慢性病毒性肝炎患者心理健康状况调查

The investigation of mental health status in patients with chronic viral hepatitis

目的:探讨慢性病毒性肝炎患者的心理健康状况,从而指导临床护理工作。方法:采用匹兹堡睡眠质量指数和症状自评量表(SCL-90)对同时期住院治疗、符合2000年西安全国肝病学术会议制定的《病毒性肝炎诊断防治标准》的慢性肝炎(轻、中)度患者108例进行测评。结果:①与全国常模比较,慢性病毒性肝炎患者的躯体化(1.62±0.41)、强迫(1.86±0.49)、抑郁(1.76±0.49)、焦虑(1.74±0.48)、敌对(1.70±0.59)、恐怖(1.39±0.32)、精神病性(1.41±0.33),总分(148.43±31.43)、阳性项目数(37.07±13.00)均明显增高;②慢性病毒性肝炎患者的心理问题随着病程的加长而逐渐加重;③在慢性病毒性肝炎患者中,存在着明显的睡眠质量下降,其中只有2.78%的患者有较好的睡眠,52.78%的患者睡眠居中,44.44%的患者睡眠较差。结论:慢性病毒性肝炎患者普遍存在心理问题,并且睡眠质量差,在临床护理工作中应有针对性的加强相应措施,适应生物-心理-社会新的医学模式。

Objective：To investigate the mental health status in patients with chronic hepatitis, and to guide the clinical works in treating the chronic hepatitis patients, nethods：A total of 108 chronic hepatitis patients were measured by Pittsburgh sleep quality index （PSQI） and symptom checklist-90 （ SCL-90 ）, respectively. Results ： Compared with Chinese Norm of SCL-90, chronic viral hepatitis patients had more psychiatric symptoms and higher scores of somatization（ 1.62±0.41 ）, obsessive-compulsive（ 1.86±0.49）, depression（ 1.76±0.49 ）, anxiety （ 1.74±0.48 ）, hostility （ 1.70 ±0.59 ）, phobic anxiety （ 1.39±0.32） and psychoticism （1.41±0.33 ）. The mental health status in patients with chronic viral hepatitis got worse with the progress of the disease, and the patients had sleep disturbance. Conclusion- Not only bad sleep quality, but also bad mental health is in chronic viral hepatitis patients. The mental health nursing should be emphasized in clinical works.