摘要
目的对肺结核患者心理健康状况进行探讨,为完善肺结核综合治疗提供社会心理学依据。方法采用症状自评量表（SCL-90）对100例肺结核患者进行调查。结果肺结核患者SCL-90评定,除强迫和偏执2因子外,其余各因子分和阳性项目数,显著高于国内常模（P〈0.05或0.01）;其中,女性患者评分较男性为高,30-60岁组患者评分高于其他年龄组,评分与病程和文化程度正相关,乡村患者抑郁因子分高于城镇患者,人际敏感因子分却低于后者。结论肺结核患者心理健康水平低下,在进行躯体治疗时应实施针对性心理干预、心理支持和健康教育,以提高患者心理健康水平和生活质量。
Objective To explore the psychological healthy condition of patients with pulmonary tuberculosis and provide the social-psychological base for perfecting the comprehensive treatment of pulmonary tuberculosis. Methods Symptom Check List 90 （SCL-90） was used to investigate 100 cases of pulmonary tuberculosis. Results Except the two factors of obsessive-compulsive and paranoid ideation, the scores of other factors and the sum of positive factors of pulmonary tuberculosis patients were significantly higher than those of the standard model （P〈0.05 or 0.01）. The psychological disturbances of the females were more serious than those of the males. The scores of SCL--90 in the 30-60 years old group were significantly higher than those in the other groups. The scores were positively related to the disease course and the education level of the patients. The score of interpersonal sensitivity in the rural group were significantly lower than that in the urban group, and the score of depression was higher than that in the urban group. Conclusions The level of psychological health of TB patients is low. The psychological intervention, psychological support and health education should be implemented along with the chemical treatment in order to improve the psychological health level and the life quality.
关键词
肺结核
心理健康
调查
Pulmonary tuberculosis
Psychological health
Investigation
