慢性乙型肝炎患者心理状态的调查分析_医学论文.docVIP

慢性乙型肝炎患者心理状态的调查分析_医学论文 慢性乙型肝炎患者心理状态的调查分析_医学论文 作者：李小秋，蔡雄，裴彬, 陈长生，徐哲 【摘要】 　　目的: 通过调查慢性乙型肝炎（CHB）患者的心理状态，评价CHB患者的心理状态及相关因素，以提高CHB人群的生活质量. 方法: 使用90项症状检核表(SCL，焦虑自评量表分析系统(SAS)，抑郁自评量表分析系统(SDS)三项自评量表对800名CHB患者进行问卷调查，资料采用t检验、相关分析及多元logistic逐步回归进行分析. 结果：CHB患者的SCL项因子中躯体化、强迫、焦虑、敌对性、恐怖、精神病性6项指标均高于国内常模中的相应结果(P=0.000)；人际关系敏感、抑郁低于国内常模中的相应结果(P=0.000)；Logistic多元回归发现：年龄、抑郁、敌对、人际关系敏感、偏执、精神病性、躯体化是疾病轻重程度的影响因素，而文化程度、性别等因素与此无关；SDS和SAS 20项因子的标准分均未超过界分50分，抑郁指数为0.48±0.04，焦虑评分为30.38±4.41. 结论： 不同因子对CHB的影响不同. 该调查结果为提高CHB患者生存质量进行有效干预提供理论依据. 【关键词】 慢性乙型肝炎；调查研究；90项症状检核表SCL；焦虑自评量表分析系统；抑郁自评量表分析系统 　　【Abstract】 AIM: To make an inquiry into the mental status of a quantity of chronic hepatitis B infective clinic health education and constitute a basis for improving the quality of life of the whole chronic hepatitis B crowds. METHODS: Eight hundred chronic hepatitis B inpatients were inquired by using Symptom Checklist90 (SCL90), SelfRating Anxiety Scale (SAS), selfrating depression scale (SDS) and the data were analyzed by using ttest, multivariate logistic regression analysis and correlation analysis. RESULTS: The indexes of somatization, compulsion, anxiety, hostility, phobia, psychosis were higher than those of domestic norm (P=0.000). Multivariate logistic regression analysis showed that age, depression, hostility, interpersonal relationship tenderness, crankiness, psychosis, somatization played roles in impacting the disease prognosis, but education and gender had no relation with it. The standard scales of SDS and SAS didnt surpass the ceiling value. The index of depression was 0.48±0.04, and that of anxiety was 30.38±4.41 respectively. CONCLUSION: Different factor had different impact on chronic hepatitis B. When treating the chronic hepatitis B patients, medical workers should pay much attention to improving their mental trouble. 　　【Keywords】 chronic hepatitis B inquiry SCL 　　0 引言 　　全球乙型肝炎患者数约3.5亿. 有资料显示，我国乙型肝炎病毒(hepatitis B virus, HBV)无症状携带者可能超过1.2亿，超过总人口数1/10的，其中相当部分为慢性乙型肝炎(chronic h