乙型肝炎368例心理障碍及其相关因素研究

Study on mental disorder and related factors in 368 patients with hepatitis B

目的:探讨乙型肝炎(简称乙肝)患者的心理障碍状况及相应的心理护理方法.方法:采用SCL-90症状自评量表对368例住院乙肝患者按不同年龄组进行评定,将量表因子分进行比较分析.结果:本组共检出心理障碍患者238例,阳性率64.7%,不同年龄组乙肝患者躯体化、人际关系、抑郁、焦虑、敌对、恐怖6项因子分均显著高于常模(P＜0.05,P＜0.01),且31～50岁的青壮年乙肝患者心理症状问题发生率明显高于其他年龄组(P＜0.01).结论:乙肝患者心理健康状况较差,有针对性地实施心理护理对其治疗和预后有重要意义.

Objective: To study mental disorder of patients with hepatitis B and corresponding psychological nursing care.Methods: SCL-90 was used to make an assessment and analysis of the factor scores of 368 patients in different ages.Results: Two hundred and thirty eight patients were detected to have metal disorder,positive rate was 64.7%.Such six factor scores as somatic symptom,interpersonal relationship,depression,anxiety,hostile and horror were evidently higher than norm(P<0.05,P<0.01),and the incidence of mental disorder were higher in young men aged from 31 to 50 than that in the other age groups(P<0.01).Conclusion: Application of proper psycho nursing care is of significance in the treatment and prognosis of mental disorder for patients with hepatitis B.