Study of the correlation between self-care capability and prognosis of patients with upper gastroin-testinal bleeding caused by liver cirrhosis

Abstract

Objective To investigate the self-care agency level and analysis the relationship between the self-care ability level and the prognosis of the patients with upper gastrointestinal bleeding caused by liver cirrhosis. Methods In the first stage, 78 cases of liver cirrhosis patients complicated with first eruption of upper gastrointestinal bleeding were selected, the Exercise of Self Care Agency Scale (ESCA) was adopted to assess the self care ability of patients, the results underwent analysis. In the second stage, according to the results that the proportion of scores accounted for total score ratio, the patients were divided into low, medium and high level groups. By prospective studies, through telephone follow-up and clinic follow-up, the evaluation items of patients were collected, and the survival status of patients within 3 months after discharge was compared. Results For patients with upper digestive tract bleeding caused by liver cirrhosis, the self-care scored (84.07±17.38)totally, among 78 patients selected, 15.4% (12/78)was in the low level, 75.6% (59/78) was in the medium level, 9.0% (7/78)was in the high level. The self-care ability increased in conjunction with decreased mortality rate. The mortality rate in the lower level group was 8/12, 33.9% (20/59) in the medium level group, 1/7 in the higher level group, there was statistically significant difference, χ2=6.3,P<0.05. The MELD-Na scores in the lower, medium and higher level groups were respectively 34.03±4.62, 22.57±3.05, 12.87±1.36,F=6.0,P<0.05. Likewise, complication incidence rates were negatively correlated with self-care ability,r = -(0.525-0.189). Conclusions The self-care ability of patients with gastrointestinal bleeding caused by liver cirrhosis is in the medium level, and it exer-cises certain influence on prognosis of patients. Attention should be paid to cultivation of self-care abil-ity of patients in clinic. Key words: Liver cirrhosis; Self care; Prognosis; Gastrointestinal hemorrhage