Ji Yanping, Ding Qingbin, Li Tingting, Tang Renhong, Zhang Jing
Department of Nursing, The Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, P.R. China.
Operating Room, The First Affiliated Hospital of Harbin Medical University, Harbin 150070, P.R. China.
Iran J Public Health. 2020 Dec;49(12):2384-2391. doi: 10.18502/ijph.v49i12.4823.
Illness can provoke a crisis response that affects condition acceptance, treatment and recovery. Patients' sense of coherence can influence this explored across patient cohorts internationally. However, few studies examine these effects in patients with hepatic cirrhosis. This study investigated sense of coherence and social support of patients with hepatic cirrhosis.
The psychological status of 146 patients admitted to the Digestive System Department, First Affiliated Hospital of Harbin Medical University, Harbin, China from Mar 2016 to Mar 2019 with hepatic cirrhosis was assessed using the Sense of Coherence (SOC-13), Social Support Rating Scale (SSRS) and crisis assessment scales.
There was a low level of crisis response in patients with hepatic cirrhosis that was influenced by age, disease course, education level and Child-Pugh grade and negatively correlated with sense of coherence and social support.
Liver cirrhosis patients had a low level of crisis response. As the level of crisis response in is correlated with patients' sense of coherence, social support and educational level, careful assessment, tailored educational interventions and mobilizing of family support are important to maximize responses to illness and thus improve quality of life.
疾病可引发危机反应，影响对病情的接受、治疗及康复。患者的连贯感会对此产生影响，这一点已在国际范围内的患者群体中得到探讨。然而，很少有研究考察肝硬化患者的这些影响。本研究调查了肝硬化患者的连贯感和社会支持情况。
采用连贯感量表（SOC - 13）、社会支持评定量表（SSRS）和危机评估量表，对2016年3月至2019年3月期间在中国哈尔滨医科大学附属第一医院消化内科住院的146例肝硬化患者的心理状况进行评估。
肝硬化患者的危机反应水平较低，受年龄、病程、教育程度和Child - Pugh分级影响，且与连贯感和社会支持呈负相关。
肝硬化患者的危机反应水平较低。由于危机反应水平与患者的连贯感、社会支持及教育程度相关，因此进行仔细评估、制定针对性的教育干预措施并调动家庭支持，对于最大限度地应对疾病从而提高生活质量至关重要。
