Abstract:Objective To observe the psychological crisis state of patients with viral hepatitis after liver biopsy and to analyze its related risk factors. Methods A total of 107 patients with viral hepatitis who received liver biopsy in the First Affiliated Hospital of Nanjing Medical University from October 2018 to October 2021 were selected. All patients received investigation of psychological crisis vulnerability scale (PCVS) at three weeks after puncture. The patients’ baseline data were investigated, and the differences in PCVS scores of patients with different baseline characteristics were compared, and the scores of medical coping style questionnaire (MCMQ), psychological resilience scale (CD-RISC), and perceived social support scale (PSSS) were evaluated, and the influencing factors of psychological crisis state in patients with liver biopsy were further analyzed. Results A total of 107 questionnaires were distributed and 107 were recovered with a recovery rate of 100%. The PCVS score of 107 patients with liver biopsy was (74.24±12.81) points, and the PCVS score of patients with puncture complications was higher than that of patients without puncture complications (P < 0.05). PCVS score was positively correlated with patient surrender and avoidance (r > 0, P < 0.05), and negatively correlated with face, psychological resilience, and social support (r < 0, P < 0.05). The results of multiple linear regression analysis showed that puncture complications (X1), avoidance (X3), face (X4), resilience (X5), and social support level (X6) were the influencing factors of psychological crisis in patients with liver puncture biopsy, and the equation was as follows: Y=130.664+10.572X1+0.815X3-1.475X4-0.531X5-0.185X6 (F = 147.812, R2 = 0.899, adjusted R2 = 0.893, P < 0.05). Conclusion The psychological crisis of patients with liver biopsy may be affected by puncture complications, coping modes, psychological resilience and social support.
方芳 李爽▲ 刁玲玲 孔婉如 王洁. 病毒性肝炎患者肝活体组织检查后心理危机状况及相关因素[J]. 中国医药导报, 2022, 19(29): 81-84.
FANG Fang LI Shuang▲ DIAO Lingling KONG Wanru WANG Jie. Psychological crisis state and related factors in patients with viral hepatitis after liver biopsy. 中国医药导报, 2022, 19(29): 81-84.