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本文应用症状自评量表(SCL-90)及生活事件量表(LES)对门诊的84例慢性HBV感染者进行调查,观察该类患者SCL—90与其生活事件、患者一般情况、病程、谷丙转氨酶(ALT)、病毒复制情况(HBeAg)的关系.结果发现慢性HBV感染者存在明显的心理障碍,心理障碍程度与患者一年内生活事件总量及负性生活事件量成直线相关,女性患者心理障碍普遍较重,病程长者躯体化及焦虑症状较重,有肝病家族史者敌对情绪较为明显,已婚者躯体化症状较重,而职业、文化程度、年龄、ALT、HBeAg等与患者的心理障碍程度无关。说明慢性HBV感染者需适当的心理咨询或治疗,尤其是生活事件量大及女性患者。
In this paper, 84 patients with chronic HBV infection were surveyed by SCL-90 and LES to observe the SCL-90 and their life events in these patients. The general condition, course of disease, Aminotransferase (ALT), the relationship between viral replication (HBeAg). The results showed that there were obvious psychological disorders in patients with chronic HBV infection. The degree of mental disorder was linearly correlated with the total amount of living events and negative life events in one year. The psychological disorders in female patients were generally heavier. Somatization and anxiety symptoms of elderly patients Severe, family history of liver disease was more hostile emotions, somatization of married persons with severe symptoms, and occupation, education, age, ALT, HBeAg and other patients with psychological disorder has nothing to do. Description of chronic HBV infection need appropriate counseling or treatment, especially in large quantities of life events and female patients.