慢性乙型病毒性肝炎患者抑郁及压力与社会支持的相关性

摘要

Objective To explore the relationship between depression, stress and social support of patients with chronic hepatitis B so as to provide evidence for the wellbeing of patients with chronic hepatitis B. Methods Beck depression questionnaire, pressure sense scale and social support rating scale(SSRS) were used to analyze the correlation between depression, stress and social support of 286 cases with chronic hepatitis B. Results The incidence of depression in patients with chronic hepatitis B was 30. 53%, which had obvious positive correlation with pressure grade(P<0. 01), and had remarkable negative correlation with social support(P<0. 01). The stress grade of patients with depression was much higher than that of patients without depression,while the total grade of social support and three dimensional grade were much lower than those of patients without depression. The major factors that influencing depression of patients with chronic hepatitis B were age, pressure, social support, relation with family members, dependence and economic condition. Conclusion Paramedics should reinforce psychological attendance to patients with chronic hepatitis B and prevent depressive emotion. Besides, psychological intervention and remedy should be given to patients in time to improve physical and mental health.%目的 探讨慢性乙型病毒性肝炎患者抑郁及压力与社会支持的关系,为维护并提高慢性乙型病毒性肝炎患者的身心健康提供依据.方法 采用Beck抑郁问卷、领悟压力量表及社会支持评定量表对286例慢性乙型病毒性肝炎患者进行抑郁及压力与社会支持的调查并进行相关性分析.结果 慢性乙型病毒性肝炎患者抑郁发生率为30.53%,与压力评分呈显著性正相关(P<0.01);而与社会支持评分呈显著负相关(P<0.01).抑郁患者压力评分明显高于非抑郁患者,而社会支持总分及3维度评分则均明显低于非抑郁组.患者年龄、压力、社会支持、与家人关系、独立能力、经济条件等6项是影响慢性乙型病毒性肝炎患者抑郁的主要因素.结论 护理人员应加强对慢性乙型病毒性肝炎患者的心理护理,积极预防抑郁情绪的发生;对抑郁患者及时采取心理干预及治疗,从而提高其身心健康.