摘要
目的探讨唐山地震后创伤后应激障碍(PTSD)对肝硬化患者自我健康管理水平的影响。方法选取2016年10月至2017年8月住院的271例亲身经历大地震的肝硬化患者进行问卷调查,包括一般状况调查问卷、肝硬化患者自我管理行为量表和PTSD检查表平民版,通过单因素及多因素分析明确影响肝硬化患者自我健康管理水平的危险因素。结果亲历地震的肝硬化患者的自我健康管理水平平均分为(53. 47±8. 32)分,处于偏低水平;PTSD患病率为11. 8%(32/271)。单因素分析结果显示,患者自我健康管理水平与肝硬化家族史、文化程度、病程、Child-Push分级和PTSD有关(P <0. 05,P <0. 01);多元线性回归分析结果显示,病程短和PTSD为肝硬化患者自我健康管理水平的独立不利影响因素(P均<0. 01)。结论 PTSD合并肝硬化患者存在特殊的心理状况,健康教育的内容、手段和方法等方面应加强心理干预,体现个性化。
Objective To investigate the impacts of post-traumatic stress disorder( PTSD) after Tangshan earthquake on self-health management level in patients with liver cirrhosis. Methods A total of 271 patients with liver cirrhosis who experienced Tangshan earthquake were selected from October 2016 to August 2017 for questionnaire survey,including general status questionnaire,Self-management Behavior Scale and PTSD Checklist-Civilian Version. Using single factor and multi-factor analysis,the risk factors affecting self-health management level were identified. Results The average level of self health management of these patients was 53. 47 ± 8. 32,being in the low level. The prevalence rate of PTSD was 11. 8%( 32/271). Univariate analysis showed that patients’ self-health management level was related to family history of corrhosis,educated level,duration of disease,Child-Push classification and PTSD( P < 0. 05,P < 0. 01). Multiple linear regression analysis showed that shorter duration of disease and PTSD were the adverse factors affecting self-health management level of patients with liver cirrhosis( all P < 0. 01). Conclusion PTSD patients with liver cirrhosis present special psychological status,so the psychological intervention content,means and methods of health education should be strengthened and individualized.
作者
霍红秋
侯婧悦
蒋晓忠
张杰
刘丽
HUO Hong-qiu;HOU Jing-yue;JIANG Xiao-zhong;ZHANG Jie;LIU Li(Department of Gastroenterology,Kailuan General Hospital Affiliated to North China University of Science and Technology, Tangshan,Hebei 063000,China)
出处
《中国临床研究》
CAS
2019年第1期107-110,共4页
Chinese Journal of Clinical Research
基金
河北省医学科学研究计划项目(20171444)~~
关键词
唐山大地震
创伤后应激障碍
肝硬化
自我健康管理
心理干预
Tangshan earthquake:Post-traumatic stress disorder
Liver cirrhosis
Self-health management
Psychological intervention
