Sun Xiaoling, Wang Ting, Liu Mei, et al. Social psychology analysis of patients with alcoholic cirrhosis and posthepatitic cirrhosis. [J]. Journal of Chongqing Medical University 42(7):817-820(2017)
DOI:
Sun Xiaoling, Wang Ting, Liu Mei, et al. Social psychology analysis of patients with alcoholic cirrhosis and posthepatitic cirrhosis. [J]. Journal of Chongqing Medical University 42(7):817-820(2017) DOI: 10.13406/j.cnki.cyxb.001328.
Social psychology analysis of patients with alcoholic cirrhosis and posthepatitic cirrhosis
Objective:To explore the similarities and differences of social psychology between alcoholic cirrhosis(AC)and posthepatitic cirrhosis(PC). Methods:Forty patients with AC and 77 patients with PC were enrolled from January 2016 to June 2016 in Beijing You’an Hospital. All patients in two groups were compared and analyzed in the general social situation and clinical characteristics as well as psychology. Results:The prevalence of AC patients was higher in male than in female;and this proportion was higher than PC group(P<0.05). In sociology
AC patients had a higher proportion of living in urban than PC patients(P<0.05). In husband and wife relationship
AC patients was worse than PC patients(P<0.05). Two groups of patients is slightly different in the form of payment
PC patients had a higher proportion of foreign medical insurance than AC patients(P<0.05). In clinical data
the incidence of jaundice
abdominal distension
abdominal pain
fatigue
spider nevus and liver disease in patients with AC were significantly higher than those in PC group(all P<0.05). In psychology
the positive rate of suicidal ideation in patients with AC was 12.5% higher than that in patients with PC(0%)(P<0.05). Furthermore
univariate and multivariate analyses showed that the ascites and the form of accounts respectively for liver cirrhosis(LC)and AC patients have independent risk factors for suicidal thoughts with odds ratio of 0.363(95%CI=0.134 to 0.982)and 11.549(95%CI=1.035 to 128.937)
and the positive rate of suicidal thoughts in rural households was significant ly higher than that in urban households(P<0.05). Conclusion:The ascites may be a risk factor for suicidal thoughts in patients with LC
and AC patients have more serious social psychology problem than the PC patients
especially in rural households patients
and should be given more psychological care during the clinical treatment.
关键词
社会心理学酒精性肝硬化肝炎后肝硬化
Keywords
social psychologyAlcoholic cirrhosisposthepatitic cirrhosis