肝硬化患者主观幸福感及其影响因素的调查研究

Subjective well being and its influencing factors in patients with liver cirrhosis

目的探讨肝硬化患者主观幸福感的水平及其影响因素。方法采用便利抽样方法抽取100例肝硬化患者,运用纽芬兰纪念大学主观幸福度量表、社会支持量表、医学应对问卷、焦虑自评量表、抑郁自评量表进行调查。结果肝硬化患者主观幸福感为中等水平[(21.58±4.72)分],不同经济收入、医疗费用支付方式和疾病严重程度患者的主观幸福感得分差异均有统计学意义(P<0.01);高社会支持组的幸福感高于低社会支持组,差异有统计学意义(P<0.01);肝硬化患者幸福感总分与回避、屈服呈负相关,差异有统计学意义(P<0.05);肝硬化患者的焦虑、抑郁情绪状态与幸福感总分、正性情感和正性体验呈负相关,与负性情感和负性体验呈正相关,差异有统计学意义(P<0.05)。结论肝硬化患者主观幸福感水平不高,医护人员应通过各种措施,增加患者的社会支持,加强心理干预,改善负性情绪,指导患者采用积极地面对,尽量避免屈服和回避的心理,以提高主观幸福感,促进身心健康。

Objective To explore the level of subjective well being and its influencing factors in patients with liver cirrhosis. Methods A convenience sample of 100 cirrhotic patients was investigated. The questionnaire include subjective well-being of Memorial University of New- foundland, social support rating scale table, medical coping questionnaire, anxiety self rating scale, self rating Depression Scale （SDS） ta- bles. Results For the moderate level of subjective well-being of patients with liver cirrhosis [ （21.58 ±4.72） ], There were significant differences in subjective well-being scores between different economic income, medical expenses payment and disease severity （P 〈 0.01 ） ; high social support group＇s well-being was higher than the low social support group and had a statistically significant difference （P 〈0.01 ） ; For liver cirrhosis patient well-being and avoidance, yield negatively correlated, the difference was statistically significant （P 〈 0.01 or P 〈 0.05 ） ; liver cirrhosis patients with anxiety and depression status and well-being score, positive emotion and positive experience was respectively negative correlation, while positive correlation with the negative feelings and experience was found, the difference was statistically significant （P 〈0.01 or P 〈 0.05）. Conclusion Liver cirrhosis patient＇s subjective happiness sense level is not high, the medical personnel should take a variety of measures, include increasing patient＇s social support, strengthening the psychological intervention, improving the neg- ative emotion, guiding patients with positive face, try to avoid yield, and avoid the psychological, to improve the subjective happiness feeling and promote physical and mental health.