成人慢性乙型肝炎患者焦虑抑郁症状调查

Investigation of incidence of anxiety and depression in patients with chronic hepatitis B

目的:了解成人慢性乙型肝炎患者的焦虑抑郁症状。方法:随机抽取2006年1月～12月期间我院慢性乙型肝炎住院患者70例作为研究组,另随机抽取同期在本院健康体检正常者70例作为对照组,采用BECK焦虑量表和抑郁量表调查,比较两组焦虑和抑郁症状的发生率有无区别,并采用描述性相关性研究法分析抑郁症相关影响因素。结果:与对照组相比,研究组抑郁症的发生率较高(P<0.05),而焦虑的发生率在两组间无统计学差异(P>0.05)。焦虑抑郁水平与病情、年龄、性别、文化程度、病程等因素相关。结论:慢性乙型肝炎患者的抑郁发生率较正常人群高,而且与病情、年龄、性别、文化程度、病程等因素有关。因此,有必要对乙肝患者进行心理支持治疗。

Objective：To investigate incidence of anxiety and depression in the patients with chronic hepatitis B. Methods： 70 hospital patients with chronic hepatitis 13 were randomly selected from the hospital patients with chronic hepatitis B from 2006. 1 to 2006. 12 in our hospital and served as study group, and 70 healthy persons with similar demographic characteristics were served as the control group. The ＂Beck＇s Depression Inventory＂ and ＂Anxiety Inventory＂ were used for the assessment of the incidence of depression and anxiety. The assessment outcomes of two groups were compared each other and the influential factors of the depression were analyzed. Results： The difference of incidence of depression was significant between the two groups and the study group had a higher incidence of depression than that of the control group（P〈0. 05）. But there was no obvious difference of incidence of anxiety between the two groups（P〉0. 05）. Influential factors of the depression included pathogenetie condition, sexuality, age, education degree and course of disease. Conclusion： Compared with the healthy people, the patients with chronic hepatitis B have a higher incidence of depression, hut the incidence of anxiety does not increase. So it is essential for doctors to pay more attention to the psychological changes of these patients and these patients need more psychological support from society and families.