| Objective:To investigate the psychological status of patients with viral hepatitis, explore the social and psychological factors on the impact of viral hepatitis patients, and cognitive therapy for chronic hepatitis B with moderate to improve the psychological status in patients with effect.Methods:(1) The research selected 302 patients with viral hepatitis at Infectious Diseases Section of the patient of the hospital from October 2009 to September 2010 for data collection, and according to the research purposes, choose the general data and symptom checklist (SCL-90) were investigated to understand the mental health of patients with viral hepatitis. (2) 60 patients with moderate chronic hepatitis B were randomly divided into 2 groups, the experimental group and the control group. The former which in routine care with psychological intervention. Patients on admission to the hospital 2 weeks, respectively, using SCL-90 scale assessment of the experimental group and control group of patients with mental health, psychological intervention before and after the same period in the experimental group and control group comparison of the psychological status. (3) The data using statistical software SPSS13.0 descriptive analysis, t-test, Chi-square test, One-way ANOVA, Kruskal-Wallis H test, Pearson correlation analysis and multiple linear regression analysis. Results:(1) In this study,302 patients with viral hepatitis SCL-90 total score 152.81±47.77, nine factors to depression scores highest, which is 1.90±0.63, the lowest scores of terror, is 1.46±0.57.(2) The factors affecting the psychological status of patients with hepatitis are gender, educational level, marital status, family economic situation, illness, age of initial diagnosis of hepatitis, hospital number, whether the medical doctor's advice, whether the patient attention to themselves by your doctor diet/ rest/exercise/working conditions of life, in patients after illness/learning/ working degree of influence, the family's attitude after the illness of patients, patients with the degree of knowledge about hepatitis, patients on the main way to knowledge about hepatitis, P<0.05. Multiple linear regression analysis of variables into the regression equation 4, of the order of life in patients after illness/learning/work impact, marital status, patient level of knowledge about hepatitis, cultural level(3) Marital status, patient knowledge about hepatitis, the degree of education and the psychological state of patients with a positive correlation, in patients after sick/study/work degree of influence with negative correlation to the patient's mental health.(4) The experimental group before and after the SCL-90 somatization, depression, anxiety, hostility four factor scores significantly, P<0.05.(5) Control group and experimental group in the hospital 2 weeks in the SCL-90 somatization, anxiety two factors scores was significant, P<0.05.Conclusion:(1) Viral hepatitis in different degrees of psychological problems.(2) The factors that affect mental health include:marriage, life in patients after illness/learning/work impact, patient level of knowledge about hepatitis, and cultural level.(3) Marital status as possible, the higher the level of mental health; patient knowledge about hepatitis, the more the better mental health; the higher education level, better mental health; ill patients after the live/work/study the greater the degree of influence, the worse the mental health.(4) The improvement of cognitive therapy in patients with chronic hepatitis B with moderate psychological status have a more significant results.
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