中青年慢性乙型肝炎患者心理干预的临床效果分析

Study on Psychological Nursing of the Young or Middle-aged Patients with Chronic hepatitis B

目的:研究中青年慢性乙型肝炎患者的个性特征和心理状态,探讨适合患者的心理护理方法。方法:将100例中青年慢性乙型肝炎患者随机分为干预组和对照组,每组50例,两组在应用传统保肝治疗同时,对照组给予常规护理治疗,而干预组依照患者的一般资料,艾森克人格问卷测得的患者的个性特征,SCL-90测评的患者的心理状态,实施相应的心理护理,内容包括相关知识教育、支持性心理护理、音乐心理护理以及睡眠心理护理。两组均治疗六个月,通过对干预组和对照组治疗效果及护理满意度的比较,探讨适合中青年慢性乙型肝炎患者的心理护理方法。结果:中青年慢性乙型肝炎患者具有特殊的个性特征和心理状态,其气质类型以抑郁质和胆汁质占多数,并且不同性别、年龄、职业的患者其个性特征不同,其心理状态也不同。干预组的治疗效果和护理满意度评分明显高于对照组,具有统计学意义(P<0.05)。结论:心理护理按照患者的不同个性特征和心理状态制定,能够有效减轻抑郁、焦虑等症状,缓解心理压力,稳定情绪,提高睡眠质量,有利于疾病的治疗。

Objective： To analyse the personality characteristic and psychological state of the young or middle-aged patients suffer form chronic hepatitis B,and to reseach the proper psychological nursing methods on these patients.Methods： 100 cases were randomly divided into treatment group and control group with 50 cases in each.Both groups were given conventional liver-protecting drugs.Routine nursing and therapy were performed in control group while psychological nursing include health education,supportive,music and sleep psychological nursing according to the result of general data,Eysenck Personality Questionnaire and Symptom Checklist 90,were given to the treatment group,then research the proper psychological nursing methods on the young or middle-aged patients through comparing the nursing satisfaction rate of the 2 groups after the patients treated for 6 months.Results： The young or middle-aged patients with chronic hepatitis B has a special personality characteristic and psychological state,the majority of their temperament type belongs to the melancholic and choleric,and patients of different gender,age,occupation have different personality characteristic and psychological state.The nursing satisfaction rate of the treatment group was higher than the control group,the differences were statistically significant（P0.05）.Conclusion： The psychological nursing depending on personality characteristics and mental state can effective alleviate depression and anxiety symptoms,relieve mental stress,stabilize emotion,ameliorate sleep quality,improve treating effect of the patients.