摘要
目的 分析肝硬化失代偿期患者失志综合征现状及其影响因素.方法 通过方便抽样方法从湖南省长沙市4所三级甲等医院选取444例肝硬化失代偿期患者作为调查对象.采用一般资料调查表、中文版失志综合征量表、社会支持评定量表、中文版简易疾病感知问卷和简易应对方式问卷进行调查.结果 肝硬化失代偿期患者失志综合征发生率为71.62％,失志综合征量表总分平均为(38.21±14.34)分.多元线性回归分析结果显示,原发疾病、并发症数量、Child-Pugh分级、应对方式、疾病感知、社会支持是肝硬化失代偿期患者失志综合征的影响因素(P＜0.05).结论 肝硬化失代偿期患者的失志综合征处于重度水平,其主要影响因素为原发疾病、并发症数量、Child-Pugh分级、社会支持、疾病感知及应对方式.医护人员应定期评估肝硬化失代偿期患者的失志综合征水平,并采取针对性干预措施,以改善患者的心理状态.
Abstract
Objective To analyze the current status and influencing factors of demoralization syndrome in patients with liver cirrhosis at the decompensated stage.Methods A total of 444 pa-tients with liver cirrhosis at the decompensated stage were selected as study subjects from four tertiary hospitals in Changsha,Hunan Province using a convenient sampling method.The survey was conduc-ted using a general information questionnaire,the Chinese version of the Demoralization Scale,the Social Support Rating Scale,the Chinese version of the Brief Illness Perception Questionnaire,and the Simplified Coping Style Questionnaire.Results The incidence of demoralization syndrome in pa-tients with liver cirrhosis at the decompensated stage was 71.62％,with a mean total score of(38.21±14.34)for the Demoralization Scale.Multiple linear regression analysis showed that prima-ry disease,the number of complications,Child-Pugh classification,coping style,illness perception,and social support were influencing factors of demoralization syndrome in patients with liver cirrhosis at the decompensated stage(P＜0.05).Conclusion The demoralization syndrome in patients with decompensated cirrhosis is at a severe level,and its main influencing factors are primary disease,the number of complications,Child-Pugh classification,social support,illness perception,and coping style.Healthcare professionals should regularly assess the level of demoralization syndrome in patients with liver cirrhosis at decompensated stage and adopt targeted interventions to improve their psycholog-ical status.
基金项目
湖南省创新平台与人才计划基金资助项目(2023SK4009)
国家科技期刊平台
NSTL
万方数据