Survey of the current status of disorientation syndrome in hospitalized patients with liver cirrhosis and analysis of its influencing factors
Objective To understand the current situation and influencing factors affecting loss of will syndrome in cirrhotic hospitalized patients and to provide a theoretical basis for the development of interven-tions.Methods A total of 104 inpatients with liver cirrhosis in the Department of Gastroenterology and the Department of Infectious Diseases of a third-class hospital in Anhui Province from November 2022 to October 2023 were selected by convenience sampling method as the study subjects.A cross-sectional survey was con-ducted with general data questionnaire,the Demoralization Scale-Mandarin Version(DS-MV),the Liver Dis-ease Symptom Index(LDSI)and the Social Support Rating Scale(SSRS),and Logistic regression modeling to analyze the relevant influencing factors,and to explore the early intervention countermeasures for the Disori-entation Syndrome in cirrhotic hospitalized patients.Results The mean DS-MV score was(37.92±12.85)points,the mean LDSI score was(27.89±4.73)points,and the mean SSRS score was(26.78±5.20)points in 104 patients.Comparison of DS-MV scores across marital status,monthly economic income,and primary caregiver(parents),all with statistically significant differences(P<0.05).The total LDSI score was positive-ly correlated with the DS-MV score(r=0.235,P<0.05);the total SSRS score was not related to the DS-MV score(r=0.105,P>0.05).Marital status(single or divorced)and fear of complications were the main fac-tors influencing the loss of will syndrome in hospitalized patients with cirrhosis.Conclusion The degree of disorientation syndrome is high in patients hospitalized with cirrhosis and should be prevented and mitigated by targeted interventions based on the patients'varying marital status,monthly financial income,primary car-egiver,and degree of concern about complications.
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