摘要
目的 了解失代偿期乙型肝炎肝硬化患者负性情绪及相关影响因素.方法 于2016年1—12月,采用便利抽样法,抽取南通大学附属南通第三医院肝病科失代偿期乙型肝炎肝硬化患者251例,运用SDS、SAS量表对其进行调查分析.结果 251例失代偿期乙型肝炎肝硬化患者抑郁、焦虑得分分别为（57.34±12.44）、（52.48±8.98）分,发生率为66.53%、56.27%.Pearson相关性分析显示呈正相关（r=0.491,P〈0.001）,不同年龄、性别、职业、文化层次、婚姻、月收入状况的患者抑郁、焦虑得分差异有统计学意义（P〈0.05）;不同年龄、性别、文化层次、婚姻、月收入、医疗支付方式的患者抑郁、焦虑发生率,差异有统计学意义（P〈0.05）.结论 失代偿期乙型肝炎肝硬化患者抑郁、焦虑得分及发生率较高,需高度重视,采取综合措施,缓解抑郁、焦虑情绪.
Objective To explore the negative emotion in decompensated cirrhosis patients with HBV and its influencing factors. Methods A total of 251 decompensated cirrhosis patients with HBV of hepatic department in Nantong Third People＇s Hospital,the Affiliated Hospital of Nantong University,were extracted from January 2016 to December 2016. They were investigated with the self-rating depressive scale（SDS）and the self rating anxiety scale（SAS）. Results The scores of SDS and SAS of 251 decompensated cirrhosis patients with HBV were（57.34±12.44）and（52.48±8.98）. The incidence rates of depression and anxiety were 66.53% and 56.27%. Pearson correlation analysis showed that there was a significantly positive correlation between the scores of SDS and SAS（r=0.491,P 〈 0.001）. There were statistically significant differences in the scores of SDS and SAS among different ages,sexes,occupations,cultural levels,marital status,monthly income（P 〈 0.05）. There were statistically significant differences in the incidence rates of depression and anxiety among ages,sexes, occupations,cultural levels,marital status,monthly income,medical payment（P〈0.05）. Conclusions The scores of SDS and SAS as well as the incidence rates of depression and anxiety are high in decompensated cirrhosis patients with HBV. It should be paid high attention to. Comprehensive measures should be taken to relieve depression and anxiety.
出处
《中华现代护理杂志》
2017年第26期3400-3404,共5页
Chinese Journal of Modern Nursing
基金
南通市市级科技计划（指导性）项目（HS149018）
南通市卫生和计划生育委员会青年医学人才科研基金立项课题（WQ2015037）
南通市市级科技计划项目（HS2016002）
关键词
肝炎
乙型
慢性
肝硬化
焦虑
抑郁
失代偿期
Hepatitis B
chronic
Liver cirrhosis
Anxiety
Depression
Decompensation stage
