摘要
目的 研究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 ,运用症状自评量表 (SCL 90 )及社会支持评定量表 (SSRS)对 13 2例肺结核患者 (研究组 )和 71名健康志愿者(健康对照组 )进行调查 ,采用t检验及方差分析对各项指标均数进行统计分析。结果 肺结核患者躯体化、强迫症状、焦虑、恐怖、偏执、精神病性因子分及SCL 90阳性项数的均数分别为 1 77± 0 51、1 63± 0 50、1 53± 0 51、1 3 3± 0 41、1 40± 0 45、1 41± 0 40和 3 6 0 7± 2 0 84,明显高于健康对照组的1 3 0± 0 49、1 43± 0 49、1 3 8± 0 65、1 2 4± 0 48、1 49± 0 69、1 3 0± 0 44和 2 4 92± 18 2 2 ,差异有非常显著性 (P <0 0 1)。SCL 90症状自评结果在文化程度上显示出一定差异。SSRS评定结核患者的客观、主观支持及支持总分分别为 6 90± 2 81、19 2 5± 5 62和 3 2 96± 7 86,均显著低于健康对照组的7 92± 2 57、2 1 54± 5 82和 3 6 51± 9 0 1,差异有非常显著性 (P <0 0 1) ;痰涂片阳性患者的主观支持总分为 18 15± 5 72 ,较阴性患者的 2 0 75± 5 78低 ,差异有显著性 (P <0 0 5) ;未婚患者的主观、客观支持及支持总分分别为 17 19± 4 2 0、6 17± 2 18及 3 0 3 5± 5 96,均低于?
ObjectiveTo investigate the mental health and social support in patients with tuberculosis. Methods Questionnaires were performed in 132 patients with tuberculosis and 71 healthy volunteers using Symptom Checklist 90(SCL-90)and Social Support Rating Scale (SSRS). Statistical analyses were processed using Student′s t test and ANOVA test. Results Somatization, obsessive-compulsiveness, anxiety, phobic anxiety and paranoid ideation, psychotism and the mean of positive factors of SCL-90 of the tuberculosis group (1.77±0.51,1.63±0.50,1.53±0.51,1.33±0.41,1.40±0.45,1.41±0.40 and 36.07±20.84, respectively) were significantly higher than those of the control group (1.30±0.49,1.43±0.49,1.38±0.65,1.24±0.48,1.49±0.69,1.30±0.44 and 24.92±18.22, respectively) (all P<0.01). The result of symptom self-check differed among patients with different educational levels. The SSRS results of subjective and objective supports and total score of social supports of the tuberculosis group were 6.90±2.81, 19.25±5.62 and 32.96±7.86,respectively, much lower than those of the control group(7.92±2.57,21.54±5.82 and 36.51±9.01, respectively) (all P<0.01). Subjective support of patients with smear positive tuberculosis was much lower than that of patients with smear negative disease (18.15±5.72 vs. 20.75±5.78, P<0.05); Subjective support, objective support and total score of social support of the unmarried patients (17.19±4.20, 6.17±2.18, 30.35±5.96, respectively) were lower than those of the married (20.72±5.96, 7.66±3.03, 35.19±8.74, respectively) (all P<0.01). The results of SCL-90 and SSRS had no statistical relationship. Conclusion Our results suggest that the disordered mental conditions and lower social support in patients with tuberculosis need psychosocial interventions in addition to medical care.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2003年第11期704-707,共4页
Chinese Journal of Tuberculosis and Respiratory Diseases
