乙肝病毒携带孕妇的心理健康状态研究  

The Study of Mental Statue in Pregnant Women with HBV Carrier

作　　者：张盛茹[1] 张广春[1] 侯春生[1] 栾清明[2] 李勇[3] 

机构地区：[1]济宁市传染病医院,中国山东济宁272031 [2]济宁市精神病防治院 [3]济宁卫生学校

出　　处：《中国健康心理学杂志》2008年第1期40-42,共3页China Journal of Health Psychology

基　　金：山东省济宁市科技局(2006医学卫生科研项目45号)

摘　　要：目的探讨乙型肝炎病毒(HBV)携带孕妇的人格特征、社会支持、生活事件及其心理健康状况。方法采用生活事件量表(LES)、临床症状自评量表(SCL-90)、社会支持问卷(SSRS)和艾森克成人个性问卷(EPQ)对HBV携带孕妇、非HBV携带孕妇和对照组各200例进行测查。结果在SCL-90方面HBV携带孕妇在总分及各因子分方面均高于非HBV携带孕妇和对照组(P<0.05或0.01);非HBV携带孕妇与对照组比较除人际关系敏感、敌对、精神病性和其他4项无差异外,余均高于对照组(P<0.05或0.01)。在EPQ方面HBV携带孕妇在精神质和神经质分方面均高于非HBV携带孕妇和正常健康对照组,内外倾向HBV携带孕妇低于非HBV携带孕妇和正常健康对照组(P<0.01)。非HBV携带孕妇精神质和神经质高于对照组(P<0.01)。而在社会支持方面,HBV携带孕妇的总分、客观支持分、主观支持分和利用度均较非HBV携带孕妇和正常健康对照组低(P<0.01),而非HBV携带孕妇在总分、主观支持分和利用度三方面均低于对照组(P<0.05或0.01)。结论HBV携带孕妇有明显的心理障碍,性格内向,社会支持差,生活事件的影响大,在药物治疗的同时应及时给予心理干预。Objective To investigate some items of pregnant women with HP, V carrier, including personality characteristics status, social support status, life events status and mental health status. Methods 200 cases patients of every group were surveyed respectively by LES, SCL： 90, SSRS and EPQ in HBV infection pregnant women group, non-FIBV-carrier pregnant women group and control group. Results Surveyed by SCL-90, total score and every factor＇s score of HBV carrier pregnant women were all higher than that of non-HBV-carrier pregnant women and control group （P（0.05 or 0.01）. Except interpersonal relationship sensitiveness, hostility and psychosis, the score of other items in non-HBV-carrier pregnant women group was higher than that of control group （P〈0.05 or 0.01）. Surveyed by EPQ, the score of HBV carrier pregnant women group in psychic trait and neurotic trait was higher than that of non-HBV-carrier pregnant women group and control group. The score of HBV carrier pregnant women group in exterior and interior propensity was lower than that of non-HBV-carrier pregnant women group and control group. And non - HBV-carrier pregnant women group was higher than control group in psychic trait and neurotic trait score （P〈0.01）. In social support aspect, the total score, objective support score, subjective support score and availability score of HBV carrier pregnant women group were lower than that of non-HBV-carrler pregnant women group and control group （P〈0. 01）. And total score, subjective support score and availability score of non-HBV-carrier pregnant women group was lower than that of control group （P〈0.01 or 0.05）. Conclusion There were evident psychologic obstacles in HBV carrier pregnant women, They were introvert character, lower social supported and influenced readily by living occurrence. Thus, mental intervention should be given to these patients along with medication treatment.

关 键 词：HBV携带 孕妇 症状自评量表 生活事件量表 艾森克成人个性问卷 社会支持问卷 心理干预 

分 类 号：R395.6[哲学宗教—心理学] R512.62[医药卫生—医学心理学]