慢性丙型肝炎患者合并抑郁的影响因素及心理护理措施分析  

Analysis of influencing factors and psychological nursing measures for depression in patients with chronic hepatitis C

作　　者：肖敏恒 侯永婉 任轺 XIAO Minheng;HOU Yongwan;REN Yao(Panzhou People's Hospital,Liupanshui 553537,China)

机构地区：[1]盘州市人民医院,贵州六盘水553537

出　　处：《心理月刊》2024年第24期46-48,共3页

摘　　要：目的 探究慢性丙型肝炎患者合并抑郁的影响因素,针对性分析心理护理措施。方法 选择2023年1月~2024年3月盘州市人民医院收治的140例慢性丙型肝炎患者,均采用抑郁自评量表(SDS)评估抑郁情况,据此分为抑郁组和非抑郁组,并收集患者性别、年龄、病程、文化程度、性格、家庭人均月收入、婚姻状态、感到被歧视、工作情况、知晓预防措施、居住地等一般资料,开展Logistic回归分析,分析影响慢性丙型肝炎患者合并抑郁的高危因素。结果 140例慢性丙型肝炎患者中存在抑郁的共36例,抑郁发生率为25.71%;单因素显示,两组性别、年龄、婚姻状态、工作情况、居住地对比,无统计学差异(P>0.05);两组病程、文化程度、性格、家庭人均月收入、感到被歧视、知晓预防措施情况比较,有统计学差异(P<0.05);多因素显示,病程≥5年(OR=3.098,95%置信区间=1.415~6.784)、文化程度(高中及以下)(OR=2.574,95%置信区间=1.186~5.584)、性格(内向型)(OR=3.073,95%置信区间=1.397~6.761)、家庭人均月收入≤3 000元(OR=3.492,95%置信区间=1.552~7.857)、感到被歧视(OR=3.488,95%置信区间=1.579~7.704)、不知晓预防措施(OR=3.474,95%置信区间=1.561~7.728)是慢性丙型肝炎患者合并抑郁的高危因素(P<0.05)。结论 慢性丙型肝炎患者合并抑郁与病程、文化程度、性格、家庭人均月收入、感到被歧视、知晓预防措施情况均有关,临床需据此采取针对性心理护理措施,以帮助患者消除负性情绪,早日融入正常生活。Objective To explore the influencing factors of depression in patients with chronic hepatitis C and analyze targeted psychological nursing measures.Methods A total of 140 patients with chronic hepatitis C treated in Panzhou People's Hospital from January 2023 to March 2024 were selected.The depression status of patients was evaluated using the self rating depression scale(SDS),and they were divided into a depression group and a non depression group.General information such as gender,age,disease duration,education level,personality,per capita monthly income of the family,marital status,feeling discriminated against,work situation,awareness of preventive measures,and place of residence were collected.Logistic regression analysis was conducted to analyze the high-risk factors affecting depression in patients with chronic hepatitis C.Results Among 140 patients with chronic hepatitis C,a total of 36 cases had depression,with a depression incidence rate of 25.71%.Univariate analysis showed no statistically significant differences(P>0.05)in gender,age,marital status,work status,and place of residence between the two groups.There were statistically significant differences(P<0.05)between the two groups in terms of disease course,educational level,personality,average monthly household income,feeling discriminated against,and awareness of preventive measures.Multivariate analysis showed that disease duration≥5 years(OR=3.098,95%confidence interval=1.415~6.784),education level(high school or below)(OR=2.574,95%confidence interval=1.186~5.584),personality(introverted)(OR=3.073,95%confidence interval=1.397~6.761),average monthly household income≤3000 yuan(OR=3.492,95%confidence interval=1.552~7.857),feeling discriminated against(OR=3.488,95%confidence interval=1.579~7.704),and lack of awareness of preventive measures(OR=3.474,95%confidence interval=1.561~7.728)are high-risk factors for depression in patients with chronic hepatitis C(P<0.05).Conclusion The comorbidity of depression in patients with chronic hepatitis C is re

关 键 词：慢性丙型肝炎 抑郁 影响因素 心理护理措施 

分 类 号：B84[哲学宗教—心理学]