| ObjectiveTo investigate the characteristics, traditional chinese medicine physique, mental status and quality of life surveys of community hepatitis B virus carriers, and anlysis the TCM physique and psychological characteristics, further explore the problems in community prevention and treatment of hepatitis B virus carriers, to provide references for establishing the hepatitis B carriers’community prevention and treatment programme of TCM.Methodsl.The establishment of the queue:making contact with Guangzhou Tianhe community hospital, using the health archives of the community hospital, selecting people who participated in healthy check-up of follow-up in January 2015 to December, using the method of random sampling, respectively extracting 100 people entered the HBV carriers queue and healthy respondents queue.2. Baseline survey of Queuing methods:Cross-sectional study design two queues in Tianhe District 4 community baseline survey respondents for the study entry exhibition people in obtaining patient informedconsent cases, entering cohort using a face-to-face survey of epidemiological surveys and questionnaires. Those was worked by trained investigators with a specially designed questionnaire for research object, research content in the first part is two cohort of demographic information, including personal basic information, medical information (liver function and AFP). The second part is respondents constitution of TCM, the quality of survival, and psychological assessment, which investigated by using the physique classification and determine the scale of traditional Chinese medicine, the health questionnaire (SF-36), the self-evaluation of anxiety scale SAS, the SDS depression self rating scale The third part is the health management questionnaire specifically designed for HBV carriers.Results1. Baseline characteristics:General information survey found that hepatitis b cohort male-female ratio is about 2:1,31-50-oriented age, education to University or higher education, and marital status married; healthy population was about 1.4:1,31-50-oriented age, education is concentrated in the middle school, high school, College, the three academic levels and marital status to married. Two queues of people in exercise frequency (hepatitis b cohort＜health cohort) and frequency (hepatitis b virus carrier crowd>health cohort) had significant differences in (P<0.05). Two queues of ALT and AST in the clinical parameters showed no differences, and hepatitis b virus carriers AFP levels are generally higher in healthy people. Hepatitis b control knowledge survey results displayed, hepatitis b virus carry who for hepatitis b disease of treatment target, and spread way, and prevention knows rate respectively only for 39%, and 33%, and 37%; check project knows rate for 67%, but for check time of interval period and no specification of cognitive; for hepatitis b of occurred development knows rate high; for hepatitis b patients of diet, and movement, and love records, aspects cognitive and the concern degree are partial low.2. TCM Physical distribution:Hepatitis b virus carry crowd queue in the of TCM physique points type the type by accounted for proportion from high to low arranged for:Qi quality 21 cases (21%), and gas Yu quality 21 cases (21%), and Yang quality 12 cases (12%), and stasis quality 11 cases (11%), and phlegm wet quality 8 cases (8%), and hot and humid quality 7 cases (7%), and Yin quality 5 cases (5%), and special intrinsic quality 1 cases (1%), its physique points type to biased quality mainly, accounted for 86%; Health crowd queue in the of in the body physique points type the type by accounted for proportion from high to low arranged for:peace quality 58 cases (58%), and phlegm wet quality 22 cases (22%), and Yang quality 6 cases (6%), and Yin quality 5 cases (5%), and hot and humid quality 4 cases (4%), and Qi quality 2 cases (2%), and gas Yu quality 2 cases (2%), and stasis quality 1 cases (1%), its physique points type to peace quality mainly, accounted for 58%. Significant differences between the two queue (P<0.05).3. Mental state characteristics:Self-Rating Depression Scale scores of the HBV carriers queue was 44.34+11.51, the healthy respondents queue score was 38.01±9.85, the former scored significantly higher than the latter (P ＜0.05). There were 23 cases of mild depression,7 cases of moderate depression in The HBV carriers’queue,30%of respondents had a different degree of depression; There were 5 cases of mild depression,2 cases of moderate depression and lcase of major depression in the healthy respondent queue, 8%of respondents had a different degree of depression. Between the two queue has significant difference. (P< 0.05).Self-rating anxiety scale scores of the HBV carriers queue was 43.47±11.66, the healthy respondents queue score was 37.48±9.70, the former scored significantly higher than the latter (P＜0.05). There were 21 cases of mild anxiety,7 cases of moderate anxiety and 2 cases in The HBV carriers’ queue,28% of respondents had a different degree of anxiety; There were 12 cases of mild anxiety,3 cases of moderate anxiety in the healthy respondent queue,15% of respondents had a different degree of anxiety.4. Quality of life:The SF-36 scale of the HBV carries queue is 548.25 +114.84, the healthy respondents queue is 620.57±61.29, the former scored significantly lower than the latter (P＜0.05). In the eight dimensions, the scores of the healthy respondengt queue in all dimensions were higher than HBV CARRIERS queue, among them, the following four dimensions were significantly different:physical functioning (PF), general health (GH), role limitation caused by emotional problem emotional (RE), and mental health (MH).Conelusion1. A larger proportion of hepatitis b virus carriers biased Constitution, to deficiency of qi and quality mass-majority, indicating that while normal liver function in some patients, but not entirely convinced that it is in a healthy state, for clinical doctors that some patients cannot be ignored and should be targeted to Chinese medicineand health management.2. Hepatitis b virus carriers, depression and anxiety nlevels than healthy people, in part of the community health management should focus on the process of psychological evaluation and psychological guidance to correct their bad moods and emotions.3. According to the patients’State of development with Chinese characteristics, psychological state of individualized health management plan for strengthening community health management of hepatitis b virus carriers is very important. |
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