Mo1024 Increased Risk of Complications Following Liver Biopsy in Patients With Chronic Kidney Disease

Abstract

Objective: to observe the impact of two different health education models on the psychological and nutritional status and life quality of HBV-related Liver cirrhosis patients with ascites. Method: 131 cases of patients with decompensated HBV-related cirrhosis are enrolled in the study and are randomly divided into two groups, amongst whom, 61 cases are enrolled in observation group and 60 in control group. Traditional health education method is adopted in the control group: patients are informed with their condition and diet note by the format of doctor's advice; while patients in observation group are under managed health education conducted by hepatologists. The managed health education includes steps as followed: first, the baseline condition, nutritional status and life quality of the patients in observation group are assessed; secondly, personal files of the patients are built and followed up with monthly communication between patients and hepatologists. Finally, patients' psychological condition is assessed with SAS and SDS, their nutritional status is assessed with TSF and MAC and life quality assessed with SF-36. Results: previous to health education, there is no statistical difference in accumulated score of eight dimensionalities of SAS, SDS,TSF and SF-36, Hb and Alb between the two groups; however, after the health education, scores in SAS and SDS of both groups decreased (p,0.001). SAS and SDS score of observation group is lower than the contract group( 39.87±8.76: 49.01±9.43; 40.58±8.75: 51.89±10.14p mean,0.01); TSF,Hb and Alb score of observation group are higher than the control group(p,o.o1 or o.o5); and observation group's accumulated score of eight dimensionalities in SF-36 is significantly higher than the contact group (p,o.o1 or o.oo1). Conclusion: the long-term managed health education for HBV-related hepatocirrhosis patients with ascites can evidently release their psychological pressure, decrease the occurrence of mental disorder, improve nutrition, promoting health condition and significantly increase patients' life quality.