019-nCoV—“A desperate plea”. Lancet, 2020, 395(10222): 400.
10. Rubin GJ, Potts HW, Michie S. The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak: results from 36 national telephone surveys in the UK. Health Technol Assess, 2010, 14(34): 183-266.
11. Van Bortel T, Basnayake A, Wurie F, et al. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bull World Health Organ, 2016, 94(3): 210-214.
12. Xiang YT, Yang Y, Li W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry, 2020, 7(3): 228-229.
13. Cipolletta S, Entilli L, Nucci M, et al. Psychosocial support in liver transplantation: a dyadic study with patients and their family caregivers. Front Psychol, 2019, 10: 2304.
14. 王麗, 羅艷麗. 肝移植受者焦慮與社會支持的相關性研究. 護理學報, 2012, 19(4): 74-75.
15. 陳規劃, 汪根樹, 陸敏強, 等. 肝移植術后受者焦慮狀況調查及病因探討. 中華消化外科雜志, 2007, 6(1): 19-21.
16. 謝曉非. SARS 中的心理恐慌現象分析. 北京大學學報(自然科學版), 2005, 41(4): 628-639.
17. 陳琪爾, 黃儉強, 汪根樹. 肝移植受者焦慮狀況原因分析及護理對策. 護理研究, 2009, 23(9): 788-789.
18. 肖菊蘭, 陳瑜, 方帆, 等. 突發公共衛生事件下公眾焦慮抑郁情緒及其影響因素分析. 現代預防醫學, 2020, 47(19): 3557-3562.
19. 包蓓, 吳韞韜, 石曉欣, 等. 突發公共衛生事件對上海老年人抑郁情緒波動的影響及相關因素分析. 中華老年醫學雜志, 2021, 40(2): 227-231.
20. 曹禮, 周潔, 茍永超. 突發公共衛生事件期間重慶某口腔醫學院學生焦慮狀況調查. 校園心理, 2020, 18(6): 494-496.
21. 劉江偉, 張永久, 雷濤, 等. 肝移植患者的焦慮、抑郁狀態評估. 中國臨床康復, 2006, 10(38): 17-19.
22. 李嘉琪, 劉紅霞, 胡閱, 等. 245 例肝移植受者心理一致感與焦慮抑郁的相關性分析. 護理學報, 2018, 25(24): 33-36.
23. 范蓉, 高振明, 王立明. 肝移植患者抑郁情緒的臨床研究. 中國醫學工程, 2007, 15(1): 40-42.
24. 吳絲絲, 杜春燕, 李嘉琪, 等. 肝移植受者睡眠質量與生活質量的相關性研究. 護理管理雜志, 2017, 17(12): 895-898.
25. Chew DS, Wilton SB, Kavanagh K, et al. Left ventricular ejection fraction reassessment post-myocardial infarction: Current clinical practice and determinants of adverse remodeling. Am Heart J, 2018, 198: 91-96.
26. Rodríguez-Jiménez AE, Cruz-Inerarity H, Negrín-Valdés T, et al. Corrected QT-interval dispersion: An electrocardiographic tool to predict recurrence of myocardial infarction. MEDICC Rev, 2019, 21(2-3): 22-25.
27. 張燁, 任蓉, 楊玲慧, 等. 創傷后應激障礙與睡眠障礙. 四川大學學報(醫學版), 2021, 52(1): 28-32.
28. 林曉鴻, 臧運金, 王璐, 等. 肝移植受者的失眠狀況及其影響因素分析. 護理研究, 2016, 2016, 30(20): 2452-2456.

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Psychological and sleep statuses of liver transplantation recipients during outbreak of COVID-19

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