心理护理干预在慢性乙型肝炎患者焦虑及抑郁中的应用

The Application of Psychological Care Intervention for Anxiety and Depression in Patients with Chronic Hepatitis B

目的探讨心理护理干预对慢性乙型肝炎患者焦虑、抑郁的影响。方法对我院2009年12月至2012年5月收治的56例慢性乙型肝炎患者(观察组)和同期56例健康体检者(对照组)采用焦虑自评量表(SAS)及抑郁自评量表(SDS)进行问卷调查,并对慢性乙型肝炎患者进行早期心理护理干预。结果观察组SAS及SDS评分均明显高于对照组(P<0.05),说明慢性乙型肝炎患者普遍存在着焦虑及抑郁症状。观察组患者心理护理干预前后比较,干预后乙型肝炎患者的SAS及SDS评分均明显低于心理干预前(P<0.05),说明乙型肝炎患者在心理护理干预后焦虑和抑郁症状得到改善。结论慢性乙型肝炎患者存在一定程度的焦虑及抑郁,心理护理干预可改善其心理状态,缓解慢性乙型肝炎患者的焦虑及抑郁症状,提高患者的生活质量。

Objective To investigate the psychological care intervention for chronic hepatitis B patients with anxiety,depression.Methods 56 patients with chronic hepatitis B patients（study group） were treated in our hospital from December 2009 to May 2012 and the same period in 56 healthy subjects（control group） Self-Rating Anxiety Scale（SAS） and depression since Rating Scale（SDS） questionnaire,and chronic hepatitis B patients with early psychological nursing intervention.Results SAS and SDS scores of the observation group were significantly higher（P 0.05）,description of the prevalence of chronic hepatitis B patients with symptoms of anxiety and depression.Psychological care of patients before and after the intervention of the observation group compared with hepatitis B patients after the intervention of SAS and SDS scores were significantly lower than before the psychological intervention（P 0.05）,and hepatitis B patients in anxiety and depression symptoms improved after the intervention of psychological care.Conclusion Patients with chronic hepatitis B exists a certain degree of anxiety and depression,psychological nursing intervention can improve their psychological state,relieve anxiety and depressive symptoms of patients with chronic hepatitis B,and improve the patient＇s quality of life.