广州市越秀区肺结核患者心理健康状况及影响因素分析

发布时间：2018-02-17 04:25

本文关键词： 结核肺心理健康广州市　出处：《广东医学》2015年08期 　论文类型：期刊论文

【摘要】：目的了解肺结核患者的心理健康状况及影响因素,为加强肺结核患者的心理治疗及健康教育提供科学依据。方法采用问卷调查方法,随机抽取广州市越秀区肺结核患者300例,通过自行设计的基本情况调查表、《症状自评量表-SCL90》进行问卷调查。对肺结核患者SCL-90评定结果与国内常模(1 388例)进行对比研究,分别对人际关系敏感及抑郁因子分的社会及临床影响因素进行单因素、logistic回归多因素分析。结果肺结核患者SCL-90的总分、总均分、强迫症状、焦虑、敌对、恐怖、偏执、精神病性因子分低于国内常模,差异有统计学意义(P0.05)。人际关系敏感、抑郁因子分高于国内常模,差异有统计学意义(P0.01)。采用多因素分析,人际关系敏感与痰结核菌检查结果有关(P0.05),抑郁与经济收入有关(P0.05)。结论肺结核患者确诊时心理健康状况以人际关系敏感和抑郁为主要表现,痰结核菌检查阳性、经济收入低是主要影响因素,医务人员在对肺结核患者进行躯体治疗时,应考虑患者心理健康因素的影响,及时给予针对性的心理治疗和健康教育;为切实减轻肺结核患者疾病负担,应进一步完善结核病医疗保障制度。
[Abstract]:Objective to understand the mental health status and influencing factors of pulmonary tuberculosis patients, and to provide scientific basis for strengthening the psychological treatment and health education of pulmonary tuberculosis patients. Methods 300 pulmonary tuberculosis patients in Yuexiu District of Guangzhou City were randomly selected by questionnaire survey. Based on the self-designed basic information questionnaire and symptom Checklist-SCL90, the results of SCL-90 evaluation of pulmonary tuberculosis patients were compared with those of domestic norm (1 388 cases). Results the total score, mean score, obsessive-compulsive symptom, anxiety, hostility, phobia, paranoid ideation of SCL-90 in pulmonary tuberculosis patients were analyzed by univariate logistic regression. The scores of psychotic factors were significantly lower than those of the national norm (P 0.05). The interpersonal sensitivity and depression factor scores were higher than those of the national norm, and the difference was statistically significant (P 0.01). Multivariate analysis was used. The sensitivity of interpersonal relationship and the results of sputum tuberculous bacteria examination were related to P0.05, depression and economic income. Conclusion the mental health status of pulmonary tuberculosis patients is mainly manifested by interpersonal sensitivity and depression, and the tuberculosis bacteria test is positive. Low economic income is the main influencing factor. Medical staff should consider the influence of mental health factors and give timely psychotherapy and health education to the patients with pulmonary tuberculosis. In order to reduce the burden of tuberculosis patients, we should further improve the tuberculosis medical security system.
【作者单位】：广东省广州市胸科医院办公室;广东省广州市结核病防治所;中山大学公共卫生学院医学统计与流行病学系;广东省广州市胸科医院结核病控制科;
【基金】：广州市科技计划项目(编号:2014Y2-00104) 广州市医药卫生科技一般引导项目(编号:20131A011075) 广州市胸科医院科研基金资助项目(编号:XK2013-011)
【分类号】：R521

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