慢性乙型肝炎病人心理动态分析研究

Analysis on Psychological Status of Patients with Chronic Hepatitis B

目的分析慢性乙型病毒性肝炎 (CHB)病人个性特点和不同住院时期的心理状况 ,旨在为临床心理治疗、心理护理提供依据。方法随机选择CHB病人 30例 ,用卡特尔 16种个性因素测验量表 (16 PF)对病人进行人格测定 ;入院时、入院 2周、入院 4周用症状自评量表 (SCL 90 ) ,Zung焦虑自评量表 (SAS) ,Zung抑郁自评量表 (SDS)分别进行 3次心理测试 ,将测试结果与国内常模比较及自身前后比较。结果男性病人 16 PF中 9个因素得分与常模比较 ,差异有显著性意义 (P <0 .0 5或 <0 .0 1)。SCL 90多个因子得分与常模比较 ,差异有显著性意义 (P <0 .0 5或 <0 .0 1) ;SAS、SDS评分与常模比较 ,均P <0 .0 1。入院时、入院 2周、入院 4周SCL 90及SAS、SDS评分比较 ,差异均无显著性意义 (均P >0 .0 5 )。结论CHB病人具有一定的人格特点 ,存在焦虑、抑郁、恐怖等负性情绪 ,且这些负性情绪可持续到出院后。

Objective To analyze the character and psychological status of patients with chronic hepatitis B in different hospital periods. Methods Thirty cases of chronic hepatitis B were randomly selected. The personality test was performed on the patients using Cattell 16 Personality Factor Questionnaire (16-PF); In the first day of their admission and after 2, 4 weeks, the psychological status of patients were assessed by symptom checklist 90 (SCL-90), self-rating anxiety scale (SAS), self-rating depression scale (SDS) three times. Results The results of 16-PF showed that 9 of 16 factor scores were significant different from Chinese norm (P<0.05 or P<0.01). Several factor scores of SCL-90, SAS and SDS were obviously higher than Chinese norm (P<0.05 or P<0.01). There was no significant difference in the scores of SCL-90, SAS and SDS in the first day of their admission and after 2, 4 weeks (all P> 0.05). Conclusion Patients with chronic hepatitis B have notable characteristic and negative moods of anxiety, depression, horror etc. These negative moods can exist after leaving hospital.