乙型肝炎住院病人抑郁心理的危险因素研究

Study on the Risk Factors of the Mental Depression of Inpatients with Hepatitis B

目的探讨乙型肝炎住院病人抑郁心理的危险因素。方法采用CES-D量表对369名乙型肝炎住院病人进行心理评价,以肯定抑郁心理的病人作为病例组,以无抑郁心理的病人作为对照组进行病例对照研究,采集2组病人的病情资料,同时调查了艾森克个性问卷以及病人的认知、行为、态度等情况。作多元Logistic回归分析,确定主要危险因素。结果乙肝住院病人中肯定抑郁心理的占43.36%,其抑郁心理主要受到病情复发次数、周围人的疏远、对治疗的信心以及EPQ-N(情绪稳定性)等4个因素影响。结论加强公众健康教育,增强病人信心,控制病情反复是预防病人抑郁心理的有效手段。

PURPOSE To research on the risk factors of the mental depression of inpatients with Hepatitis B. METHODS 369 inpatients with HB were tested with CES-D (Center for Epidemiological Survey, Depression Scale) . Acase-control study was carried out between the inpatients with the confirmed depression and those without depression. The data on states of illness, EPQ scores and the acknowledge , behavior and attitude of the two groups were collected and analyzed with multivariate Logistic regression to get the main risk factors. RESULTS The inpatients with confirmed depression cover about 43. 36%;which was affected mainly by four risk factors,i. e. reiteration of illness, alienation of ambient people, confidence in treatment and emotion stability of patients (EPQ-N value) . CONCLUSIONS To emphasize on the public health education on hepatitis, to reinforce the confidence of inpatient to control the relapse of illness should be the effective menas to prevent the depression.