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目的 探讨社会心理因素在病毒性肝炎的发展、治疗和预防中所起的作用,为本病的防治及心理治疗提供某些依据。方法 根据诊断标准,将186例住院病人分为急性肝炎、慢性肝炎、肝炎肝硬化三个观察组与71位健康人作对照,采用有较高信度和效度的问卷(EPQ、LES、SAS—CR、SOS—CR、MCMQ、PSSS),用SPSS套装软件作统计分析,结果慢性肝炎与肝硬化患者有较高的神经质倾向;生活事件发生频率;肝炎肝硬化>慢性肝炎>急性肝炎>对照组;慢性肝炎和肝硬化病人抑郁程度比急性肝炎严重;负性事件和负性情绪使肝炎病人的病情迁延恶化,不利于康复。提示病毒性肝炎发展各阶段过程应高度重视社会心理因素对疾病的影响。
Objective To explore the role of psychosocial factors in the development, treatment and prevention of viral hepatitis and provide some evidences for prevention and treatment of this disease. Methods According to diagnostic criteria, 186 inpatients were divided into three groups: acute hepatitis, chronic hepatitis, cirrhosis and 71 healthy individuals. The questionnaires with high reliability and validity (EPQ, LES, SAS -CR, SOS-CR, MCMQ and PSSS). SPSS software was used for statistical analysis. The results showed that patients with chronic hepatitis and cirrhosis had higher neuroticism, frequency of life events, hepatitis cirrhosis, chronic hepatitis and acute hepatitis. Group; chronic hepatitis and cirrhosis patients with severe degree of depression than acute hepatitis; negative events and negative emotions so that the deterioration of hepatitis patients exacerbations, is not conducive to rehabilitation. Prompted the development of viral hepatitis in all stages of the process should pay great attention to the impact of social and psychological factors on the disease.