肝炎后肝硬化患者心理状况及相关因素分析

论文编号:HL132  论文字数:10544.页数:14

题目：肝炎后肝硬化患者心理状况及相关因素分析
摘要
目的：研究肝硬化患者的心理健康状况，并分析其与性别、年龄、职业、文化程度、病情和社会支持系统等因素的关系。
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方法：作者采用肝硬化患者一般情况调查，临床表现调查及肝硬化症状自评量表对80例确诊为肝硬化的患者进行问卷调查。将患者的一般情况及病情列表描述，并将肝硬化患者心理状况调查结果与国内常模进行对比，根据患者性别 年龄、职业、文化程度和病情的不同进行分组比较，用频数描述、相关因素分析 、t检验、多元逐步回归、方差分析等统计学方法，分析肝硬化患者的心理状况及相关因素。
结果：
肝炎肝硬化患者各症状因子评分均与国内常模有显著差异，以躯体化 焦虑 抑郁 强迫症状因子得分明显高于国内常模。
不同性别肝硬化患者症状自评量表调查结果有差异，男性病人的敌对因子明显高于女性病人。
不同年龄肝硬化患者各因子得分无显著差异。
不同职业肝硬化患者各症状稍有差异，干部焦虑和恐怖因子明显高于其它，工人农民悲观、抑郁、敌对比较明显，自由职业者强迫症状及人际关系敏感因子得分较高，而病退人员其焦虑 恐怖 偏执和精神病性很明显。
不同文化程度肝硬化患者各症状因子无显著差异。
不同病情肝硬化患者在强迫症状、焦虑、抑郁和精神病性等方面有明显差异。
不同社会支持系统肝硬化患者各症状方面也有差别，支持系统越强大心理状况越好。
肝硬化患者心理健康状况的相关因素分析，以肝硬化患者症状自评量表总分为因变量，经多元逐步回归分析，进入回归方程的变量是肝功代偿情况和患者对疾病的认识。
结论：肝炎后肝硬化患者大都存在不同程度的心理健康问题。
关键词：肝硬化患者, 心理状况 , 相关因素

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 录

中文摘要···························1

英文摘要···························2-3（2）

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

实习内容·······························5-15（5）
调查对象及方法·················5-6（5）
结果···························6-12（6）
讨论···························12-15（12）
结论···························15-16（15）

参考文献····························17

致谢································18

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