心理咨询对血友病患者心境障碍的干预效果  

Curative Effect Observation of Psychological Counseling on Patients with Mental Disorders in the Clinical Intervention of Patients with Hemophilia

作　　者：孙蓉[1] 张晓峰[1] 杨俊丽[1] 杨沈秋[1] 杨善军[1] 李光玉[1] 洪珞珈[2] 温泉[2] 孔德胜[2] 张宇晶[2] 尚彦[2] 江志君[3] 

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第四医院,黑龙江哈尔滨150001 [3]哈尔滨医科大学附属第一医院,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2016年第27期5383-5386,共4页Progress in Modern Biomedicine

基　　金：黑龙江省心理科学规划项目(C201501011)

摘　　要：目的：观察心理咨询对血友病心境障碍患者的干预效果。方法：选择2014年1月~2015年4月在哈尔滨医科大学附属第四医院血液内科接受治疗的血友病患者63例,年龄从18~55岁且具有良好的思维能力和判断能力,并获得知情同意的,用心理咨询的方法前后用汉密尔顿焦虑量表和汉密尔顿抑郁量表进行测查,得出结论。结果：在对63例血友病的患者心理咨询及测查的结果看,血友病患者中有抑郁情绪的比率从88.9%降低到63.5%,抑郁情绪的平均值从17.62降到9.98差异显著。有焦虑情绪的比率从77.8%降低到57.1%,平均值从20.87降到12.06差异显著。具有统计学意义,这充分说明了心理咨询对血友病患者是有效果的。结论：用心理咨询的方法对血友病患者进行心理干预是有效的。Objective： To observe the effects of psychological test on the depression and anxiety status of hemophilia patients.Methods： 63 patients with hemophilia admitted in the department of Hematology who were treated in the Fourth Affiliated Hospital of Harbin Medical University from January 2014 to April 2015 were selected with the age of 18-55 and good thinking and judgment ability.All people voluntarily joined this study with informed consents.Using the Hamilton anxiety scale and Hamilton depression scale before and after the psychological counseling and then draw a conclusion. Results： In the 63 cases of hemophilia patients with psychological counseling and testing results, depression of the patients before psychological counseling was 88.9%, after psychological counseling was63.5%. The mean value of depression score is dropped significantly to 9.98 from 17.62.anxiety patients before psychological counseling was 77.8%, after psychological counseling was 57.1%. The mean value of anxiety score is dropped significantly to 12.06 from 20.87. The anxiety and comparison of patients who has been provided psychological counseling has a downward trend than before, and there is statistically significant（P〈0.05）. It fully illustrates that the psychological counseling for patients with hemophilia is effective. Conclusions：Psychological counseling is effective for patients with hemophilia.

关 键 词：血友病 心理咨询 汉密尔顿抑郁量表 汉密尔顿焦虑量表 

分 类 号：R554.1[医药卫生—血液循环系统疾病] R395[医药卫生—内科学]