ABSTRACT
Objective:To explore the real experience of decompensated cirrhosis patients and their spouses returning to family dual disease management and to provide a reference for the targeted intervention strategies.Methods:Totally 13 decompensated cirrhosis patients and their spouses admitted in Infectious Disease Department, the First Affiliated Hospital of Zhengzhou University from February 2022 to April 2022 were recruited for semi-structured interviews. Colaizzi 7-step analysis was used to summarize and extract the themes.Results:The final analysis yielded a total of 8 generic categories belonging to 3 categories based on the dyadic illness management theory. These were negative disease perception including disease cognitive bias, lack of complication awareness, negative family management including low self-worth, conflict management, poor management compliance, economic pressure, passive attitude, dyadic health needs to be improved including negative emotional dominance, self-perceived discrimination, communication disorders, intimacy decrease.Conclusions:Decompensated cirrhosis patients and their spouses have negative and resistant psychology in disease perception, management compliance, management attitude, behavior, and so on, clinical medical staff should be aimed at decompensated cirrhosis patients and their spouses on the health education to strengthen disease, guiding role transformation, gives targeted positive psychological intervention, to provide multi-dimensional social support, to improve the negative mood, reduce stigma and improve binary health.
ABSTRACT
Objective To evaluate two treatment schemes of liver protection and choose the optimal radiotherapy using phar‐macoeconomics principle and methods .Methods In‐patients who were diagnosed as decompensated cirrhosis patients and simultaneously conformed to the Chlid‐Pugh graduation of level B‐C during 2010-2012 were chosen .The chosen patients were divided into A ,B and C group separately ,and were treated with the compound prescription of dichloro acetic acid two isopropyl amine inoculation fluid ,the poly‐ene phosphatide acid radical choline inoculation fluid ,and the compound prescription dichloro acetic acid two isopropyl amine inoculation fluid and the polyene phosphatide acid radical choline inoculation fluid .Cost effectiveness analysis was done between group B and C .Re‐sults Treatment time of group B and C was (15 .5 ± 8 .55) d and (12 .13 ± 7 .61) d respectively .The total effectiveness was 50% and 60% respectively and the difference was with non‐statistics significance (P>0 .05) .The total cost was (1 640 .52 ± 905 .26) yuan and (2 576 .51 ± 1 615 .99) yuan respectively .Conclusion Group B was the better treatment scheme .