FACTORS WORSENING CESSATION OF ALCOHOLISM IN PATIENTS WITH LIVER CIRRHOSIS

Abstract

Introduction: Liver cirrhosis is one of the most commonly reported diseases in the world, besides being one of the leading causes of death in Brazil. The abuse of alcoholic beverages can lead to degeneration in the liver, leading to such injury. However, factors that worsen the cessation of alcoholism were identified, since the biopsychosocial, intrinsic and extrinsic aspects are correlated with alcohol dependence. Objective: To identify the factors that worsen the cessation of alcoholism in the cirrhotic patient. Methods: The information in this work was obtained on the platforms: Scielo, Google Scholar and PubMed. Results: One of the criteria for liver transplantation is alcohol abstinence for at least 6 months. Taking into account the psychosocial context related to the patient, it is worth noting that this task becomes challenging and litigious in the pre and post liver transplantation. The associated intrinsic factors are: alcohol dependence (craving), neuroticism (anger, depression, hypomania or mania, anxiety, anguish), extroversion, openness to experience, denial of chronic alcoholic patients in relation to the damage alcohol has in his life, lack of spirituality. The associated extrinsic factors are: negative influence of friends and family, economic issues (unemployment, easy access to alcohol), social exclusion, pharmacological treatment, and lack of support and/or support of professional support. Conclusion: It is concluded that intrinsic and extrinsic factors exert direct influence under alcohol abstinence in individuals. The worsening of abstinence abstinence is contributed by psychosocial factors, and these must be effectively addressed so that liver transplantation.