酒精性肝硬化与肝炎后肝硬化患者的社会心理分析

发布时间：2018-02-17 08:31

本文关键词： 社会心理学酒精性肝硬化肝炎后肝硬化　出处：《重庆医科大学学报》2017年07期 　论文类型：期刊论文

【摘要】：目的:探讨酒精性肝硬化(alcoholic cirrhosis,AC)与肝炎后肝硬化(posthepatitic cirrhosis,PC)患者社会心理学的异同。方法:选取2016年1月至2016年6月于北京佑安院人工肝住院的AC患者40例及PC患者77例,对2组患者在一般社会学资料、临床特征以及心理学等方面进行对比分析。结果:AC患者以男性居多,其男性比例高于肝炎后肝硬化组,差异具有统计学意义(P0.05);社会学方面,AC患者居住在城市的比例高于PC患者组(P0.05);夫妻关系中,PC患者夫妻关系相比AC患者组较好,差异具有统计学意义(P0.05)。2组患者在付费形式上略有不同,PC患者外地医保的比例稍高,差异具有统计学意义(P0.05)。临床特征上,AC组患者黄疸、腹胀、腹痛、乏力、蜘蛛痣及肝病面容的发生率均明显高于PC组,差异均有统计学意义(均P0.05)。心理学方面,AC患者组在是否有过自杀想法上阳性率达12.5%,明显高于PC组(0%),差异具有统计学意义(P0.05)。进一步通过单因素及多因素logistic回归分析所有肝硬化(liver cirrhosis,LC)患者及AC患者自杀想法的危险因素发现,腹水为LC患者存在自杀想法的独立危险因素(OR=0.363,95%CI=0.134~0.982,P=0.046);户口的形式为AC患者存在自杀想法的独立危险因素(OR=11.549,95%CI=1.035~128.937,P=0.047),且农村户口的患者存在自杀想法的阳性率显著高于城市户口的患者(P0.05)。结论:腹水可能为LC患者存在自杀倾向的危险因素,而AC患者比PC患者的社会心理学问题可能更为严重,尤其是农村户口的患者,临床诊疗过程中应给予更多的心理护理。
[Abstract]:Objective: to explore the similarities and differences of social psychology between alcoholic cirrhosis acid and posthepatitic cirrhosis PC.Methods: from January 2016 to June 2016, 40 patients with AC and 77 patients with PC were hospitalized in Beijing Youan Hospital. The general sociological data, clinical characteristics and psychology of the two groups were compared and analyzed. Results the majority of the patients were male, and the proportion of males was higher than that of patients with posthepatitic cirrhosis. The difference was statistically significant (P 0.05), the proportion of AC patients living in cities was higher than that of PC patients, and the relationship of PC patients was better than that of AC patients. The difference was statistically significant (P 0.05). The proportion of medical insurance in the field of PC patients was slightly different in payment form, and the difference was statistically significant (P 0.05). The clinical features of AC group were jaundice, abdominal distension, abdominal pain and fatigue. The incidence of spider nevus and liver disease was significantly higher than that of PC group. In psychology, the positive rate of suicidal thoughts in the AC group was 12.5, which was significantly higher than that in the PC group, and the difference was statistically significant (P 0.05). Further, the univariate and multivariate logistic regression analysis was carried out. Risk factors for suicidal thoughts in all patients with liver cirrhosis, liver cirrhosisLCL, and AC patients, Ascites are the independent risk factors for the existence of suicidal thoughts in LC patients. The risk factors of suicidal thoughts in LC patients are 0.363m95CII 0.1340.982P0.046; the form of hukou is the independent risk factor of suicidal thoughts in AC patients. The positive rate of suicidal thoughts in rural hukou patients is significantly higher than that in urban hukou households, and the prevalence of suicidal thoughts in rural hukou patients is significantly higher than that in urban hukou households. Conclusion: ascites may be the risk factor of suicidal tendency in LC patients. The social psychological problems of AC patients may be more serious than those of PC patients, especially the rural hukou patients should be given more psychological care during the clinical diagnosis and treatment.
【作者单位】：首都医科大学附属北京佑安医院人工肝中心;
【分类号】：R575

【相似文献】