慢性乙肝肝硬化患者病耻感、心理弹性及生活质量间的相关性研究

Study on the Correlation between Stigma, Resilience and Quality of Life in Patients with Chronic Hepatitis B Cirrhosis

摘要: 目的：探讨慢性乙肝肝硬化患者病耻感、心理弹性与生活质量间的相关性。方法：采用便利抽样的方法选取198名慢性乙肝肝硬化患者作为研究对象，观察患者相关指标。结果：慢性乙肝肝硬化患者的病耻感得分为(66.21 ± 11.82)分、心理弹性得分为(59.31 ± 16.80)分、生活质量得分为(92.60 ± 19.50)分；病耻感与心理弹性、生活质量呈显著性负相关关系(P < 0.01)；心理弹性与生活质量呈显著性正相关关系(P < 0.01)。结论：慢性乙肝肝硬化患者生活质量受病耻感及心理弹性的影响，患者的心理弹性水平越低，病耻感越高，生活质量越低，临床护理人员可以通过将患者的心理弹性提高，将患者的病耻感显著降低，从而将患者的生活质量显著提高。

Abstract: Objective: To explore the correlation between stigma, resilience and quality of life in patients with chronic hepatitis B cirrhosis. Methods: A convenient sampling method was used to select 198 pa-tients with chronic hepatitis B cirrhosis as the research object and observe the relevant indicators of patients. Results: The patients with chronic hepatitis B cirrhosis scored (66.21 ± 11.82) on stigma, (59.31 ± 16.80) on the resilience, and (92.60 ± 19.50) on the quality of life. There was a significant negative correlation between stigma and resilience and quality of life (P < 0.01); there was a signif-icant positive correlation between resilience and quality of life (P < 0.01). Conclusion: The quality of life of patients with chronic hepatitis B cirrhosis is affected by stigma and resilience. The lower the level of resilience of patients, the higher stigma and the lower the quality of life. Clinical nurses can improve the quality of life of patients by improving the patients’ resilience and reducing stigma.