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目的探讨乙型肝炎住院病人抑郁心理的危险因素。方法采用CES-D量表对369名乙型肝炎住院病人进行心理评价,以肯定抑郁心理的病人作为病例组,以无抑郁心理的病人作为对照组进行病例对照研究,采集2组病人的病情资料,同时调查了艾森克个性问卷以及病人的认知、行为、态度等情况。作多元Logistic回归分析,确定主要危险因素。结果乙肝住院病人中肯定抑郁心理的占43.36%,其抑郁心理主要受到病情复发次数、周围人的疏远、对治疗的信心以及EPQ-N(情绪稳定性)等4个因素影响。结论加强公众健康教育,增强病人信心,控制病情反复是预防病人抑郁心理的有效手段。
Objective To investigate the risk factors of depression in inpatients with hepatitis B Methods The CES-D scale was used to evaluate the mental health of 369 hepatitis B inpatients. The patients with affirmative depression as the case group and the non-depressive psychology group as the control group were selected as the case-control study. Two groups of patients’ , And at the same time investigated the Eysenck personality questionnaire and the patient’s cognition, behavior, attitude and so on. Multivariate Logistic regression analysis to determine the main risk factors. Results Among them, 43.36% were affirmative depression in hospitalized patients with hepatitis B, and their depressive psychology was mainly affected by four factors: the number of relapse, the estrangement of surrounding people, the confidence of treatment and EPQ-N (emotional stability). Conclusion Strengthening public health education, enhancing patient confidence and controlling disease recurrences are effective measures to prevent depression in patients.