关键词: 肝硬化, 消化道出血, 恐惧疾病进展, 负性情绪

Abstract:  Objective: To analyze the fear of disease progress, positive and negative emotional state in patients with cirrhosis and gastrointestinal bleeding, and explore the relationship between them.Methods: A total of 101 patients with cirrhosis and gastrointestinal bleeding from March 2018 to June 2019 intwo third-class A hospitals in Tianjin were selected as the study subjects. The status of patients was investigated by using the general data questionnaire, simplified scale of fear of disease progression scale (FoPQ-SF)， positive and negative emotional experience scale(PANAS), and Pearson correlation analysis was used to explore the relationship. Results:The total score of FoPQ-SF in patients with liver cirrhosis and gastrointestinal hemorrhage was 34.95±7.05.The scores of physiological health dimension and social family dimension were （20.25±4.79）, （14.69±2.61）, respectively. The total score of 53 patients was more than 34 (52.5% of the patients). The score of positive emotional experience and the negative emotional experience were（28.58±5.03）,（24.65±5.7），respectively.Pearson correlation analysis results showedthat positive emotional experience was negatively correlated with the fear of disease progression (r=-0.272, P<0.05), and negative emotional experience was positively correlated with it(r=0.577, P<0.05).Conclusion:The patients with cirrhosis and gastrointestinal bleeding had a higher level of fear of disease progression. The patients who have higher positive emotional experience have the lower level of negative emotionaland the fear of disease progress.

Key words: Cirrhosis, Gastrointestinal hemorrhage, Fear of disease progression, Negative emotion