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肺结核患者心理健康及社会支持状况分析
http://www.100md.com 2009年2月15日 陈明朝 杨松华 李 莉 王 伟 邹月明
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     [摘要] 目的:研究初治涂阳、复治涂阳肺结核患者心理健康及社会支持状况,以便在治疗中有针对性地进行心理干预,为完善肺结核的综合治疗提供社会学和心理学依据。方法:采用症状自评量表(SCL-90)、社会支持评定量表(SSRS)对140例肺结核初治涂阳患者、98例复发涂阳患者及120例健康志愿者进行问卷调查对照研究。结果:肺结核初治涂阳组和复治涂阳组SCL-90阳性项目数高于健康对照组,差异有高度统计学意义(P<0.01)。有差异的因子包括躯体化、抑郁、焦虑、恐怖、精神病等5项。SSRS评定显示,肺结核初治涂阳组、复治涂阳组的客观、主观支持及支持总分均显著低于健康对照组(P<0.01)。结论:肺结核患者心理健康水平较差,社会支持低。在进行躯体治疗时,应实施心理干预和支持性心理治疗。

    [关键词] 肺结核;社会支持;心理健康状况;SCL-90

    [中图分类号]R521 [文献标识码] B[文章编号] 1673-7210(2009)02(b)-124-03

    Study on psychological health status and social support situation of patients with pulmonary tuberculosis

    CHEN Ming-chao, YANG Song-hua, LI Li, WANG Wei, ZOU Yue-ming

    (Kaifeng Anti-tuberculosis Institute, Henan Province, Kaifeng 475004, China)

    [Abstract] Objective: To investigate the psychological health status and social support situation of the tuberculosis in order to provide evidence on psychological intervention, and social-psychological base for the integrated treatment of tuberculosis. Methods: Questionnaires of symptom check list 90 (SCL-90) and social support rating scale (SSRS) were used to investigate 140 cases of new smear positive pulmonary tuberculosis, 98 cases of retreated smear-positive pulmonary tuberculosis and 120 cases of healthy volunteers. Results: Positive factors(SCL-90) of the new smear positive pulmonary tuberculosis group and retreated smear-positive pulmonary tuberculosis group were significantly higher than those of healthy control group(P<0.01). Different factors included five items of somatization, depression, anxiety, fear and psychosis. The SSRS results showed that the scores on subjective, objective and total social support of the new smear positive pulmonary tuberculosis group and retreated smear-positive pulmonary tuberculosis group were much lower than those of healthy control group(P<0.01). Conclusion: The mental health level and social support of patients with pulmonary tuberculosis are relatively low. The above results showed the psychosocial intervention is necessary along with the chemical treatment.

    [Key words] Pulmonary tuberculosis; Social support; Mental health; SCL-90

    近年来肺结核病疫情上升的趋势颇受关注,结核病患者的心理状况越来越受到重视。早在20世纪70年代国外就有学者发现较孤独人群的结核病和精神疾病发病率较高 ......

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