肝硬化患者的心理健康状况与其家庭环境关系的研究

目的：探讨家庭环境对肝硬化患者心理健康的影响。方法：采用家庭环境量表和症状自评量表对260例肝硬化患者进行问卷调查。结果：肝硬化患者心理不健康的发病率为61．54％。Pearson相关分析提示，心理不健康组家庭环境总分与心理健康状况评分的亲密度（r=-0．562）、成功性（r=-0．271）、独立性（r=-0．324）和情感表达（r=-0．482）等评分呈显著负相关（P〈0．05）。分层回归分析显示，家庭收入、亲密度和情感表达均为肝硬化患者心理健康状况的影响因素。结论：家庭环境是肝硬化患者心理健康的重要影响因素。

The relationship between mental health and family environment in hepatocirrhosis patients

Objective： To explore relationship between mental health and family environment in hepatocirrhosis patients. Methods： Family Environment Scale （FES） and Symptom Checklist （SCL） were used to investigate 260 hepatocirrhosis patients. Results： The prevalence of unhealthy mental status was 61.54%. The score of family environment was significantly negative correlated with several FES dimensions, such as family cohesion （r=-0.562）, achievement orientation （r=-0.271）, independence （r=-0.324） and emotion expressiveness （r=-0.482）. Hierarchical regression analysis showed that family income, cohesion and expressiveness were contributing factors of mental health. Conclusion： Family environment was an important influencing factor of mental health in hepatocirrhosis patients.