青海地区慢性肝病住院患者心理特征的调查与分析

发布时间：2018-02-02 13:03

本文关键词： 慢性肝病心理特征调查分析　出处：《青海大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:用综合医院焦虑抑郁量表对青海地区慢性肝病患者的焦虑、抑郁状况进行调查。增强临床医生对焦虑、抑郁的认识,提高临床医生对慢性肝病患者精神状态的关注,进而围绕生物-医学-心理模式提升患者服务质量,提高疾病疗效。方法:选取2015年11月~2016年11月就诊于青海大学附属医院的慢性肝病住院患者135例。应用综合医院焦虑抑郁量表进行调查,根据患者的性别、年龄、民族、婚姻状况、文化程度、城乡、住院次数、肝病病因、病情严重程度等不同进行分组。等级计数资料采用秩和检验进行分析,非等级计数资料采用卡方检验进行分析,从而对慢性肝病患者焦虑、抑郁的发生情况进行评估。结果:1.在收集的135例慢性肝病患者中,焦虑患病人数为37人,抑郁患病人数为77人,焦虑患病率约为27.4%,抑郁患病率约为57.0%。2.是否发生焦虑及发病程度在文化水平、病情严重程度、住院次数之间均存在差异(P0.05),在性别、婚姻状况、肝病病因、城乡、年龄、民族之间均无差异(P0.05)。3.是否发生抑郁及发病程度在性别、文化水平、病情严重程度、年龄、住院次数之间均存在差异(P0.05),在婚姻状况、肝病病因、城乡、民族之间均无差异(P0.05);抑郁是否患病及患病情况在性别、病情严重程度、年龄、民族、住院次数之间均存在差异(P0.05),在文化水平、肝病病因、婚姻状况、城乡之间均无差异(P0.05)。结论:1.慢性肝病患者易出现情感障碍,其抑郁患病率高于焦虑,并且患者更易发生轻度焦虑、抑郁。2.在收集的135例慢性肝病患者中,文化程度越低、病情越严重、住院次数越多,焦虑的患病率越高。3.在收集的135例慢性肝病患者中,女性患者抑郁患病率较男性高;病情越严重、住院次数越多抑郁患病率越高;老年患者抑郁患病率较中、青年高;回族患者抑郁患病率较汉、藏族高。4.婚姻状况、城乡、肝病病因对慢性肝病患者心理特征影响不大。5.在临床工作中,文化水平越低、病情越严重、住院次数≥2次、老年、女性、回族患者更易在慢性肝病基础上并发情感障碍。
[Abstract]:Objective: to investigate the anxiety and depression status of patients with chronic liver disease in Qinghai by using the general hospital anxiety and depression scale, and to enhance the clinical doctors' understanding of anxiety and depression. To improve the attention of clinicians to the mental state of patients with chronic liver disease, and then to improve the quality of service around the biomedical psychological model. To improve the efficacy of the disease. Methods:. From November 2015 to November 2016, 135 inpatients with chronic liver disease were selected from affiliated Hospital of Qinghai University and investigated with the General Hospital anxiety and Depression scale. According to sex, age, nationality, marital status, education level, urban and rural areas, hospitalization times, causes of liver disease, the severity of the disease were divided into groups. Rank sum test was used to analyze the rank count data. Non-grade counting data were analyzed by chi-square test to evaluate the incidence of anxiety and depression in patients with chronic liver disease. The number of anxiety was 37, the number of depression was 77, the prevalence of anxiety was about 27.4and the prevalence of depression was about 57.0.2. There were significant differences in the severity of the disease and the number of hospitalizations (P 0.05) in sex, marital status, etiology of liver disease, urban and rural areas, and age. There was no difference between the ethnic groups (P 0.05). There were significant differences in the incidence of depression and the degree of depression in gender, education level, severity of illness, age and times of hospitalization (P0.05). There was no difference in marital status, etiology of liver disease, urban and rural areas, and ethnic groups (P 0.05). There were significant differences between sex, severity of disease, age, nationality, number of hospitalization, education level, etiology of liver disease, marital status. There was no difference between urban and rural areas (P 0.05). Conclusion 1. Chronic liver disease patients are prone to emotional disorders, the prevalence of depression is higher than anxiety, and patients are more likely to develop mild anxiety. In the 135 patients with chronic liver disease, the lower the education level, the more serious the condition, the more hospitalized, the higher the prevalence of anxiety. 3. Among the 135 patients with chronic liver disease, there were 135 patients with chronic liver disease. The prevalence of depression in female patients was higher than that in males. The more severe the disease, the higher the incidence of depression. The prevalence of depression in elderly patients was higher than that in young people. The prevalence of depression in Hui nationality is higher than that in Han nationality and Tibetan nationality. 4. Marital status, urban and rural areas, and the etiology of liver disease have little effect on the psychological characteristics of patients with chronic liver disease. 5. In clinical work, the lower the education level, the more serious the condition. Elderly, female and Hui patients were more likely to develop affective disorder on the basis of chronic liver disease.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R575

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