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Psychological, Cognitive, and Laboratory Characteristics of End-Stage Liver Disease Patients

机译:终末期肝病患者的心理,认知和实验室特征

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Background: End-Stage Liver Disease (ESLD) causes several clinical and psychological comorbidities. Some accompanying psychiatric disturbances have significant effects on the patients’ quality of life. Objectives: Thus, we aimed to evaluate some psychological characteristics of ESLD patients. Methods: A cross-sectional study was conducted on 91 ESLD patients aged 18 - 70 years. We assessed the patients using the California Verbal Learning Test (CVLT), Fatigue Severity Scale, Epworth Sleepiness Scale, and Hospital Anxiety and Depression Scale. Also, we measured the demographic and some laboratory data of the participants. The data were analyzed by SPSS version 21 software, and P values of less than 0.05 were considered significant. Results: The study included 68 men and 23 women with a mean age of 41.9 ± 13.72 years (range 19 - 68). The mean scores of fatigue (40.6 ± 14.8) and anxiety (12.98 ± 2.76) were more than the normal range. The most significant association was seen between age and CVLT items (attention (P = 0.01), immediate memory (P 0.001), short delay free recall (0.01), and short delay cued recall (0.03). Conclusions: End-stage liver disease patients had anxiety, fatigue, and memory disorders in addition to their poor clinical conditions. Although the main treatment of ESLD is liver transplantation but the psychological and cognitive problems before transplantation in these patients are prognostic factors for post-operation compliance and follow up.
机译:背景:终末期肝病(ESLD)导致几种临床和心理学性的合并症。一些伴随的精神病障碍对患者的生活质量有显着影响。目标:因此,我们旨在评估ESLD患者的一些心理特征。方法:对18至70岁的91名ESLD患者进行了横截面研究。我们使用加州口头学习试验(CVLT),疲劳严重程度,欧洲兴奋性规模和医院焦虑和抑郁症评估患者。此外,我们衡量了参与者的人口统计和一些实验室数据。通过SPSS版本21软件分析数据,P值小于0.05被认为是显着的。结果:该研究包括68名男性和23名男性,平均年龄为41.9±13.72岁(19 - 68)。疲劳的平均分数(40.6±14.8)和焦虑(12.98±2.76)比正常范围更多。年龄和CVLT项目中最重要的关联(注意(P = 0.01),即时内存(P <0.001),短暂的无延迟召回(0.01),短暂的延迟召回(0.03)。结论:结论:终级肝脏疾病患者患有焦虑,疲劳和记忆障碍,除了临床条件不佳。虽然ESLD的主要治疗是肝移植,但在这些患者移植前的心理和认知问题是后手术后遵守的预后因素并跟进。

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