慢性肝炎患者のトランスアミナーゼ値変動が不安状態に及ぼす影響

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We investigated the serum transaminase levels in patients with chronic hepatitis, degree of their cncern about transaminase levels, and their responses to changes in these parameters as well as the effects of such responses to their anxiety state. The following results were obtained. 1. There are no established measures for evaluating the effectiveness of self-care programs for chronic hepatitis patients, and the physician's comments and the transaminase levels have been recommended as indexes for this condition by many researchers. 2. In the anxiety test in patients with chronic hepatitis, A-State and A-Trait scores were 41.6 and 41.7, respectively, showing no significant difference from the values in the gereral population or patients with other chronic disease for either state anxiety or trait anxiety. 3. In patients with elevanted GPT, the A-State score tended to be higher than that in patients with normal GPT, amd those showing strong concern about their transaminase levels had a significantly higher A-State score than those who do not worry about these biochemical indexes. 4. If the patients have strong concern about the transaminase levels and their anxiety state is worsened in response to the rise or fall in these values, such patients have to be supported so that they can continue their self-care activities in stable mental conditions by comprehensively evaluating their self-care activities using other medical indexes and subjective symptoms as well.
1995-03-31

慢性肝炎患者のトランスアミナーゼ値変動が不安状態に及ぼす影響

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