住院肝硬化患者焦虑抑郁水平与影响因素的调查

Investigationon the Influencing Factors of Anxiety and Depression Level of Inpatients with Liver Cirrhosis

目的探讨住院肝硬化患者焦虑抑郁水平的影响因素,为临床护理人员采取干预措施减轻患者的焦虑抑郁情绪提供理论依据。方法采用问卷调查法,以方便抽样的方法调查了105例住院肝硬化患者。结果肝硬化患者的心理健康总体水平差,女性、年龄≥55岁、大专以下学历、经济拮据、非在职情况、病程≥3年、并发腹水或出血者焦虑抑郁水平较高(P<0.01);肝硬化患者社会支持和自我效能感均与其焦虑抑郁水平呈中高度负相关(P<0.01);回归分析显示:社会支持和自我效能感为肝硬化患者焦虑抑郁水平的最重要的影响因素。结论住院肝硬化患者的焦虑抑郁水平受多种因素的影响,提高其社会支持和自我效能感有助于改善他们的焦虑和抑郁水平。

Objective To explore the influcencing factors on the level of anxiety and depression of inpatients with liver cirrhosisso that theortical basis would be provied for nurses to carry out interfering measures decreasing the level of anxiety and depression in these patients. Methods One hundred and five patients with liver cirrhosis were chosen randomly and each was given a questionaire to fill in. Results The general level of psychological health in patients with liver cirrhosis was poor Female gender, age over 55, educational degree less than college, unemployment, disease course over 3 years and presence of complications such as ascites or bleeding were factors that would cause higher level of anxiety and depression（ P 〈 0.01 ）. Social support and selfvalue factor were negatively correlation with the level of anxiety and depression in these patients（ P 〈 0.01 ）. The regression analysis indicated that social support and self-value were the most important influcencing factors on the level of anxiety and depression of patients. Conclusion There were many influcencing factors that would affect anxiety and depression level of patients with liver cirrhosis. Improving social support and self-value would be helpful to improve their level of anxiety and depression.