无症状乙肝病毒携带者心理健康状况调查与分析

Investigation And Analysis of Mental Health Status on chronic asymptomatic HBV carriers

目的:探讨慢性乙型肝炎病毒(HBV)携带者的心理健康状况及其影响因素。方法:采用自编一般情况问卷和症状自评量表SCL-90式对300例传染科门诊就诊的携带乙肝病毒的患者进行调查。结果:①SCL-90结果显示:心理问题的总检出率为26%。AsC患者各因子均分明显高于全国常模(P<0.001)。在各因子中,尤其以躯体化、焦虑、敌对和精神病为重。②不同性别、婚姻状况、医疗方式、受教育程度、病程之间各因子分均有差异(P<0.05),其中自费者、农民、已婚患者的心理问题较重。结论:无症状慢性HBV携带者心理健康状况较差。

Objective： To investigate the mental heahh of chronic asymptomatic HBV carriers （AsC）.Methods：Three hundred chronic hepatitis B carrierswere included in our study group, All the subjects were evaluated by self- made questionnaire and Symptom Checklist 90 （SCL- 90）, Results： ①SCL- 90 outcomes： The proportion of total score of the symptom checklist - 90 （SCL- 90） over 160 was 26%. The total mean score of scl - 90 and scores of all subscales in AsC were higher than that of the national norm（P〈 0.01）, the first 4 factors all were somatization, anxiety,hostility and psychoticisln. ②According to gender, age, education, marital status, means of payment of medical cost and disease duration. There were significant difference in the total scores of SCL- 90 and SCL- 90 various symptom factors（P 〈 0.05）. Conclusion：The mental health level of AsC was lower, effective individuation intervention measures should be taken to enhance the level of psychological health for them.