CAJ | 학술논문

目的：了解慢性乙型病毒性肝炎（chronic hepatitis B，CHB）患者在实施家庭消毒隔离过程中的心理体验，为提高其生活质量提供理论依据。方法采。用随机抽样法，选取2012年9月～2013年2月在广州市第八人民医院肝病专科住院治疗的10例完全或不完全实施家庭消毒隔离CHB患者进行半结构式深度访谈。了解患者实施家庭消毒隔离过程中心理体验情况。结果10例CHB患者实施家庭消毒隔离的心理体验包括5大主题：①作为CHB患者，应自觉进行家庭消毒隔离，未感到特别的心理负担；②知识缺乏，从众心理；③对消毒隔离效果心存疑虑；④感到实施家庭消毒隔离非常繁琐，有负罪心理，害怕连累家人；⑤感到被隔离、遗弃，自卑、敏感，渴望被接纳、理解。结论 CHB患者实施家庭消毒隔离心理体验复杂。应为其制订切实可行的家庭内消毒隔离措施，加强心理指导及提供必要的家庭支持，使CHB患者消除顾虑，尽快适应家庭消毒隔离的生活。
목적：료해만성을형병독성간염（chronic hepatitis B，CHB）환자재실시가정소독격리과정중적심리체험，위제고기생활질량제공이론의거。방법채。용수궤추양법，선취2012년9월～2013년2월재엄주시제팔인민의원간병전과주원치료적10례완전혹불완전실시가정소독격리CHB환자진행반결구식심도방담。료해환자실시가정소독격리과정중심리체험정황。결과10례CHB환자실시가정소독격리적심리체험포괄5대주제：①작위CHB환자，응자각진행가정소독격리，미감도특별적심리부담；②지식결핍，종음심리；③대소독격리효과심존의필；④감도실시가정소독격리비상번쇄，유부죄심리，해파련루가인；⑤감도피격리、유기，자비、민감，갈망피접납、리해。결론 CHB환자실시가정소독격리심리체험복잡。응위기제정절실가행적가정내소독격리조시，가강심리지도급제공필요적가정지지，사CHB환자소제고필，진쾌괄응가정소독격리적생활。
Objectives To explore the psychological states of chronic hepatitis B(CHB)patients during family disinfection and isolation:a qualitative study.Method Using random sampling,10 CHB patients from the Eighth People’s Hospital of Guangzhou during Sep 2012 and Feb 2013 were selected for the investigation by way of semi-structured in-depth interviews.Results Ten patients participated in the interview and five themes were extracted:1)no special mental burden because CHB patients believed they should conduct family disinfection and isolation;2)group psychology for their lack of knowledge;3)suspecting the effect of disinfection and isolation;4)worrying about involving their families because of guilty;5)feeling isolated,self-abased,sensitive and longing for being accepted and understood.Conclusions The psychological states are complex during disinfection and isolation.So,a feasible domestic disinfection and isolation plan should be worked out.Meanwhile,enhanced mental guidance and family supports are essential for them to get rid of worries and adapt themselves into family disinfection and isolation.