生体肝移植成人レシピエント手術後の精神症状の実態と心理的要因

Abstract

The purpose of this study was to examine relationships between postoperative mental symptoms of adult living-related liver transplantation (LRLT) patients and their respective backgrounds (sex, age, origin of dieses, relation to donor). The subject included 116 adult LRLT patients (17-66 years old, 52 males, 64 females). The results are as follows: In adult LRLT patients, postoperative mental symptoms occurred in about 1/4 of patients (26.7%). When comparing postoperative symptoms in younger patients (20-30 years old), there were symptoms observed in LRLT patients which were not usually observed in patients of other comparable surgeries. In patients 50 years on older 1/3 displayed postoperative mental symptoms. In general surgical operations, delirium is the most common postoperative mental symptom. However, in LRLT patients 50% experienced disorientation, depression, and regression. In patients under 50, regression was the most commonly observed symptom and in patients 50 + over, disorientation and depression were the most common. In general surgical operations, postoperative mental symptoms usually occur within the first week of postoperative case. However, in LRLT patient's symptoms are usually observed later (8 days to 1 month). In the case of adult LRLT recipient's spouses, the occurrence of postoperative mental symptoms were high (P<.05).