【摘要】：目的 對慢性乙型肝炎(CHB)患者的心理及行為問題進行系統(tǒng)評估,探討影響慢性乙肝患者生活質量的因素;對慢性乙肝患者進行心理治療,比較藥物治療配合心理治療是否比單純藥物治療有更好的療效,為慢性乙肝患者的臨床心理治療提供實驗和理論依據(jù)。 研究對象和方法 1.以濟南市傳染病院住院的CHB患者152例為對象,同時以該醫(yī)院的醫(yī)學生和護士為對照,用SCL-90、SAS、SDS、MCMQ、CLDQ研究慢性乙肝患者的心理及行為問題。 2.從患者中抽取90名自愿者,按照病情和人口學資料相匹配原則分為心理康復組(50例)和患者對照組(40例)。入院后病情穩(wěn)定后兩組患者進行第一次評估,包括心理問題評估(SCL-90、SAS、SDS、MCMQ)、生活質量(CLDQ)和肝功能生化指標(ALT、AST、TBIL、DBIL、ALB)。 3.給心理康復組患者發(fā)放健康教育小冊子,并用自編的慢性乙肝患者半定式晤談表確定患者的核心心理問題。在藥物治療的同時針對患者的核心心理問題進行每周1-2次、住院期間共2-12次的心理治療�；颊邔φ战M只進行藥物治療。 4.治療結束進行第二次評估。比較兩次評估結果的異同。 研究結果 1.CHB患者的心理問題: 患者的SCL-90除了人際敏感和偏執(zhí)因子,其他因子分及總分與中國常模差異有顯著性,在軀體化、焦慮、抑郁、敵對及睡眠飲食方面與醫(yī)護對照組比較有顯著差異。患者SAS、SDS得分高于常模,差異有顯著性。MCMQ測量結果:
[Abstract]:Objective to evaluate the psychological and behavioral problems of patients with chronic hepatitis B (CHB) and to explore the factors affecting the quality of life of patients with chronic hepatitis B. In order to provide experimental and theoretical basis for clinical psychotherapy of patients with chronic hepatitis B, the comparison between drug therapy and psychotherapy is more effective than that of drug therapy alone. Object and method 1. 152 cases of CHB patients hospitalized in Jinan Infectious Diseases Hospital were taken as subjects, while the medical students and nurses in the hospital were taken as control. To study the psychological and behavioral problems of chronic hepatitis B patients with SCL-90,SAS,SDS,MCMQ,CLDQ. 2. 90 volunteers were selected from the patients and divided into psychological rehabilitation group (50 cases) and patient control group (40 cases) according to the principle of matching condition and demographic data. The patients in the two groups were evaluated for the first time after admission, including psychological assessment (SCL-90,SAS,SDS,MCMQ), quality of life (CLDQ) and liver function biochemical index (ALT,AST,TBIL,DBIL,ALB). 3. Health education pamphlets were distributed to the patients in the psychological rehabilitation group, and the core psychological problems of the patients were determined by the self-compiled semi-fixed interview table for the patients with chronic hepatitis B. At the same time, the patients were treated with 2-12 psychotherapy times a week and 2-2 times a week for the patients' core psychological problems. The patients in the control group were treated with drugs only. 4. A second assessment was performed at the end of the treatment. Compare the similarities and differences between the results of the two evaluations. Results the psychological problems of patients with 1.CHB: in addition to interpersonal sensitivity and paranoid factors, patients with SCL-90, The scores of other factors and total scores were significantly different from those of Chinese norm, and there were significant differences in somatization, anxiety, depression, hostility and sleeping diet. The SAS,SDS score of the patients was higher than that of the norm, and the difference was significant.
【學位授予單位】：山東大學
【學位級別】：碩士
【學位授予年份】：2005
【分類號】：R395.5

【參考文獻】

相關期刊論文 前10條

1 魏倪,汪勤,趙汝欽,宋軍,侯永生,丁寶坤;肝炎時的應激與皮質醇、血管緊張素Ⅱ檢測的意義[J];中國醫(yī)師雜志;2001年04期

2 季建林;情感障礙的心理社會治療[J];國外醫(yī)學.精神病學分冊;1994年02期

3 沈翠珍,邵愛仙,鄭小紅,王曉燕,倪金萍;不同心理干預方法對改善慢性乙肝患者心身癥狀的研究[J];中國健康心理學雜志;2004年04期

4 沈翠珍,邵愛仙,王曉燕,倪金萍,鄭小紅;放松訓練對改善慢性乙肝患者心身癥狀的研究[J];中國實用護理雜志;2004年01期

5 陳良珠,謝忠,黃鋼,銀正民,余忠華;認知行為干預乳腺癌病人生存質量[J];中國臨床康復;2002年18期

6 劉哲寧,姚樹橋;認知行為治療[J];中國臨床康復;2002年21期

7 王建平,林文娟,孫宏偉;癌癥病人心理干預的效果及其影響因素[J];心理學報;2002年02期

8 呂倩,林文娟,王建平;心理社會因素與人類免疫功能[J];心理學動態(tài);2000年02期

9 王云強,喬建中;情緒活動對免疫系統(tǒng)的影響[J];心理科學進展;2004年04期

10 岳文浩，，付文青，蘆宗玉，江虹，田明曉，王方;怒傷肝機制研究[J];醫(yī)學與哲學;1995年09期

本文編號：2234839