重型肝炎人工肝治疗病人社会支持与心理健康状况的相关性研究

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[目的]探讨重型肝炎人工肝治疗病人社会支持与心理健康状况的相关性。[方法]采用资料收集法,用病人一般情况调查表、社会支持评定量表(SRSS)、SCL-90症状清单对2014年1月—2014年12月在某三级甲等医院住院首次行人工肝治疗的51例重型肝炎病人进行问卷调查,并分析其社会支持与心理健康状况的相关性。[结果]重型肝炎人工肝治疗病人的社会支持水平高于国内常模(P<0.01),提示重型肝炎病人获得较好的社会支持,其中客观支持和主观支持得分较高,对社会支持利用度却很低;重型肝炎人工肝治疗病人的社会支持总分、主观支持和对支持的利用度与病人躯体化、抑郁、敌对、精神病性均呈负相关。[结论]重型肝炎人工肝治疗病人的社会支持与心理状况密切相关,社会支持度越高,病人的不良情绪越小、心理健康状况越好。临床医护人员应充分发挥病人社会支持系统的作用,减少病人焦虑、抑郁等不良情绪,为病人营造和谐的就医氛围,利于病人早日恢复健康。 [Objective] To explore the correlation between the social support and mental health of patients with severe hepatitis treated by artificial liver. [Methods] The data collection method was used to conduct the first artificial inpatient hospitalization in some Grade A hospitals from January 2014 to December 2014 with the patient general condition questionnaire, social support rating scale (SRSS) and SCL-90 symptom checklist. Fifty-one patients with severe hepatitis treated by liver were surveyed and the correlation between their social support and mental health status was analyzed. [Results] The level of social support for patients with severe hepatitis treated by artificial liver was higher than that of the national norm (P <0.01), suggesting that patients with severe hepatitis received better social support, of which the scores of objective support and subjective support were higher, But very low. The total score of social support, subjective support and support for patients with severe hepatitis treated with artificial liver were negatively correlated with somatization, depression, hostility and psychosis. [Conclusion] The social support of patients with severe hepatitis treated by artificial liver is closely related to their psychological status. The higher the degree of social support, the less bad patients’ emotions and the better mental health status. Clinical staff should give full play to the role of the patient’s social support system, reduce patient anxiety, depression and other negative emotions, to create a harmonious atmosphere for patients to seek medical treatment, which will help patients recover sooner or later.
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