Knowledge, Anxiety, and Compliance with Preventive Behavior of Middle East Respiratory Syndrome (MERS) in Liver Transplant Patients

J. Yun, Jeong Hye Kim, S. Im
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Abstract

Background: This study was conducted to investigate the knowledge, anxiety and compliance with preventive behavior of Middle East respiratory syndrome (MERS) in liver transplant patients. Methods: The participants in the study were 100 liver transplant patients at an outpatient clinic. The data were collected from May 20, 2016, to June 20, 2016. Results: The knowledge score was 6.37±1.73 (range; 1∼10) and the correct answer rate was 63.7%. The state anxiety score was 41.35±10.08 (range; 20∼68) and the trait anxiety score was 39.60±8.85 (range; 22∼59). The compliance with preventive behavior score was 35.70±5.23 (range; 21∼45). Anxiety differed significantly according to education level (P=0.040) and occupation status (P=0.047). Compliance with preventive behavior differed significantly according to period after surgery (P=0.035). Compliance with preventive behavior and state anxiety (P=0.007) and trait anxiety (P<0.001) were negatively related. The factor that had the greatest effect on compliance with preventive behavior was trait anxiety (P=0.003). Conclusions: The epidemic of the MERS has already been completed and none of the subjects of this study has been infected with the MERS; however, patients with liver transplantation always have a risk of various opportunistic infections. If new infectious diseases such as MERS occur in the future, increased anxiety may decrease the practice of prevention. Therefore, anxiety experienced by liver transplant patients should be managed.
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肝移植患者对中东呼吸综合征(MERS)的认知、焦虑及预防行为依从性
背景:本研究旨在调查肝移植患者对中东呼吸综合征(Middle East respiratory syndrome, MERS)的认知、焦虑及预防行为依从性。方法:研究对象为100例门诊肝移植患者。数据采集时间为2016年5月20日至2016年6月20日。结果:知识得分为6.37±1.73(范围;1 ~ 10),正确率为63.7%。状态焦虑评分为41.35±10.08(范围;20 ~ 68),特质焦虑评分为39.60±8.85(范围;22日∼59)。预防行为依从性评分为35.70±5.23分(范围;21日∼45)。受教育程度(P=0.040)和职业状况(P=0.047)对焦虑程度有显著影响。术后不同时期预防行为依从性差异有统计学意义(P=0.035)。预防行为依从性与状态焦虑(P=0.007)、特质焦虑(P<0.001)呈负相关。对预防行为依从性影响最大的因素是特质焦虑(P=0.003)。结论:MERS疫情已经结束,本研究对象均未发生MERS感染;然而,肝移植患者总是有各种机会性感染的风险。如果未来出现新的传染病,如中东呼吸综合征,焦虑的增加可能会减少预防措施。因此,肝移植患者的焦虑应得到控制。
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