本文關(guān)鍵詞： 慢性肝病 心理特征 調(diào)查 分析　出處：《青海大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:用綜合醫(yī)院焦慮抑郁量表對(duì)青海地區(qū)慢性肝病患者的焦慮、抑郁狀況進(jìn)行調(diào)查。增強(qiáng)臨床醫(yī)生對(duì)焦慮、抑郁的認(rèn)識(shí),提高臨床醫(yī)生對(duì)慢性肝病患者精神狀態(tài)的關(guān)注,進(jìn)而圍繞生物-醫(yī)學(xué)-心理模式提升患者服務(wù)質(zhì)量,提高疾病療效。方法:選取2015年11月~2016年11月就診于青海大學(xué)附屬醫(yī)院的慢性肝病住院患者135例。應(yīng)用綜合醫(yī)院焦慮抑郁量表進(jìn)行調(diào)查,根據(jù)患者的性別、年齡、民族、婚姻狀況、文化程度、城鄉(xiāng)、住院次數(shù)、肝病病因、病情嚴(yán)重程度等不同進(jìn)行分組。等級(jí)計(jì)數(shù)資料采用秩和檢驗(yàn)進(jìn)行分析,非等級(jí)計(jì)數(shù)資料采用卡方檢驗(yàn)進(jìn)行分析,從而對(duì)慢性肝病患者焦慮、抑郁的發(fā)生情況進(jìn)行評(píng)估。結(jié)果:1.在收集的135例慢性肝病患者中,焦慮患病人數(shù)為37人,抑郁患病人數(shù)為77人,焦慮患病率約為27.4%,抑郁患病率約為57.0%。2.是否發(fā)生焦慮及發(fā)病程度在文化水平、病情嚴(yán)重程度、住院次數(shù)之間均存在差異(P0.05),在性別、婚姻狀況、肝病病因、城鄉(xiāng)、年齡、民族之間均無(wú)差異(P0.05)。3.是否發(fā)生抑郁及發(fā)病程度在性別、文化水平、病情嚴(yán)重程度、年齡、住院次數(shù)之間均存在差異(P0.05),在婚姻狀況、肝病病因、城鄉(xiāng)、民族之間均無(wú)差異(P0.05);抑郁是否患病及患病情況在性別、病情嚴(yán)重程度、年齡、民族、住院次數(shù)之間均存在差異(P0.05),在文化水平、肝病病因、婚姻狀況、城鄉(xiāng)之間均無(wú)差異(P0.05)。結(jié)論:1.慢性肝病患者易出現(xiàn)情感障礙,其抑郁患病率高于焦慮,并且患者更易發(fā)生輕度焦慮、抑郁。2.在收集的135例慢性肝病患者中,文化程度越低、病情越嚴(yán)重、住院次數(shù)越多,焦慮的患病率越高。3.在收集的135例慢性肝病患者中,女性患者抑郁患病率較男性高;病情越嚴(yán)重、住院次數(shù)越多抑郁患病率越高;老年患者抑郁患病率較中、青年高;回族患者抑郁患病率較漢、藏族高。4.婚姻狀況、城鄉(xiāng)、肝病病因?qū)β愿尾』颊咝睦硖卣饔绊懖淮蟆?.在臨床工作中,文化水平越低、病情越嚴(yán)重、住院次數(shù)≥2次、老年、女性、回族患者更易在慢性肝病基礎(chǔ)上并發(fā)情感障礙。
[Abstract]:Objective: to investigate the anxiety and depression status of patients with chronic liver disease in Qinghai by using the general hospital anxiety and depression scale, and to enhance the clinical doctors' understanding of anxiety and depression. To improve the attention of clinicians to the mental state of patients with chronic liver disease, and then to improve the quality of service around the biomedical psychological model. To improve the efficacy of the disease. Methods:. From November 2015 to November 2016, 135 inpatients with chronic liver disease were selected from affiliated Hospital of Qinghai University and investigated with the General Hospital anxiety and Depression scale. According to sex, age, nationality, marital status, education level, urban and rural areas, hospitalization times, causes of liver disease, the severity of the disease were divided into groups. Rank sum test was used to analyze the rank count data. Non-grade counting data were analyzed by chi-square test to evaluate the incidence of anxiety and depression in patients with chronic liver disease. The number of anxiety was 37, the number of depression was 77, the prevalence of anxiety was about 27.4and the prevalence of depression was about 57.0.2. There were significant differences in the severity of the disease and the number of hospitalizations (P 0.05) in sex, marital status, etiology of liver disease, urban and rural areas, and age. There was no difference between the ethnic groups (P 0.05). There were significant differences in the incidence of depression and the degree of depression in gender, education level, severity of illness, age and times of hospitalization (P0.05). There was no difference in marital status, etiology of liver disease, urban and rural areas, and ethnic groups (P 0.05). There were significant differences between sex, severity of disease, age, nationality, number of hospitalization, education level, etiology of liver disease, marital status. There was no difference between urban and rural areas (P 0.05). Conclusion 1. Chronic liver disease patients are prone to emotional disorders, the prevalence of depression is higher than anxiety, and patients are more likely to develop mild anxiety. In the 135 patients with chronic liver disease, the lower the education level, the more serious the condition, the more hospitalized, the higher the prevalence of anxiety. 3. Among the 135 patients with chronic liver disease, there were 135 patients with chronic liver disease. The prevalence of depression in female patients was higher than that in males. The more severe the disease, the higher the incidence of depression. The prevalence of depression in elderly patients was higher than that in young people. The prevalence of depression in Hui nationality is higher than that in Han nationality and Tibetan nationality. 4. Marital status, urban and rural areas, and the etiology of liver disease have little effect on the psychological characteristics of patients with chronic liver disease. 5. In clinical work, the lower the education level, the more serious the condition. Elderly, female and Hui patients were more likely to develop affective disorder on the basis of chronic liver disease.
【學(xué)位授予單位】：青海大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R575

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