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首都医科大学附属北京佑安医院人工肝中心
纸质出版日期:2017,
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孙晓玲, 王婷, 刘梅, 等. 酒精性肝硬化与肝炎后肝硬化患者的社会心理分析[J]. 重庆医科大学学报, 2017,42(7):817-820.
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, 2017,42(7):817-820.
孙晓玲, 王婷, 刘梅, 等. 酒精性肝硬化与肝炎后肝硬化患者的社会心理分析[J]. 重庆医科大学学报, 2017,42(7):817-820. DOI: 10.13406/j.cnki.cyxb.001328.
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, 2017,42(7):817-820. DOI: 10.13406/j.cnki.cyxb.001328.
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(P
<
0.05);社会学方面
AC患者居住在城市的比例高于PC患者组(P
<
0.05);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(P
<
0.05)。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(P
<
0.05)。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P
<
0.05)。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(P
<
0.05)。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
1
28.937
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(P
<
0.05)。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。
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.
社会心理学酒精性肝硬化肝炎后肝硬化
social psychologyAlcoholic cirrhosisposthepatitic cirrhosis
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