CAJ | 학술논문

目的了解慢性病毒性肝炎患者抑郁症状发生的现状.方法以慢性乙型、丙型肝炎患者作为研究对象,采用问卷调查的方法,用自制的慢性病毒性肝炎问卷调查表、抑郁症状自评量表(SDS)、艾森克人格问卷等对慢性病毒性肝炎患者抑郁症状情况及相关因素进行调查.应用SPSS 13.0软件进行统计分析.结果 212例慢性病毒性肝炎患者抑郁症状的检出率为54.7%,SDS评分为39.08±11.16.不同年龄、职业、文化程度抑郁症状的检出率不同,差异有统计学意义(χ~2=32.24,P<0.000;~2=22.59,P<0.000;χ~2=23.304,P<0.000);病毒性肝炎分度、感染时间、确诊时间、肝炎复发次数、抗病毒治疗时间不同,抑郁症状的检出率不同,差异有统计学意义(χ~2=15.136,P=0.001;χ~2=32.737,P<0.000;χ~2=9.401,P=0.009;χ~2=10.734,P=0.005;χ~2=30.353,P<0.000);患者对治疗的信心、对周围态度满意程度不同抑郁症状检出率不同,差异有统计学意义(χ~2=12.715,P<0.01;χ~2=9.456,P<0.01).SDS总分与社会支持总分、客观支持维度分值、主观支持维度分值之间呈负相关关系,差异有统计学意义(r=-0.262,P=0.000;r=-0.228,P=0.001;r=-0.270,P=0.000).SDS总分与艾森克人格评分内外向维度分值之间呈显著负相关,差异有统计学意义(r=-0.330,P=0.000),与情绪稳定性分值维度之间呈显著正相关,差异有统计学意义(r=0.309,P=0.000).结论 (1)慢性病毒性肝炎患者抑郁症状的检出率为54.7%.(2)是否出现抑郁症状可因患者年龄、职业、文化程度、肝炎分度、感染时间、诊断时间、复发次数、抗病毒治疗时间、收入、支付方式、及对治疗信心和对周围态度的满意程度的不同而不同.(3)患者获得的支持度越低,SDS总分越高,抑郁程度越重;个性越倾向内向,SDS总分越高,抑郁程度越重;情绪越不稳定,SDS总分越高,抑郁程度越重.
목적 료해만성병독성간염환자억욱증상발생적현상.방법 이만성을형、병형간염환자작위연구대상,채용문권조사적방법,용자제적만성병독성간염문권조사표、억욱증상자평량표(SDS)、애삼극인격문권등대만성병독성간염환자억욱증상정황급상관인소진행조사.응용SPSS 13.0연건진행통계분석.결과 212례만성병독성간염환자억욱증상적검출솔위54.7%,SDS평분위39.08±11.16.불동년령、직업、문화정도억욱증상적검출솔불동,차이유통계학의의(χ~2=32.24,P<0.000;~2=22.59,P<0.000;χ~2=23.304,P<0.000);병독성간염분도、감염시간、학진시간、간염복발차수、항병독치료시간불동,억욱증상적검출솔불동,차이유통계학의의(χ~2=15.136,P=0.001;χ~2=32.737,P<0.000;χ~2=9.401,P=0.009;χ~2=10.734,P=0.005;χ~2=30.353,P<0.000);환자대치료적신심、대주위태도만의정도불동억욱증상검출솔불동,차이유통계학의의(χ~2=12.715,P<0.01;χ~2=9.456,P<0.01).SDS총분여사회지지총분、객관지지유도분치、주관지지유도분치지간정부상관관계,차이유통계학의의(r=-0.262,P=0.000;r=-0.228,P=0.001;r=-0.270,P=0.000).SDS총분여애삼극인격평분내외향유도분치지간정현저부상관,차이유통계학의의(r=-0.330,P=0.000),여정서은정성분치유도지간정현저정상관,차이유통계학의의(r=0.309,P=0.000).결론 (1)만성병독성간염환자억욱증상적검출솔위54.7%.(2)시부출현억욱증상가인환자년령、직업、문화정도、간염분도、감염시간、진단시간、복발차수、항병독치료시간、수입、지부방식、급대치료신심화대주위태도적만의정도적불동이불동.(3)환자획득적지지도월저,SDS총분월고,억욱정도월중;개성월경향내향,SDS총분월고,억욱정도월중;정서월불은정,SDS총분월고,억욱정도월중.
Objective To investigate the symptoms on depression in patients with viral hepatitis. Methods A cross-sectional study was conducted among the patients with viral hepatitis in infectious diseases Hospital of Taiyuan. The questionnaire included a Eysenck Personality Questionnaire, self-rating depression scale (SDS) , and a self-designed one related to information regarding general conditions of the disease and social support. Results (1)Depression symptom prevalence rate among chronic viral hepatitis patients was 54.7% (116/212). (2) Factors as age, occupation, education, confirmed time, number of recurrence and anti-virus treatment, self-confidence on recovery, satisfaction on the surrounding environment etc. that might be associated with depression. (3) The severity of depression was significantly negative correlation with social support scores, objective support scores, subjective support scores (r=-0.262, P=0.000;r=-0.228, P=0.001 ; r=-0.270, P=0.000). (4) There was positive correlation noticed between severity of the depressive disorder and Eysenck Personality two dimensions scores, while the scores of introversion and extroversion scores were negatively correlated (r=-0.330, P=0.000) but positively correlated to the emotional stability scores (r=0.309, P=0.000). Conclusion (1) Patients with hepatitis showed symptoms of depression to a certain degree. (2) Factors as age, occupation, education, economic situation, confirmed time of diagnosis, number of recurrence and anti-virus treatments, confidence on recovery, satisfaction on the surrounding environment might be associated with symptoms of depression. (3) There was positive correlation between severity of depressive and Eysenek Personality two dimensions scores but the scores of introversion and extroversion scores were negatively correlated.