【摘要】 目的:观察支持性心理治疗对慢性乙型肝炎患者心理健康水平的影响,为提高慢性乙型肝炎的干预效果提供有效途径。方法:2002-01/2004-03在西安交通大学第一医院传染科住院的100例慢性乙型肝炎患者,根据患者意愿,将其分为对照组及心理干预组。对照组采用常规药物治疗,心理干预组采用与对照组相同的常规药物治疗+支持性心理治疗。用简易应对方式问卷(SCSQ)、社会支持量表、症状自评量表(SCL-90)、艾森克人格问卷(EPQ),在治疗前及治疗3个月后分别对患者进行心理测查,由经过培训的人员,用统一的指导语,指导入组者用同一填表方法填写问卷。结果:对照组和心理干预组应对方式问卷消极应对得分均低于治疗前,心理干预组治疗后消极应对得分明显低于对照组(P<0.05);社会支持评定量表结果显示对照组社会支持利用度治疗前后无明显的变化(P>0.05),心理干预组治疗后社会支持利用度(12.5±2.1)明显高于治疗前(6.5±1.5)(P<0.05);治疗后心理干预组SCL-90中躯体化、强迫、抑郁、精神病性因子得分明显降低(P<0.05);治疗后心理干预组EPQ中掩饰性和神经质两项得分明显降低(P<0.05),对照组则变化不明显。结论:支持性心理治疗能有效改善慢性乙型肝炎患者常见的心理问题。更多还原

【Abstract】 AIM:To investigate the effect of supportive psychotherapy on the level of psychological health in patients with chronic hepatitis B,so as to provide effective methods for the improvement of interventional effects of chronic hepatitis B. METHODS:From January 2002 to March 2004,100 inpatients with chronic hepatitis B,who were hospitalized in the Department of Infectious Disease,First Hospital of Xi’an Jiaotong University,were voluntarily divided into control group and psychological intervention group.Patients in both groups received routine medication,besides those in the psychological intervention group were treated with supportive psychotherapy.All the patients were evaluated with the simple coping styles questionnaire(SCSQ),perceived social support scale(PSSS),symptom checklist 90(SCL 90) and Eysenck personality questionnaire(EPQ) before and three months after treatment respectively.The questionnaires were filled with the same methods under the unified instruction of the well trained personnel. RESULTS:The scores of negative coping after treatment were lower than those before treatment in both groups, and that in the psychological intervention group was obviously lower than that in the control group(P< 0.05).The results of PSSS showed that there was no significant difference in the utilization of social support before and after treatment in the control group(P >0.05),and that after treatment(12.5±2.1) was markedly higher that that before treatment (6.5±1.5) (P< 0.05).The scores of somatization, compulsion, depression and psychosis in SCL 90 after treatment were obviously decreased in the psychological intervention group (P< 0.05);The scores of disguise and nervousness in EPQ became lower significantly after treatment in the psychological intervention group, while there were no significant differences in the control group. CONCLUSION:Supportive psychotherapy can effectively improve the common psychological problems in patients with chronic hepatitis B.更多还原