| 王 丹,张耀之,罗 兰,向 希,薛 秒.耐多药肺结核患者心理健康状况调查及与应对方式、社会支持的相关性研究[J].,2021,(14):2647-2651 |
| 耐多药肺结核患者心理健康状况调查及与应对方式、社会支持的相关性研究 |
| Investigation on Mental Health Status of Multidrug Resistant Tuberculosis Patients and its Correlation with Coping Style and Social Support |
| 投稿时间：2020-11-04 修订日期：2020-11-27 |
| DOI：10.13241/j.cnki.pmb.2021.14.010 |
| 中文关键词: 耐多药肺结核 心理健康 应对方式 社会支持 相关性 |
| 英文关键词: Multidrug-resistant tuberculosis Mental health Coping style Social support Relevance |
| 基金项目:四川省卫生和计划生育委员会科研项目（17PJ043） |
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| 摘要 目的：探讨耐多药肺结核患者心理健康状况的影响因素，分析其及与应对方式、社会支持的相关性。方法：选择2018年4月至2020年5月我院诊治的101例耐多药肺结核患者作为观察组，选择同期99例敏感肺结核患者作为对照组。两组均测评症状自评量表-90(SCL-90)评分、医学应对问卷(MCMQ)评分以及社会支持评定量表(SSRS)评分，分析SCL-90总评分与MCMQ各因子评分、SSRS总评分的相关性，采用Logistic回归模型分析心理健康状况的影响因素。结果：与对照组相比，观察组的躯体化、人际关系、抑郁、焦虑、敌对性、恐怖和精神病性评分以及总评分明显提高（P<0.05）。与对照组相比，观察组的面对评分、客观支持、主观支持、支持利用度评分以及总评分均降低（P<0.05）。Pearson相关性分析显示，SCL-90总评分与MCMQ评分中的回避和屈服评分呈正相关性（r=0.386、0.311，均P<0.05），SCL-90总评分与SSRS总评分呈负相关（r=-0.332，P<0.05）。多因素Logistic回归分析显示，经济状况差、躯体健康状况差、病情严重、睡眠质量差和生活满意度低是耐多药肺结核患者心理健康不良的独立危险因素（P<0.05）。结论：耐多药肺结核患者心理健康状况差，应对方式选择面对较少，总体社会支持水平较低，患者的心理健康状况与应对方式、社会支持存在一定的相关性。在提供躯体性治疗的基础上，应结合患者的心理健康状况及相关危险因素给予适当干预。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the influencing factors of mental health status of patients with multidrug-resistant tuberculosis, and analyze its correlation with coping style and social support. Methods: 101 patients with multidrug-resistant tuberculosis treated in our hospital from April 2018 to May 2020 were selected as observation group, 99 patients with sensitive pulmonary tuberculosis during the same period were selected as control group. Symptom checklist-90 (SCL-90) score, Medical coping modes questionnaire (MCMQ) score and Social Support Rating Scale(SSRS) score were evaluated in both groups, the correlation between SCL-90 total score and MCMQ factor scores, SSRS total scores was analyzed, and the influencing factors of mental health status were analyzed by Logistic regression model. Results: Compared with the control group, the scores of somatization, interpersonal relationship, depression, anxiety, hostility, terror and psychosis and the total score in the observation group were significantly increased (P<0.05). Compared with the control group, the face score, objective support, subjective support, support utilization score and total score of the observation group decreased (P<0.05). Pearson correlation analysis showed that the SCL-90 total score was positively correlated with the avoidance and yield scores in MCMQ score (r=0.386,0.311; all P<0.05), the SCL-90 total score was negatively correlated with that of SSRS total score (r=-0.332, P<0.05). Multivariate logistic regression analysis showed that poor economic status, poor physical health, serious illness, poor sleep quality and low life satisfaction were the independent risk factors of poor mental health in patients with multidrug-resistant tuberculosis (P<0.05). Conclusion: Patients with multidrug-resistant tuberculosis generally have poor mental health, coping style selection is less, and the overall level of social support is low. There is a certain correlation between mental health status of patients and coping style and social support. On the basis of providing somatic therapy, appropriate intervention should be given in combination with the mental health status of patients and related risk factors. |
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