肝炎后肝硬化患者心理狀況及相關(guān)因素分析

論文編號(hào):HL132  論文字?jǐn)?shù):10544.頁(yè)數(shù):14

題目：肝炎后肝硬化患者心理狀況及相關(guān)因素分析
摘要
目的：研究肝硬化患者的心理健康狀況，并分析其與性別、年齡、職業(yè)、文化程度、病情和社會(huì)支持系統(tǒng)等因素的關(guān)系。
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方法：作者采用肝硬化患者一般情況調(diào)查，臨床表現(xiàn)調(diào)查及肝硬化癥狀自評(píng)量表對(duì)80例確診為肝硬化的患者進(jìn)行問(wèn)卷調(diào)查。將患者的一般情況及病情列表描述，并將肝硬化患者心理狀況調(diào)查結(jié)果與國(guó)內(nèi)常模進(jìn)行對(duì)比，根據(jù)患者性別 年齡、職業(yè)、文化程度和病情的不同進(jìn)行分組比較，用頻數(shù)描述、相關(guān)因素分析 、t檢驗(yàn)、多元逐步回歸、方差分析等統(tǒng)計(jì)學(xué)方法，分析肝硬化患者的心理狀況及相關(guān)因素。
結(jié)果：
肝炎肝硬化患者各癥狀因子評(píng)分均與國(guó)內(nèi)常模有顯著差異，以軀體化 焦慮 抑郁 強(qiáng)迫癥狀因子得分明顯高于國(guó)內(nèi)常模。
不同性別肝硬化患者癥狀自評(píng)量表調(diào)查結(jié)果有差異，男性病人的敵對(duì)因子明顯高于女性病人。
不同年齡肝硬化患者各因子得分無(wú)顯著差異。
不同職業(yè)肝硬化患者各癥狀稍有差異，干部焦慮和恐怖因子明顯高于其它，工人農(nóng)民悲觀、抑郁、敵對(duì)比較明顯，自由職業(yè)者強(qiáng)迫癥狀及人際關(guān)系敏感因子得分較高，而病退人員其焦慮 恐怖 偏執(zhí)和精神病性很明顯。
不同文化程度肝硬化患者各癥狀因子無(wú)顯著差異。
不同病情肝硬化患者在強(qiáng)迫癥狀、焦慮、抑郁和精神病性等方面有明顯差異。
不同社會(huì)支持系統(tǒng)肝硬化患者各癥狀方面也有差別，支持系統(tǒng)越強(qiáng)大心理狀況越好。
肝硬化患者心理健康狀況的相關(guān)因素分析，以肝硬化患者癥狀自評(píng)量表總分為因變量，經(jīng)多元逐步回歸分析，進(jìn)入回歸方程的變量是肝功代償情況和患者對(duì)疾病的認(rèn)識(shí)。
結(jié)論：肝炎后肝硬化患者大都存在不同程度的心理健康問(wèn)題。
關(guān)鍵詞：肝硬化患者, 心理狀況 , 相關(guān)因素

Abstract

The purpose of this study is to understand the psychological status of patient with liver cirrhosis, and analyse the relations between sexual and age and professionand culture level and patient's condition and society sustain system and so on.
The general status questionnaire on patient with liver cirrhosis, clinical manifestation questionnaire and hepatocirrhosis symptom self-check list were used. 80 patients with liver cirrhosiss were investigated, general condition，disease condition and psychological status of patient were stated with form, and compared with the healthy people. At the same time, they were grouped according to their sex, age, profession, educational level and disease condition.analyzing the relative factors. The frequency contribution, t-test,ANOVA, stepwise regression analysis, correlation analysis were used to analy the related factors of patient with liver cirrhosiss.
Results:
1.All symptom mark of patient with liver cirrhosis after hepatitis differ from heathy people,the symptom mark is significant higher than that of heathy people on somatization , anxiety, depression, obsession.
2.There is significant difference for the hepatocirrhosis patient with different sex,they are significant higher than the female patients for the male patients in the items of hostile.
3.There is no significant difference for the patient with liver cirrhosiss with different age in all symptom.
4.There is a little difference for the patient with liver cirrhosis with different profession, they are significant higher than that of others in anxiety and phobia for cadre, they are significant higher than that of others in pessimistic,depression and hostile for worker and peasant, they are significant higher than that of others in obsession and sensitivity of people relationship for freedom profession, but they are significant higher than that of others in anxiety, phoia, paranoid and psychotic for the people who is discharged from office because disease.
5. There is no significant difference for the patient with liver cirrhosiss with different educational level.
6. There is significant difference for the hepatocirrhosis patient with different illness condition in obsession, anxiety, depression and psychotic.
7. There is difference for the patient with liver cirrhosis with different condition of supporting system, it means the stronger supporting system, the better psychological status.
8. To analy the patient with liver cirrhosiss' psychological status and the related factors, by the analyzing of the patient with liver cirrhosiss stepwise regression, the varities of condition of patient with liver cirrhosiss' replace function' and the recognization degree of the disease got into the formule.
conclusion: mental health problems, in varying degress, exist in most patients with liver cirrhosis after hepatitis.

keywords: patient with liver cirrhosis, psychological status, relative factors

目 錄

中文摘要···························1

英文摘要···························2-3（2）

目的·······························4-5（4）

實(shí)習(xí)內(nèi)容·······························5-15（5）
調(diào)查對(duì)象及方法·················5-6（5）
結(jié)果···························6-12（6）
討論···························12-15（12）
結(jié)論···························15-16（15）

參考文獻(xiàn)····························17

致謝································18