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目的了解慢性乙肝患者(CHB)患者的心理状态及其与疾病的相关性,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。方法采用症状自评量表(SCL-90),焦虑自评量表(SAS),抑郁自评量表(SDS)三项自评量表对74名CHB患者进行问卷调查,资料采用t检验、相关分析。结果CHB患者的SCL-90 9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<0.01);人际关系敏感、抑郁低于国内常模中的相应结果(P<0.01);SAS和SDS 20项因子的标准分均未超过界分50分,抑郁指数为(0.61±0.04),焦虑评分为(30.47±4.42)。结论不同因子对CHB的影响不同,慢性乙型肝炎患者的心理问题较突出,应有针对性加强对慢性肝炎病人的健康教育,提供心理支持和必要的社会支持,提高CHB患者生存质量。
Objective To understand the psychological status of patients with chronic hepatitis B (CHB) and its relationship with the disease, evaluate the psychological status of CHB patients and related factors in order to improve the quality of life of CHB patients. Methods Totally 74 CHB patients were surveyed by using SCL-90, SAS and SDS. The data were analyzed by t-test, related analysis. Results Six indicators of somatization, compulsion, anxiety, hostility, horror and psychosis in SCL-90 among the 9 CHB patients were all higher than those in the norm in China (P <0.01). The interpersonal sensitivity, depression (P <0.01). The standard scores of 20 factors of SAS and SDS did not exceed 50 points, the depression index was (0.61 ± 0.04) and the anxiety score was (30.47 ± 4.42). Conclusions Different factors have different effects on CHB. Psychological problems of patients with chronic hepatitis B are prominent. Health education should be strengthened for patients with chronic hepatitis. Psychological support and necessary social support should be provided to improve CHB patients’ quality of life.