Prevalence of Family Dysfunction Among Patients with Chronic Liver Disease Attending Communicable Disease, Research and Training Center in Suez–Suez Canal University, Suez Governorate-Egypt
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Prevalence of Family Dysfunction Among Patients with Chronic Liver Disease Attending Communicable Disease, Research and Training Center in Suez–Suez Canal University, Suez Governorate-Egypt,ABDULMAGJEED A. ABDULMAJEED, MOSTFA M. RAGHEB, MOHAMED S. NASR and BASMA M. ABDEL AZIZ
Abstract
Introduction: Chronic liver disease is one of the most common and most serious health problems in Egypt due to the prevalence of intestinal Bilharaiasis as well as viral hepatitis. The way in which the family copes with and adapts to chronic illness of one of its members has a strong impact on the physical and psychosocial well-being of all members and on the shape and duration of the clinical course of the illness itself. The family doctor therefore should be able to evaluate the families' adaptation to illness and to promote successful coping strategies where necessary. The aim of this study is to improve family function and quality of life of patients with chronic liver disease through detection of family dysfunction. The detection of family function is the first step in this regard.
Subjects and methods: This study was cross sectional descriptive study carried in communicable disease and research center in Suez-Suez Canal University, which offers care to patients with chronic liver disease; its target population was adult patients of both sexes total number of the sample was 233 patients. During the study, each patient was subjected to the following: 1) Personal, social, geographic assessment. 2) History taking and physical examination. 3) Biochemical testing for Liver function evaluation, the assessment of family function was done by using family adaptability and cohesion evaluation scale (FACESII), developed by Olson. This tool was tested and validated in other studies.
Results: Results of the current study showed that regarding to cohesion, it was found that 70.4% of patients were balanced (connected, separated) 41.6%, 28.8% respectively, while 29.6% were extreme (24% disengaged, 5.6% very connected). Regarding to adaptability 66.1% were balanced (Flexible, Structured) 50.9%, 15.9% respectively, while 23.2% were Very flexible and 10.7 were Rigid. It found that 53.6% of the patients were dysfunction families (mid range, extreme family function), while 46.6% were balanced (function families)
Conclusion: The present study concluded that, family dysfunction is a considerable problem among patient with CLD. It was no significantly associated with almost all socio-demographic except age of the patient, there were also no significantly associated with severity of CLD, number of Symptoms and sign of CLD except gynecomastia (for males) and abdominal swelling.