Analysis of the investigation of the psychological state of patients with chronic hepatitis B毕业论.docx
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AnalysisoftheinvestigationofthepsychologicalstateofpatientswithchronichepatitisB毕业论
AnalysisoftheinvestigationofthepsychologicalstateofpatientswithchronichepatitisB
Author:
LiXiaoqiu,XiongCaiPeiBin,ChenChangsheng,XuZhe
[Abstract]Objective:
investigationofchronichepatitisB(CHBpatientswithpsychologicalstate,evaluationtheCHBpatientspsychologicalstatusandrelatedfactors,toimprovethequalityoflifeofthepopulationofCHB.:
90SymptomChecklist(SCL90)AnxietyRatingScaleAnalysisSystem(SAS),Self-RatingDepressionScaleAnalysisSystem(SDS)threeself-ratingscaleof800patientswithCHBsurveydatawereanalyzedbyt-test,correlationanalysisandmultiplelogisticregressionanalysisresults:
theCHBpatientsSCL909factorsomatization,anxiety,hostility,terror,psychoticsixindicatorscorrespondingresultswerehigherthanthenationalnorm(P=0.000),interpersonalsensitivity,depressionlowerthanthenationalnormresults(P=0.000),Logisticmultipleregression:
age,depression,hostility,interpersonalsensitivity,paranoid,psychoticsomatizationinfluencingfactorsofdiseaseseverity,educationlevel,genderotherfactorsirrelevantfactorSDSandSAS20standardpointswerenot50pointsmorethanthesectorsub-index0.48+-0.04depression,anxietyscoreof30.38+-4.41.Conclusions:
TheimpactofdifferentfactorsonCHB.InordertoimprovethequalityoflifeofpatientswithCHB,thefindingsprovideatheoreticalbasisforeffectiveinterventions.
[Keywords]chronichepatitisBresearch;90SymptomChecklistSCL90,AnxietyRatingScaleAnalysisSystem,Self-RatingDepressionScaleAnalysisSystem
[Abstract]AIM:
TomakeaninquiryintothementalstatusofaquantityofchronichepatitisBinpatients,toexplorethemajorfactorsinfluencingtheirmentalstatussoastolaythefoundationfortheeffectiveclinichealtheducationandconstituteabasisforimprovingthequalityoflifeofthewholechronichepatitisBcrowds.METHODS:
EighthundredchronichepatitisBinpatientswereinquiredbyusingSymptomChecklist90(SCL90),SelfRatingAnxietyScale(SAS),selfratingdepressionscale(SDS)andthedatawereanalyzedbyusingttest,multivariatelogisticregressionanalysisandcorrelationanalysis.RESULTS:
Theindexesofsomatization,compulsion,anxiety,hostility,phobia,psychosiswerehigherthanthoseofdomesticnorm(P=0.000).Multivariatelogisticregressionanalysisshowedthatage,depression,hostility,interpersonalrelationshiptenderness,crankiness,psychosis,somatizationplayedrolesinimpactingthediseaseprognosis,buteducationandgenderhadnorelationwithit.ThestandardscalesofSDSandSASdidntsurpasstheceilingvalue.Theindexofdepressionwas0.48+-0.04,andthatofanxietywas30.38+-4.41respectively.CONCLUSION:
DifferentfactorhaddifferentimpactonchronichepatitisB.WhentreatingthechronichepatitisBpatients,medicalworkersshouldpaymuchattentiontoimprovingtheirmentaltrouble.
[Keywords]chronichepatitisB;inquiry;SCL90;SAS;SDS0IntroductionGlobalhepatitisBpatients,amountingtoabout350million.DatashowthatChina’shepatitisBvirus(hepatitisBvirus,HBV)asymptomaticcarriersmaybemorethan120million,morethanthetotalpopulationof1/10,ofwhichaconsiderablepartofthechronicBHepatitis(chronichepatitisB,CHB)[1].CHBisachronicinfectiousdisease,currentlynospecifictreatmentmethodworldwideCHBtreatmentmeasuresarenottocurethepatient“short-termprocess,butlargepart-timeoutsidethehospitalself-care[2].thusCHBpatientsofteneasychroniccourseofthediseaseforalongtime,somepatientsevendevelopintocirrhosis,livercancer,increasethepsychologicalburdenofpatients,evendepression,anxiety,psychosis,directaffecttheCHBpatientoutcomesandprognosiswiththetransformationofthemedicalmodel,peoplehavebecomeincreasinglyawareofthementalhealthplaysanimportantroleinthedevelopmentandoutcomeofCHB.800CHBpatientspsychologicalstateassessmentdesignedtoprovideatheoreticalbasisforeffectiveinterventioninordertoimprovethequalityoflifeofpatientswithCHB.
1objectsandmethods1.1ObjectsSelect200411/200604ChangzhengHospital,SecondMilitaryMedicalUniversity,DepartmentofInfectiousDiseases,ChanghaiHospital,SecondMilitaryMedicalUniversity,DepartmentofInfectiousDiseases,theArmedPoliceCorpsHospitalofJiangxiinfectioninpatientdiagnosedCHBpatients800(male580,female220cases,aged17to76(38.34+-10.32)yearsofage,(ChangzhengHospital,300cases,200casesofChanghaiHospital,theArmedPoliceCorpsHospitalofJiangxiInfectiousDiseases,300cases).diagnosticcriteria200009Xi’ansixthnationalinfectiousandparasiticdiseasesConferenceamendmentsthediagnosisandcla