心理干预对慢性乙型肝炎患者家属抑郁及焦虑情绪的影响

目的：探讨心理干预对慢性乙型肝炎患者家属抑郁焦虑情绪的影响。方法选择慢性乙型肝炎患者家属68例，采用随机数字表法随机分为观察组（34例）和对照组（34例）。对照组给予常规护理健康教育，观察组在此基础上给予心理干预，家属均应用抑郁自评量表（ SDS ）及焦虑自评量表（SAS）评估干预前后的心理健康状况。结果干预前，患者家属 SDS 及 SAS评分分别为（39．81±5.34），（34．67±4．61）分，均高于国内常模，差异有统计学意义（t值分别为9．71，8．92；P＜0．05）；干预前，两组患者家属SDS及SAS评分差异无统计学意义（ P＞0．05）；干预后，观察组患者家属SDS及SAS评分低于对照组，差异均有统计学意义（ t值分别为3．61，2．85；P＜0．05）。结论慢性乙型肝炎患者家属存在一定程度的抑郁焦虑状况，心理干预能改善患者家属的抑郁焦虑状况。

Effect of psychological intervention on anxiety and depression for family members of patients with chronic hepatitis B

Objective To explore the effect of psychological intervention on anxiety and depression in family members of patients with chronic hepatitis B .Methods A total of 68 cases,who had family members with chronic hepatitis B , were randomly divided into the experimental group and control group , with 34 cases in each group .The family members in the control group were given routine nursing education while the family members in the experimental group were given routine care combining psychological intervention .All cases were investigated the mental state by self-rating anxiety scale （ SAS ） and self-rating depression scale （ SDS ） before and after intervention.Results The score of SDS in the family members was （39.81 ±5.34）,and SAS score in the family members was （ 34 .67 ±4 .61 ） , which were higher than the national norm , the differences were statistically significant （t =9.71,8.92, respectively;P 〈0.05）.Before the psychological intervention,the differences of SAS and SDS scores between two groups were not statistically significant （ P 〉0.05 ） .After psychological intervention ,the depression and anxiety degree of the experimental group were significantly lower than before （P〈0.05）.Conclusions Most family members of patients with chronic hepatitis B are in anxiety and depression condition ,and psychological intervention could effectively release their anxiety and depression .