家庭亲密度和适应性对晚期肝硬化患者生活质量的影响

目的探讨家庭亲密度和适应性对晚期肝硬化患者生活质量的影响作用。方法采用家庭亲密度和适应性量表中文版（FACESⅡ-CV）对晚期肝硬化患者进行测评，选取家庭亲密度评分≥65分、适应性≥53分的80例患者为观察组，家庭亲密度评分〈65分、适应性〈53分的76例患者为对照组，应用生活质量综合评定量表（GQOH-74）、情感量表比较两组患者的生活质量及心理素质。结果观察组患者生活质量、心理素质评分高于对照组，差异均有统计学意义（P〈0．01）。结论在治疗及护理晚期肝硬化患者躯体疾病的同时，更应注意部分晚期肝硬化患者对家庭亲密度的感受，并有针对性地对晚期肝硬化患者及家属开展社会心理干预，提高适应性，从而促进康复，达到提高患者生活质量的目的。

Affection of family' s intimate situation and suitability on life quality of patients suffered from hepatocirrhosis in later stage

Objective To explore affection of family' s intimate situation and suitability on life quality of patients suffered from hepatocirrhosis in later stage. Methods The patients suffered from hepatocirrhosis in later stage were investigated by the family' s intimate situation and suitability measurement scale in Chinese version (FACESII-CV) as the measurement tool for the classification of group based on self-family' s intimate situation and suitability as actual feeling assessment and calculation of marks. Choosing the family' s intimate situation mark assessment ≥65, suitability ≥ 53 to be the observation group (80 cases), the family's intimate situation mark assessment ＜ 65, suitability ＜ 53 to be the control group (76 cases). Psychological and life quality in two groups were assessed by living quality assessment measure form (GQOLI-74) and feeling measure form. Results the life quality and psychological quality in the observation group is evidently higher than those in the control group, and the differences were statistically significant (P ＜ 0. 01). Conclusions Family' s intimate situation for the patients suffered from hepatocirrhosis of later stage are required for more care so as to take social psychological interference to the patients, improve suitability and promote the health recovery to reach the high life quality of patients.