【摘要】：慢性乙型病毒性肝炎（簡稱慢乙肝）是由乙型肝炎病毒（HBV）而引起的傳染性疾病。抑郁情緒是慢乙肝患者較為普遍的一種情緒狀態(tài)，，不同應對方式的患者體驗不同水平的抑郁情緒，本研究主要圍繞慢乙肝患者的應對方式如何影響他們的抑郁情緒展開探討。 本研究包括三個部分的研究： 研究一采用訪談法對慢乙肝患者進行訪談，對訪談資料進行質性分析，探討慢乙肝患者診療過程中的情緒體驗以及應對方式對情緒體驗的影響。其抑郁情緒發(fā)生的因素；研究二采用問卷法，調查慢乙肝患者的抑郁情緒、應對方式和韌性現狀；研究三主要探討慢乙肝患者應對方式、韌性與抑郁的關系。 研究主要結論有：(1)慢乙肝患者存在較多的消極情緒體驗，慢乙肝患者面對自己患病事實，更多采取的依次是認知調整、逃避拒絕、行為改變等應對，患者采取的應對方式會影響消極情緒的增減。（2）慢乙肝患者的抑郁情緒標準分顯著高于常模，在性別、疾病嚴重程度上差異顯著，在教育程度上差異顯著，總體隨教育水平升高而降低。（3）慢乙肝患者的應對方式在教育程度、疾病嚴重程度上差異顯著；積極應對維度均分總體隨教育程度呈上升趨勢；消極應對維度均分上總體隨教育程度呈下降趨勢。（4）慢乙肝患者韌性在性別上、疾病嚴重程度上顯著差異，受教育程度越高，慢乙肝患者韌性水平越高。（5）慢乙肝患者的應對方式、韌性和抑郁有極其顯著的相關關系，韌性在積極應對和抑郁間起完全中介作用，在消極應對和抑郁間起部分中介作用。
[Abstract]:Chronic hepatitis B (chronic hepatitis B) is a infectious disease caused by hepatitis B virus (HBV). Depression is a common emotional state in patients with chronic hepatitis B. patients with different coping styles experience different levels of depression. This study focuses on how the coping styles of patients with chronic hepatitis B affect their depression. This research includes three parts: first, interviews with patients with chronic hepatitis B were conducted by interview, and qualitative analysis of interview data was carried out. To explore the emotional experience in the diagnosis and treatment of patients with chronic hepatitis B and the influence of coping style on emotional experience. The second study was to investigate the status of depression, coping style and resilience in patients with chronic hepatitis B by questionnaire. The third study was mainly to explore the relationship between coping style, resilience and depression in patients with chronic hepatitis B. The main conclusions of the study are as follows: (1) patients with chronic hepatitis B have more negative emotional experience. The coping style adopted by the patients will affect the increase and decrease of negative emotion. (2) the standard score of depression emotion of patients with chronic hepatitis B is significantly higher than that of the norm, and there are significant differences in gender, disease severity, and education level. (3) the coping style of patients with chronic hepatitis B was significantly different in education level and disease severity, and the average score of positive coping dimension showed an upward trend with education level. The average score of negative coping dimensions showed a downward trend with the education level. (4) there were significant differences in the degree of disease severity between the patients with chronic hepatitis B and the patients with chronic hepatitis B. the higher the education level, the higher the resilience level of patients with chronic hepatitis B. (5) the coping style of patients with chronic hepatitis B. There is a significant correlation between resilience and depression. Resilience plays a complete role as a mediator between positive coping and depression and partly between negative coping and depression.
【學位授予單位】：閩南師范大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：B842.6

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