慢性乙型肝炎患者认知重评策略与生活满意度关系的调查研究

Investigation and research of the relationship between cognitive reassessment strategies and life satisfaction in patients with chronic hepatitis B

目的对慢性乙型肝炎(CHB)患者的认知重评和生活满意度相关性进行研究。方法以2016年1月至2017年10月我院诊治的60例CHB患者作为研究对象,应用情绪调节问卷(ERS)、心理韧性量表(CD-RISC)及生活满意度量表(SWLS)进行调查,分析和总结调查结果。结果本组60份调查问卷均有效收回。认知重评与表达抑制、坚韧、力量、乐观及主观幸福感呈正相关性(P<0.05);表达抑制与乐观无相关性(P>0.05),表达抑制与坚韧、力量、主观幸福感呈正相关性(P<0.05);坚韧与乐观无相关性(P>0.05),坚韧与力量、主观幸福感呈正相关性(P<0.05);力量与乐观、主观幸福感呈正相关性(P<0.05);乐观与主观幸福感呈正相关性(P<0.05)。认知重评对个体主观幸福感有预测效用(P<0.05);在心理韧性进入主观幸福感、认知重评回归方程中,达到显著水平(P<0.05),所以中介效应显著。结论 CHB患者认知重评策略和生活满意度相关,且经心理韧性产生影响。

Objective To investigate the relationship between cognitive reassessment and life satisfaction in patients with chronic hepatitis B（ CHB）.Methods A total of 60 CHB patients diagnosed and treated in our hospital from January 2016 to October 2017 were selected as the study subjects. Using the emotion regulation questionnaire（ ERS）,mental resilience scale（ CD-RISC）,and life satisfaction scale（ SWLS） to conduct the investigation. The findings were analyzed and summarized. Results The 60 questionnaires in this group were received effectively. There was a positive correlation between cognitive reassessment and inhibition of expression,tenacity,strength,optimism and subjective well-being（ P〈0. 05）. There was no correlation between inhibition of expression and optimism（ P〉0. 05）,and there was a positive correlation between inhibition of expression and tenacity,strength,and subjective well-being（ P〈0. 05）. There was no correlation between tenacity and optimism（ P〉0. 05）. Tenacity was positively correlated with strength and subjective well-being（ P〈0. 05）. Power was positively correlated with optimism and subjective well-being（ P〈0. 05）. Optimism was positively correlated with subjective well-being（ P〈0. 05）. Cognitive reassessment had predictive utility for individual subjective well-being（ P〈0. 05）. When psychological resilience entered subjective well-being and cognitive reassessment regression equation reached a significant level（ P〈0. 05）,the mediating effect was significant. Conclusion The cognitive reassessment strategy of CHB patients is related to life satisfaction,and it is influenced by psychological resilience.