乙肝肝硬化患者心理危机感水平及其相关影响因素分析

Analysis of Psychological Crisis Level and its Related Influencing Factors in Patients with Hepatitis B Cirrhosis

目的:探讨乙肝肝硬化(HBC)患者心理危机感水平的影响因素,以指导临床拟定干预措施。方法:选取2021年1月—2022年12月莆田学院附属医院收治的78例HBC患者作为研究对象。评估所有患者的心理危机感水平[危机干预分类评估表(TAF)],设计基线资料调查表,详细统计所有患者的基线资料,比较不同资料特征HBC患者的TAF评分,重点分析HBC患者心理危机感水平的影响因素。结果:78例HBC患者的平均TAF评分为(44.65±5.82)分。不同病程、家庭关怀度、心理弹性及文化水平HBC患者的TAF评分比较,差异有统计学意义(P<0.05)。不同家庭月人均收入、工作、居住地、年龄、婚姻状况及性别HBC患者的TAF评分比较,差异无统计学意义(P>0.05)。经多元线性回归分析发现,HBC患者心理危机感水平的影响因素为文化水平低、家庭关怀度低、心理弹性低下及病程短(P<0.05)。结论:HBC患者心理危机感处于中等水平,HBC患者心理危机感水平的影响因素为文化水平低、家庭关怀度低、心理弹性低下及病程短。

Objective:To investigate the factors influencing the level of psychological crisis in patients with hepatitis B cirrhosis(HBC)in order to guide the clinical formulation of interventions.Method:78 HBC patients admitted to Putian College Hospital from January 2021 to December 2022 were selected as the study subjects.The level of psychological crisis feeling of all patients was assessed[Trinage Assessment Form(TAF)].The baseline information questionnaire was designed to count the baseline information of all patients in detail,compared the TAF scores of HBC patients with different information characteristics,and focus on analyzing the influencing factors of the psychological crisis feeling level of HBC patients.Result:The mean TAF score of 78 HBC patients was(44.65±5.82)points.The difference between TAF scores of HBC patients with different disease duration,family caring,psychological resilience and literacy level was statistically significant(P<0.05).The differences in TAF scores of HBC patients with different monthly per capita family incomes,jobs,places of residence,ages,marital status and genders were not statistically significant(P>0.05).Multiple linear regression analysis revealed that the factors influencing the level of psychological crisis in HBC patients were low cultural level,low family care,low psychological resilience and short duration of the disease(P<0.05).Conclusion:The level of psychological crisis in HBC patients was at an intermediate level,and the factors influencing the level of psychological crisis in HBC patients were low literacy,low family care,low psychological resilience and short duration of the disease.