浙江医学2018，Vol.40Issue(4)：368-370,3.DOI:10.12056/j.issn.1006-2785.2017.40.4.2017-944
肝硬化失代偿期患者述情障碍与生存质量的关系研究
Correlation between alexithymia and quality of life in patients with liver cirrhosis at decompensation stage
摘要
Abstract
Objective To investigate the relationship between alexithymia and the quality of life in patients with liver cirrhosis at decompensation stages.Methods One hundred and twenty patients with liver cirrhosis at decompensation stages were enrolled in the study.According to scores of Toronto Alexithymia Scale (TAS-20),patients were divided into the alexithymia group (TAS-20 ≥61) and non-alexithmia group (TAS-20 ＜60).The quality of life was evaluated by WHOQOL-BREF.The relationship between TAS-20 score and WHOQOL-BREF score was analyzed by Pearson correlation analysis.Results The total scores of TAS-20 and the scores of emotion identification (DIF),emotional description (DDF) and extroverted thinking in the alexithymia group were higher than those in the non-alexithmia group (P＜0.05).The scores of quality of life,satisfaction of health status,physiological domain,and psychological domain in the alexithymia group were lower than those in the no-alexithmia group.There were no significant differences between two groups in scores of social relations,environment and other domains.The total scores of WHOQOL-BREF were negatively correlated with TAS-20 total score,DIF,DDF and EOT scores in patients with liver cirrhosis at decompensation stages (r=-0.452,-3.953,-0.264,-0.332,P＜0.05).The scores in physiological domain were negatively correlated with total TAS-20 scores,DIF,DDF,EOT scores (r=-0.421,-0.256,-0.322,-0.228,P＜0.05).The scores in psychological domain were negatively correlated with TAS-20 total scores and DIF scores (r=-0.198,-0.226,P＜0.05).The scores in social relations were negatively correlated with EOT scores (r=-0.229,P＜0.05).The scores in environment domain were negatively correlated with TAS-20 total scores and EOT score (r=0.169,0.255,P＜0.05).Conclusion The alexithymia has negative effect on the quality of life in patients with liver cirrhosis patients at decompensation stage.关键词
肝硬化/情绪障碍/生存质量Key words
Liver cirrhosis/Mood disorders/Quality of life引用本文复制引用
叶红芳,俞伶,马小琴,陈琴仙,周云仙..肝硬化失代偿期患者述情障碍与生存质量的关系研究[J].浙江医学,2018,40(4):368-370,3.基金项目
浙江省教育厅科研项目(Y201328800) （Y201328800）
