The Role of Nurses in Caring for Patients with Complications of Cirrhosis

  • Yanisa Duangduen Fundamentals of Nursing and Nursing Administration Branch, Srisararindhira Thai Red Cross Institute of Nursing
Keywords: cirrhosis, complications of cirrhosis, nurse’s role


         Cirrhosis is a disease that is common and is the leading cause of death in every country around the world. In the first phase, the patient shows general symptoms of illness.  As they do not seem serious, the patients often do not to a hospital. After that, patients will experience more specific symptoms of liver cirrhosis and physical changes. The liver cell changes and the disfunction affects other organs and causes many complications. Common complications include portal hypertention, esophageal varices, ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, hepatorenal syndrome, and malnutrition, which increases the mortality rate of more patients. Nurses should have knowledge about the signs and symptoms, complications of cirrhosis, and the role of nurses to care for patients with liver cirrhosis complications. This will help to reduce the suffering of patients and reduce mortality among patients including helping palliative patients to live longer.


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1. Asrani SK, Devarbhavi H, Eaton J, Kamath PS. Burden of liver disease in the world. J Hepatol 2019;70(1):151-71.

2. International Health Policy Program. Disability-adjusted life years: burden of disease Thailand 2014. Nonthaburi: Graphico system; 2017. (in Thai)

3. Bethea ED, Chopra S. Cirrhosis and Portal Hypertension. In: Lawrence SF, Paul M, editors. Handbook of liver disease. 4th ed. Philadelphia: Elsevier; 2018. p.158-71.

4. Jirapongsathorn S. Cirrhosis. In: Sakarin J, Chaipichit P, editors. Manual of gastroenterology. Bangkok: Nam Aksorn Printing House; 2018. p.183-202. (in Thai)

5. Saeian K, Shaker R. Liver Disorders A point of care clinical guide. Zug, Switzerland: Springer International Publishing; 2017.

6. Chirapongsathorn S. Stage and natural history of cirrhosis. Thai J Hepatol. 2018;1(2):14-8.

7. Bosch J, Iwakiri Y. The portal hypertension syndrome: etiology, classification, relevance, and animal models. Hepatol Int. 2018;12(1):1-10.

8. Chainuvati S. Portal Hypertention and Complications. In: Supot P, Tawesak T, Sathaporn M, editors. Clinical practice in gastroenterology. 3rd ed. Bangkok Wetchasan Printing House; 2014. p.456-76. (in Thai)

9. Piano S, Tonon M, Angeli P. Management of ascites and hepatorenal syndrome. Hepatol Int 2018;12(1):122-34.

10. Yao J, Zhou X, Kong M, Li L, Hua X, Zhao Y, et al. Effects of eating frequency on respiratory quotient in patients with liver cirrhosis: a randomized controlled trial. Asia Pac J Clin Nutr 2018;27(2):322-28.

11. Tanwandee T. Cirrhosis. In: Supot P, Tawesak T, Sathaporn M, editors. Clinical Practice in gastroenterology. 3rd ed. Bangkok: Bangkok Wetchasan Printing House; 2014. p.441-55. (in Thai)

12. Minor SE, Eliacin I, Kashan S, Whisenant EB. Cirrhosis complication: keeping them under control. J Fam Pract 2015;64(6):338-42.

13. Clements A, Greenslade L. Nursing care for end-stage liver disease. Nurs Time. 2016;111(29):16-9.

14. Chaney A, Werner T, Kipple T. Primary care management of hepatic encephalopathy: a common cirrhosis complication. J Nurse Pract 2015;11(3):300-6.

15. Wu WC, Chen YT, Chen PH, Su CW, Huang WM, Yang TC, et al. Low air temperature increases the risk of oesophageal variceal bleeding: a population and hospital-based case-crossover study in Taiwan. Liver Int 2016;36(6):856-64.

16. Hsu WC, Ho LH, Lin MH, Chiu HL. Effects of head posture on oxygenation saturation, comfort, and dyspnea in patients with liver cirrhosis-related ascites. Hu Li Za Zhi. 2014;61(5):66-74.

17. Amodio P, Bemeur C, Butterworth R, Cordoba J, Kato A, Montagnese S, et al. The nutritional management of hepatic encephalopathy in patients with cirrhosis: international society for hepatic encephalopathy and nitrogen metabolism consensus. Hepatology. 2013;58(1):325-36.

18. Liames J, Logomarsino JV. Protein Recommendations for older adults with cirrhosis: a review. J Gastroenterol Hepatol Res 2015;4(4):1546-56.
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