肝硬化食管胃底静脉曲张破裂出血患者恐惧疾病进展现状及影响因素分析

Status and influencing factors of fear of progression in patients with esophageal gastric variceal bleeding due to liver cirrhosis

目的了解肝硬化食管胃底静脉曲张破裂出血(EGVB)患者恐惧疾病进展(FoP)情况,并分析其影响因素。方法采用便利抽样法,选取2023年5—12月在山西白求恩医院和山西省人民医院住院治疗的210例肝硬化EGVB患者为研究对象。采用一般资料调查表、恐惧疾病进展简化量表(FoP-Q-SF)、简易疾病感知问卷(BIPQ)、医学应对方式问卷(MCMQ)和领悟社会支持量表(PSSS)进行调查。结果共发放问卷210份,回收有效问卷200份,问卷有效回收率为95.24%。200例肝硬化EGVB患者的FoP-Q-SF得分为(31.82±10.02)分。多重线性回归分析结果显示,性别、出血次数、疾病感知、应对方式和社会支持是肝硬化EGVB患者FoP的影响因素(P<0.05)。结论肝硬化EGVB患者FoP发生率较高,医护人员应重视性别、出血次数、疾病感知、应对方式及社会支持对患者FoP的影响,并采取针对性的干预策略降低其FoP水平。

ObjectiveTo investigate the status of fear of progression(FoP)in patients with esophageal gastric variceal bleeding(EGVB)due to liver cirrhosis and analyze its influencing factors.MethodsA convenience sampling method was used to select 210 patients with liver cirrhosis and EGVB who were hospitalized at Shanxi Bethune Hospital and Shanxi Provincial People's Hospital between May and December 2023.Data were collected using a general information questionnaire,the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),the Brief Illness Perception Questionnaire(BIPQ),the Medical Coping Modes Questionnaire(MCMQ),and the Perceived Social Support Scale(PSSS).ResultsA total of 210 questionnaires were distributed and 200 valid questionnaires were recovered,with a valid recovery rate of 95.24%.Among 200 EGVB patients,the FoP-Q-SF score was(31.82±10.02).Multiple linear regression analysis showed that gender,number of bleeding episodes,illness perception,coping strategies,and social support were significant influencing factors of FoP in these patients(P<0.05).ConclusionsThe incidence of FoP is relatively high in patients with liver cirrhosis and EGVB.Healthcare providers should pay attention to the impact of gender,bleeding episodes,illness perception,coping strategies,and social support on FoP and implement targeted interventions to reduce its levels.