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肝硬化合并消化道出血患者生命质量的影响因素

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目的:分析肝硬化合并消化道出血患者生命质量的影响因素.方法:选取 2019 年 10 月至 2022 年 12 月该院收治的 214 例肝硬化合并消化道出血患者进行横断面研究.统计肝硬化合并消化道出血患者生命质量[健康状况调查简表(SF-36)]评分,采用多元线性回归分析肝硬化合并消化道出血患者生命质量的影响因素.结果:肝硬化合并消化道出血患者SF-36 总分为(37.76±4.58)分,处于低等水平;文化程度低、家庭人均月收入<3000 元、发生并发症、自我效能水平低、疾病认知水平低的肝硬化合并消化道出血患者SF-36 评分较低,差异均有统计学意义(P<0.05);经多元线性回归分析显示,文化程度低、家庭人均月收入<3000 元、发生并发症、自我效能水平低、疾病认知水平低均为影响肝硬化合并消化道出血患者生命质量的危险因素(P<0.05).结论:文化程度低、家庭人均月收入<3000元、发生并发症、自我效能水平低、疾病认知水平低均为影响肝硬化合并消化道出血患者生命质量的危险因素.
Influencing factors of quality of life in patients with liver cirrhosis complicated with gastrointestinal bleeding
Objective:To analyze influencing factors of quality of life in patients with liver cirrhosis complicated with gastrointestinal bleeding.Methods:A cross-sectional study was conducted on 214 patients with liver cirrhosis complicated with gastrointestinal bleeding admitted to the hospital from October 2019 to December 2022.The quality of life[36-item Short-Form Health Survey(SF-36)]of these patients with liver cirrhosis complicated with gastrointestinal bleeding was statistically analyzed.Multivariate linear regression was used to analyze the influencing factors of quality of life in the patients with liver cirrhosis complicated with gastrointestinal bleeding.Results:The total score of SF-36 in the patients with liver cirrhosis and gastrointestinal bleeding was(37.76±4.58),which was at a low level.The SF-36 scores of the patients with liver cirrhosis complicated with gastrointestinal bleeding with low education level,family per capita monthly income<3000 yuan,combined complications,low self-efficacy and low disease cognition were lower,and the differences were statistically significant(P<0.05).Multivariate linear regression analysis showed that low education level,family per capita monthly income<3000 yuan,combined complications,low self-efficacy,and low disease cognition were all risk factors affecting the quality of life of the patients with liver cirrhosis and gastrointestinal bleeding(P<0.05).Conclusions:Low education level,family per capita monthly income<3000 yuan,combined complications,low self-efficacy,and low disease cognition are the risk factors affecting the quality of life of the patients with liver cirrhosis complicated with gastrointestinal bleeding.

Liver cirrhosisGastrointestinal bleedingQuality of lifeInfluencing factor

闫娜娜、蔡佩佩、郝梦奇

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郑州市第三人民医院普外科,河南 郑州 450000

肝硬化 消化道出血 生命质量 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(10)
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