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上海浦东新区肺结核患者心理健康状况分析
引用本文:李世宏,;肖绍坦,;梅建,;孙乔,;李朋,;林涛,;陈金妹.上海浦东新区肺结核患者心理健康状况分析[J].中国热带医学,2014(5):603-605.
作者姓名:李世宏  ;肖绍坦  ;梅建  ;孙乔  ;李朋  ;林涛  ;陈金妹
作者单位:[1]上海市浦东新区疾病预防控制中心,上海200136; [2]上海市疾病预防控制中心,上海200336
基金项目:浦东新区卫生系统优秀青年医学人才培养计划资助(NO.PWRq2011-32)
摘    要:目的了解上海市户籍肺结核患者心理健康状况,为开展心理支持工作提供依据。方法对浦东新区18个社区2011年11月~2012年10月登记确诊的上海市户籍肺结核患者进行症状自评量表(SCL-90)问卷调查,采用t检验和卡方检验比较阳性项目数和9个因子得分情况。结果男性患者敌对因子得分高于女性患者(t=-2.318,P0.05);痰菌阴性患者抑郁、焦虑的检出率高于痰菌阳性患者(P0.05);随着年龄、发生肺结核病次数的增加,研究对象SCL-90的总分上升(P0.05)。结论应加强对高年龄、复治、痰菌阴性、男性患者心理支持工作,提高患者治疗依从性。

关 键 词:肺结核  心理健康  SCL-90

Analysis of mental heath of patients with pulmonary tuberculosis in Pudong District of Shanghai
Institution:LI Shi-hong, XIAO Shao-tan, MEI Jian, et al.( Pudong District Center for Disease Control and Prevention, Shanghai 200136, P. R. China)
Abstract:Objective To analyze the status of mental health of tuberculosis patients.Methods A questionnaire survey of confirmed tuberculosis patients registered from November 1,2011 to October 30,2012 was conducted using the scale(SCL-90).The data were analyzed by Chi-square test and t test.Results The score of hostility factor in male patients was higher than that in females(t=-2.318,P0.05).The detection rates of depression and anxiety of smear negative patients were higher than those of smear positive patients(P0.05).The total scores of SCL-90 went up along with the increase of age and frequency of tuberculosis infection(P0.05).Conclusion Psychological support male senile and retreated sputum- negative TB patients should be strengthened to improve their compliance.
Keywords:Tuberculosis  Mental health  SCL-90
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