Social support for patients undergoing liver transplantation in a Public University Hospital

Abstract

Background: Several diseases may lead to the need for liver transplantation due to progressive organ damage until the onset of cirrhosis, resulting in changes in interpersonal relationships. Social Support for transplant candidates is an important variable, providing them with psychological and social well-being. This study aims to assess social support in chronic hepatic patients, waiting for liver transplantation. Methods: A cross-sectional study was conducted with 119 patients, for convenience sampling, from the liver transplant waiting list at a Brazilian University Hospital Outpatients. The information was collected through semistructured questionnaires, in four stages: 1) socioeconomic and demographic information 2) clinical aspects 3) feelings 4) Social Support Network Inventory (SSNI), to Brazilian Portuguese. The statistical analysis was conducted using ANOVA and multivariate linear regression analysis to evaluate the relationship between the scales of social support and the collected co-variables. Results: Average age was 50.2±11.6, and 87 (73.1%) were men. Patients with alcohol and virus liver disease etiology had the same frequency of 28%. The MELD, without extrapoints, was 16.7±4.9. Global social support family score was 3.72±0.39, and Cronbach's alpha=0.79. The multivariate analysis presented the following associations, age=[-0.010 (95% CI=-0.010 - -0.010); P=0.001], etiology of hepatic disease=[-0.212 (95% CI=-0.37 - -0.05); P=0.009], happiness=[-0.214(95% CI=-0.33 - -0.09) P=0.001) and aggressiveness=[0.172 (95% CI=0.040-0.030); P=0.010). Conclusions: The social support was greater when the patients were younger (18 to 30years). Patients with alcoholic cirrhosis, regardless of whether or not they were associated with virus, had less social support. As for feelings, the absence of happiness and the presence of aggressiveness showed a negative effect on social support.