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摘要:
目的 探讨器官捐献协调员的心理状况。 方法 采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、匹兹堡睡眠质量指数（PSQI）和艾森克人格测试问卷（EPQ）分别评价40名器官捐献协调员的焦虑、抑郁、睡眠质量和人格特征。 结果 器官捐献协调员SAS评分、SDS评分均显著高于全国常模组（t=23.372，9.743；均为P < 0.05）。器官捐献协调员PSQI中睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能等成份评分和总分均显著高于全国常模组（t=8.054，7.274，6.634，10.613，8.376，19.166，8.496，17.372；均为P < 0.05）。EPQ评分中，男性器官协调员N量表显著高于全国常模组（P < 0.05），女性器官协调员N量表与全国常模组比较差异无统计学意义（P < 0.05），男性和女性器官捐献协调员P、E和L维度得分与全国常模组比较差异均无统计学意义（均为P < 0.05）。 结论 器官捐献协调员存在不同程度焦虑、抑郁和睡眠质量差，应予以足够重视，并采取积极措施进行改善。 Abstract:Objective To investigate the psychological status of organ donation coordinators. Methods The anxiety, depression, sleep quality and personality characteristics of 40 organ donation coordinators were assessed by self-rating anxiety scale (SAS), self-rating depressive scale (SDS), Pittsburgh sleep quality index (PSQI) and Eysenck personality questionnaire (EPQ), respectively. Results The SAS and SDS scores of the organ donation coordinators were significantly higher than those of the norm group (t=23.372, 9.743; both P < 0.05). The component scores of sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication and daytime function, and the total score of PSQI of the organ donation coordinators were significantly higher than those in the norm group (t=8.054, 7.274, 6.634, 10.613, 8.376, 19.166, 8.496, 17.372; all P < 0.05). In terms of EPQ score, the N dimension score of male organ donation coordinators were considerably higher than that of the norm group (P < 0.05). No statistical significance was identified in the N dimension score between the female organ donation coordinators and the norm group (P < 0.05). The P, E and L dimension scores of the male and female organ donation coordinators did not significantly differ from those of the norm group (all P < 0.05). Conclusions Organ donation coordinators present with varying degree of anxiety, depression and poor sleep quality, which deserves sufficient attention. Positive measures should be taken to mitigate these symptoms. -
表 1 协调员组和全国常模组SAS及SDS评分的比较
Table 1. Comparison of SAS and SDS scores between coordinator group and national norm group(x±s, score)
组别 n SAS评分 SDS评分 协调员组 40 56±9 58±90 全国常模组[4] 1 388 34±6 42±11 t值 23.372 9.743 P值 00.000 0.000 
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表 2 协调员组和全国常模组PSQI评分的比较
Table 2. Comparison of PSQI scores between coordinator group and national norm group(x±s, score)
成份 协调员组(n=40) 全国常模组[5](n=112) t值 P值 睡眠质量 1.89±0.63 0.67±0.88 08.054 0.000 入睡时间 1.97±0.85 0.70±0.98 07.274 0.000 睡眠时间 1.25±0.54 0.46±0.68 06.634 0.000 睡眠效率 1.39±0.61 0.02±0.73 10.613 0.000 睡眠障碍 1.72±0.47 0.83±0.61 08.376 0.000 催眠药物 2.31±0.52 0.18±0.63 19.166 0.000 日间功能 2.17±0.69 0.79±0.94 08.496 0.000 总分 12.71±2.46 3.23±3.12 17.372 0.000
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表 3 协调员组和全国常模组EPQ评分的比较
Table 3. Comparison of EPQ scores between coordinator group and national norm group(x±s, score)
分量表 男性 女性 协调员组(n=35) 全国常模组[6](n=500) t值 P值 协调员组(n=5) 全国常模组[6](n=500) t值 P值 P量表 06.5±3.4 05.8±3.3 1.081 0.280 05.3±3.1 04.6±3.0 0.571 0.568 E量表 09.4±4.5 10.1±4.3 1.014 0.311 09.6±3.9 09.1±4.3 0.261 0.794 N量表 14.2±4.1 11.1±4.8 3.808 0.000 15.5±4.4 12.1±5.8 1.295 0.196 L量表 12.7±3.6 13.0±3.9 0.416 0.677 14.5±4.2 14.8±3.8 0.170 0.865
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