乙型肝炎肝硬化患者疲劳与负性情绪的关系研究

Study on relation of fatigue and negative emotions in patients with liver cirrhosis of hepatitis B

[目的]探讨负性情绪对乙型肝炎肝硬化患者疲劳状况的影响。[方法]将纳入的乙型肝炎肝硬化患者分为有负性情绪组和无负性情绪组,采用疲劳自评量表(FSAS)对两组患者的疲劳状况进行量化评定,并运用统计软件对该量表中的躯体疲劳、精神疲劳、总体疲劳、疲劳后果、疲劳的情境性、睡眠/休息不能缓解疲劳6个因子分值进行组间的比较及分析。[结果]除疲劳的情境性、睡眠/休息不能缓解疲劳2个因子以外,有负性情绪组患者的躯体疲劳、精神疲劳、疲劳后果、总体疲劳的得分均高于无负性情绪组患者,且差异有统计学意义(P<0.05)。[结论]乙型肝炎肝硬化患者的负性情绪对患者的疲劳状况有一定的影响。

[Objective] To study the effect of negative emotions on the fatigue in patients with liver cirrhosis of hepatitis B. [Methods] Patients with liver cirrhosis of hepatitis B were divided into negative emotions group and no negative emotions group. The fatigue characteristics of all the subjects in two groups were evaluated with the fatigue Self-assessment Scale. The mean scores of physical fatigue （PF）, mental fatigue （MF）, general fatigue （GF）, consequence of fatigue （CF）, situation of fatigue （SF）, response of fatigue to sleep and rest （RFfAR） in this scale for two groups were analyzed using statistical software. [Results] Except RFfAR and SF , the mean scores of PF, MF, GF, CF in negative emotions group were higher than that in no negative emotions group with marked difference between these 2 groups （P〈 0.05）. [Conclusion] Negative emotions have a significant effect on the development of fatigue in patients with cirrhosis of hepatitis B.