目的 通过对宁夏地区102例耐药结核病患者心理与社会支持现况调查,分析影响因素,为耐药肺结核患者有效治疗、管理及护理提供理论依据和数据支持。方法 应用人口学调查问卷、症状自评量表(SCL-90)与社会支持量评定量表(SSRS)对研究对象进行调查,分析性别、年龄等9个影响患者社会支持及心理健康状况的主要因素。结果 宁夏地区102例耐药肺结核患者社会支持比国内正常人社会支持状况差(P＜0.01),症状自评量表总分高于全国常模值。多元线性回归分析显示:治疗时长和收入是影响耐药肺结核患者社会支持的显著因素;多因素logistic回归分析结果显示,治疗时长是影响心理健康因素(OR=21.429,95%CI=3.241~141.690)。结论 宁夏地区102例耐药肺结核患者社会支持及心理健康状况较差,应充分发挥医护、家庭、社会支持系统作用,帮助患者树立战胜疾病信心,提高生活质量。
Abstract
Objective Through the investigation of the psychological and social support of 102 drug resistant tuberculosis patients in Ningxia,the influencing factors were analyzed,and theoretical basis and data support were provided for the effective treatment,management and nursing of patients with drug-resistant tuberculosis in our district. Methods Demographic questionnaire,symptom checklist-90 (SCL-90) and social support rate scale (SSRS) were used to investigate the subjects,and the main factors influencing the social support and mental health of the patients were analyzed from nine aspects,such as gender and age. Results The social support status of 102 drug-resistant tuberculosis patients in Ningxia was worse than that of normal people in China (P<0.01),and the total score of SCL-90 was higher than the national norm.Multiple linear regression analysis showed that treatment duration and income were significant factors affecting social support of drug resistant tuberculosis patients.Multivariate logistic regression analysis showed that treatment duration was the influencing factor of mental health (OR=21.429,95%CI=3.241~141.690). Conclusion The social support and mental health status of 102 patients with drug-resistant pulmonary tuberculosis in Ningxia are poor.The role of health care,family and social support system should be brought into full play to help patients build up confidence to overcome the disease and improve the quality of life.
关键词
耐药结核病 /
心理健康状况 /
社会支持 /
现况调查
Key words
Drug resistant tuberculosis /
Mental health status /
Social support /
Status survey
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