慢性HBV感染患者心理干预效果评价研究

发布时间：2018-03-12 10:06

本文选题：慢性HBV感染者　切入点：SCL-90　出处：《山东大学》2012年硕士论文　论文类型：学位论文

【摘要】：研究背景：我国是乙肝大国。慢性HBV感染者普遍存在抑郁、焦虑、悲观、消沉等心理状况。临床上多表现为主观症状较多,对患者预后产生了很大的影响,很大程度上影响了慢性HBV感染者的生活质量。目前国内外对于慢性HBV感染者的心理健康状况分析的研究比较多,从不同角度阐述了慢性HBV感染者存在的心理问题,同时阐述了不同的心理状况的应对措施及相关的护理体会。但在临床中进行慢性乙型肝炎、乙型肝炎肝硬化的心理干预研究较少。研究目的：对HBV感染者住院期间在常规保护肝脏、对症治疗基础上,进行心理干预,比较分析心理干预前后患者心理健康状况,为进行HBV感染者心理干预提供参考依据。资料与方法：采用症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对包头医学院第一附属医院感染疾病科门诊符合入选条件的接受住院治疗的120名慢性HBV感染患者进行心理干预,评价干预效果。应用SPSS11.5软件包进行统计分析处理。主要结果：1)慢性HBV感染者心身症状改善慢性乙肝组干预2周时与对照组相比较,SCL-90心理因子得分,躯体化、焦虑、精神症状因子得分差异显著；乙型肝炎肝硬化组干预2周时,干预组躯体化、焦虑得分与对照组比较,差异有显著性；两组患者干预4周时各心理因子得分比较,差异具有显著性。心理干预对HBV感染者心理症状的改善有显著作用。2)SAS、SDS标准分比较慢性乙肝和乙肝肝硬化组患者入院时、2周、4周时SAS、SDS标准分比较,差异均有显著性。焦虑、抑郁症状明显改善。结论与建议：心理干预可以改善两组患者的心理健康状况,建议临床医生在对慢性HBV感染者进行药物治疗的同时,开展心理干预工作。
[Abstract]:Background: China is a large country of hepatitis B. there are many psychological conditions such as depression, anxiety, pessimism, depression and so on in patients with chronic HBV infection. The clinical manifestations are more subjective symptoms, which have a great impact on the prognosis of patients. At present, there are many studies on the mental health status of chronic HBV infected people at home and abroad. This paper expounds the psychological problems of chronic HBV infected people from different angles. At the same time, the coping measures of different psychological status and related nursing experience were expounded, but the psychological intervention of chronic hepatitis B and hepatitis B cirrhosis in clinic was less. Objective: to carry out psychological intervention on the basis of routine liver protection and symptomatic treatment during the hospitalization of HBV infected persons, and to compare and analyze the mental health status of patients before and after psychological intervention so as to provide reference for psychological intervention of HBV infected persons. Materials and methods: using symptom Checklist 90 (SCL-90), Self-Rating anxiety scale (SAS) and Self-Rating Depression scale (SDS), 120 patients with chronic HBV who received inpatient treatment in the first affiliated Hospital of Baotou Medical College were selected. The patients were involved in psychological intervention. The effect of intervention was evaluated. SPSS11.5 software package was used for statistical analysis. Results the scores of SCL-90 psychological factors, somatization, anxiety and mental symptoms in patients with chronic HBV infection were significantly higher than those in patients with chronic hepatitis B at 2 weeks after intervention, while those in patients with cirrhosis of hepatitis B at 2 weeks after intervention were significantly higher than those in the control group. The scores of somatization and anxiety in the intervention group were significantly different from those in the control group. There was a significant difference between the two groups. Psychological intervention had significant effect on the improvement of mental symptoms of HBV infected patients. The standard scores of SAS were significantly higher in patients with chronic hepatitis B and cirrhosis of hepatitis B than in patients with chronic hepatitis B and cirrhosis of hepatitis B at 2 weeks and 4 weeks after admission, and there was significant difference in anxiety between patients with chronic hepatitis B and patients with cirrhosis of hepatitis B at 4 weeks after admission. The symptoms of depression were obviously improved. Conclusion and suggestion: psychological intervention can improve the mental health status of patients in both groups. It is suggested that clinicians should carry out psychological intervention while treating chronic HBV infection.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R395

【参考文献】