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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (3): 140-143.

• 论著 • 上一篇    下一篇

住院肺结核患者心理健康及社会支持情况研究

秦超, 张炜平, 吴琦   

  1. 天津海河医院,天津,300350
  • 出版日期:2010-03-20 发布日期:2010-03-20
  • 基金资助:

    国家科技重大专项资助项目(2008ZX10003-005)

tudy on mental health and social support in hospitalized patients with pulmonary tub

Qin Chao,Zhang Weiping,Wu Qi   

  1. Tianjin HaiHe hospital, Tianji
  • Online:2010-03-20 Published:2010-03-20
  • Contact: Zhang Weiping E-mail:zwp012006@163.com

摘要: 目的 研究住院肺结核患者心理因素及社会支持情况。方法 采用统一的指导语、症状自评量表(SCL-90)及社会支持评定量表(SSRS)对116例住院肺结核患者(研究组)和90名健康志愿者(健康对照组)进行调查, 采用非参数统计方法 秩和检验及偏相关分析对各项指标中位数进行统计分析。 结果住院肺结核组SCL-90阳性项目数及躯体化、强迫症状、抑郁、焦虑、恐怖5个因子评定指标均值高于健康对照组。SCL-90症状自评结果在文化程度上未显示出差异。SSRS评定住院肺结核患者的主观支持、支持利用度及支持总分均低于健康对照组,而客观支持无差别。未婚患者与已婚患者的SCL-90与SSRS无明显差异。 结论 住院肺结核患者心理健康状况较差、主观支持及支持利用度低,应实施包括心理干预在内的全面治疗。

关键词: 结核, 肺/心理学, 精神卫生, 社会支持

Abstract: Objective To study psychological factors and social support situation in hospitalized patients with pulmonary tuberculosis.   Methods Questionnaires were performed in 116 hospitalized patients with tuberculosis(study group) and 90 healthy volunteers(healthy control group) using Symptom Checklist 90(SCL-90)and Social Support Rating Scale(SSRS).Statistical analyses were made on the medians of various indicators by non-parametric statistical Methods and partial rank correlation analysis.   Results The number of positive items and the assessment index means in five factors which include somatization, obsessive-compulsive symptoms, depression, anxiety, and terror are higher than those of healthy control group. SCL-90 symptom self-assessment Results do not show differences between different levels of education. SSRS Results in subjective supports, use of support and overall score of support are lower than those of the healthy control group, while there is no difference in objective support. No difference is found between different marriage statuses.   Conclusion s Hospitalized patients with pulmonary tuberculosis have poor mental health status. Subjective support and the use of supports is also low for them. Therefore comprehensive treatment, including psychological intervention should be implemented to TB patients.

Key words: tuberculosis,pulmonary/psychology, mental health, social support