CAJ | 학술논문

目的：探讨慢性乙型肝炎患者的心理健康状况及心理干预效果。方法将190例慢性乙型肝炎患者设为研究组，65例普通慢性疾病患者设为对照组。入组时采用症状自评量表评定两组患者的心理健康状况；研究组患者接受有针对性的心理干预，于入组时及出院时采用世界卫生组织生存质量测定简表评定生活质量。结果研究组症状自评量表总分及躯体化、强迫、人际关系、抑郁、焦虑因子分显著高于对照组（ P＜0．05或0．01）；情绪特征表现为烦躁不安、焦虑、恐惧、悲观失望、抑郁等情绪问题。心理干预后研究组患者世界卫生组织生存质量测定简表生理领域、心理领域、社会关系领域及环境领域因子分均较心理干预前显著升高（P＜0．01）。结论慢性乙型肝炎患者存在不同程度的心理问题，且较普通慢性疾病患者更严重，对其予以有针对性的心理干预后能有效缓解患者的负性情绪，提高患者的生存质量。
목적：탐토만성을형간염환자적심리건강상황급심리간예효과。방법장190례만성을형간염환자설위연구조，65례보통만성질병환자설위대조조。입조시채용증상자평량표평정량조환자적심리건강상황；연구조환자접수유침대성적심리간예，우입조시급출원시채용세계위생조직생존질량측정간표평정생활질량。결과연구조증상자평량표총분급구체화、강박、인제관계、억욱、초필인자분현저고우대조조（ P＜0．05혹0．01）；정서특정표현위번조불안、초필、공구、비관실망、억욱등정서문제。심리간예후연구조환자세계위생조직생존질량측정간표생리영역、심리영역、사회관계영역급배경영역인자분균교심리간예전현저승고（P＜0．01）。결론만성을형간염환자존재불동정도적심리문제，차교보통만성질병환자경엄중，대기여이유침대성적심리간예후능유효완해환자적부성정서，제고환자적생존질량。
Objective To explore mental health status and evaluation of mental intervention effect in pa-tients with chronic hepatitis B (CHB) .Methods A total of 190 CHB patients were assigned to research group and 65 ones with general chronic diseases to control group .Mental health levels were assessed with the Symptom Checklist-90 (SCL-90) for both groups at baseline ;research group received purposeful men-tal interventions ,their qualities of life were assessed with the WHO Quality of Life Scale-BREF (WHO-QOL-BREF) at baseline and discharge .Results The total ,somatization ,obsession ,interpersonal rela-tion ,depression and anxiety score were all significantly higher in research than control group (P<0 .05 or 0 .01) ,emotional features were dysphoria ,anxiety ,phobia ,pessimism/disappointment ,depression and so on . Physiological , psychological , social and environmental domain score of the WHOQOL-BREF heightened more significantly after intervention compared with pre-intervention in research group ( P<0 .01) .Conclusion CHB patients have different degrees of psychological problems ,their psychological problems are severer compared with patients with general chronic illness ,purposeful mental intervention could effectively relieve patients’ negative emotions and improve quality of life .