| ObjectiveTo investigate the level of alexithymia and the TCM Constitution Type in chronic hepatitis b patients.In order to understand the individual differences of patients with chronic hepatitis B,comprehensive use of psychological and Western and clinical treatment,to achieve chronic hepatitis B personalized prevention,health care,nursing,treatment,rehabilitation and other comprehensive comprehensive treatment program to prevent the occurrence of malignant liver disease,effective control Disease,in order to improve the health status of patients to provide a reliable basis for epidemiology,enrich and improve the theory of psychosocial disease diagnosis and treatment of Chinese medicine.MethodsWe investigated the patients with chronic hepatitis B who were admitted to the Third Affiliated Hospital of Sun Yat-sen University from January 2016 to November 2016 by using Toronto Alexithymia Scale(TAS-20)and The Constitution in Chinese Medicine Questionnaire(CCMQ).And the results were analyzed statistically.Results1.The average score and standard deviation of the score of the tacit anxiety questionnaire(TAS)in patients with chronic hepatitis B were 58.24±6.87,which was close to the critical value of hyperthyroidism.According to Taylor's grading method,there were 35 people(17.76%)who were insolvent and disgusted,81(41.12%)of the situation,and 81(41.12%).Indicating that most of the patients with chronic hepatitis B have varying degrees of estocence.2.There was no difference in the occurrence of alexithymia between different sexes in patients with chronic hepatitis B(P>0.05),the difference in TAS score was not statistically significant(P>0.05);Patients with chronic hepatitis B were divided into age groups aged 18-40 and 41-65 years old by age,and there was no difference between the ages(P>0.05),but the difference in TAS scores of all ages was statistically significant(P<0.05);Different urban and rural sources of chronic hepatitis B patients with arousal of the occurrence of no difference(P>0.05),there was no statistically significant difference in the total score of estocence(P>0.05);There was no difference in the occurrence of alexithymia in patients with chronic hepatitis B with different educational levels(P>0.05),but the difference of TAS scores between different educational levels was statistically significant(P<0.05);There was no difference in the occurrence of alexithymia in patients with chronic hepatitis B who had different marital status(P>0.05),its TAS total score is no significant difference(P>0.05);There was no difference in the occurrence of alexithymia in patients with chronic hepatitis B with different years of illness(P>0.05),its TAS total score is no significant difference(P>0.05);There was a significant difference In the occurrence of alexithymia in patients with chronic hepatitis B with different degrees of disease(P<0.01),and different degrees of disease in patients with chronic hepatitis B TAS total score are different(P<0.01),further comparison between the two patients with moderate hepatitis B TAS total score and mild hepatitis B patients TAS total score compared to meaningless(P>0.05),patients with moderate hepatitis B had a significant difference in TAS scores compared with those of mild and moderate hepatitis B patients(P<0.01);The scores of DIF(Difficulty identifiying feelings)factor in different levels of disease in the group were not statistically significant(P>0.05);There was a difference in the scores of DDF(Difficulty describing feelings)factors for different levels of disease(P<0.05);There was no statistically significant difference in EOT(Externally oriented thinking)factor scores for different levels of disease(P>0.05);Further comparison,there was no statistically significant difference in DDF scores between patients with moderate hepatitis B and DDF scores in patients with mild to severe hepatitis B(P>0.05),DDF score in patients with severe hepatitis B was slightly higher than that in patients with mild hepatitis B,which was statistically significant(P<0.05);The difference in medical burden had no significant effect on the occurrence of sexual intercourse(P>0.05),different medical burden of chronic hepatitis B patients with a total score difference(P<0.05),further comparison,the medical burden of light TAS total score and no medical burden of TAS total score compared to meaningless(P>0.05);The TAS total of the heavier medical burden is meaningful compared to the non-medical burden and the lower total TAS of the medical burden(P<0.05).3.Alexithymia tendency group and alexithymia group of patients with chronic hepatitis B constitution constitution were significantly different,the distribution of TCM constitution type for alexithymia group is:Phlegm-wetness type>Wet-heat type>Yang-deficiency type>Yin-deficiency type>Qi-deficiency type>Qi-depression type>Blood-stasis type=Gentleness type,the distribution of TCM constitution type for alexithymia tendency group is:Qi-deficiency type>Qi-depression type>Phlegm-wetness type>Wet-heat type>Yin-deficiency type>Yang-deficiency type>Blood-stasis type.4.TAS total score of ?52 points in patients with chronic hepatitis B between the physical types of TAS total and three factor scores were compared,different physical types of TAS scores are different(P<0.05),DIF scores vary between different physical types(P<0.05);There were no significant differences in DDF scores between different physical types(P>0.05);There were no significant differences in EOT scores between different physical types(P>0.05).Conclusion1.Chronic hepatitis B patients with a certain degree of mental health problems,the detection rate of estocence is higher than the general population.2.Factors associated with the occurrence and severity of alexithymia in patients with chronic hepatitis B are:age,disease condition.3.Chronic hepatitis B patients with aphrodisiac qi-deficiency type?qi-depression type?phlegm-damp type?wet-heat type is more closely related.4.We should attach importance to the psychological problems of patients with chronic hepatitis B and the occurrence of related factors,and take intervention measures actively to improve the patient's psychosomatic state,effectively improve the quality of life. |
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