Current status and influencing factors of demoralization syndrome in patients with liver cirrhosis at the decompensated stage

SHU Xin; XIONG Ruxiu; QIU Cailiang; HE Yubiao; LI Xue; LI Guifei

doi:10.7619/jcmp.20241282

Journal of Clinical Medicine in Practice > 2024 > 28(17): 120-126. > DOI: 10.7619/jcmp.20241282

SHU Xin, XIONG Ruxiu, QIU Cailiang, HE Yubiao, LI Xue, LI Guifei. Current status and influencing factors of demoralization syndrome in patients with liver cirrhosis at the decompensated stage[J]. Journal of Clinical Medicine in Practice, 2024, 28(17): 120-126. DOI: 10.7619/jcmp.20241282

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Current status and influencing factors of demoralization syndrome in patients with liver cirrhosis at the decompensated stage

1.
Department of Nursing, School of Medicine of Hunan Normal University, Changsha, Hunan, 410013
2.
Department of Infection, Xiangya Second Hospital of Central South University, Changsha, Hunan, 410011

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Received Date: March 27, 2024
Revised Date: May 26, 2024

Graphical Abstract

Abstract

Abstract

Objective
To analyze the current status and influencing factors of demoralization syndrome in patients with liver cirrhosis at the decompensated stage.
Methods
A total of 444 patients with liver cirrhosis at the decompensated stage were selected as study subjects from four tertiary hospitals in Changsha, Hunan Province using a convenient sampling method. The survey was conducted using a general information questionnaire, the Chinese version of the Demoralization Scale, the Social Support Rating Scale, the Chinese version of the Brief Illness Perception Questionnaire, and the Simplified Coping Style Questionnaire.
Results
The incidence of demoralization syndrome in patients with liver cirrhosis at the decompensated stage was 71.62%, with a mean total score of (38.21±14.34) for the Demoralization Scale. Multiple linear regression analysis showed that primary disease, the number of complications, Child-Pugh classification, coping style, illness perception, and social support were influencing factors of demoralization syndrome in patients with liver cirrhosis at the decompensated stage (P < 0.05).
Conclusion
The demoralization syndrome in patients with decompensated cirrhosis is at a severe level, and its main influencing factors are primary disease, the number of complications, Child-Pugh classification, social support, illness perception, and coping style. Healthcare professionals should regularly assess the level of demoralization syndrome in patients with liver cirrhosis at decompensated stage and adopt targeted interventions to improve their psychological status.
- liver cirrhosis at decompensated stage,
- demoralization syndrome,
- social support,
- illness perception,
- coping style

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References

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Current status and influencing factors of demoralization syndrome in patients with liver cirrhosis at the decompensated stage

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