精神分裂症伴肺结核患者生活质量与心理健康的相关分析

目的探讨精神分裂症伴肺结核患者的生活质量、心理健康状况及其相互关系。方法采用世界卫生组织生活质量量表（WHOQOL-100）和症状自评量表（SCL-90），对53例精神分裂症伴肺结核患者进行评定，并与53例精神分裂症患者资料进行对照比较。结果精神分裂症伴肺结核组WHOQOL-100总分以及心理领域、独立性领域、社会关系领域、精神支柱领域评分均明显低于对照组（P〈0．05）。精神分裂症伴肺结核组SCL-90总分以及躯体化、人际关系敏感、抑郁、焦虑、恐怖因子分均高于对照组，差异具有显著性（P〈0．05～0．01）。WHOQOL-100总分与SCL-90躯体化、人际关系敏感、抑郁、焦虑、恐怖、精神病性等因子分呈负相关（P〈0．05）。结论精神分裂症伴肺结核患者较不伴肺结核患者的生活质量和心理健康状况更差，二者关系密切。应重视改善他们的心理健康状况和生活质量。

A correlation study on quality of life and mental health among schizophrenics with tuberculosis

Objective To explore the quality of life and mental health of schizophrenia patients with tuberculosis and analyze their correlation. Methods 53 schizophrenics with tuberculosis were enrolled in the study group and 53 schizophrenics without tuberculosis were included in the control group. The World Health Organization Quality of Life with 100 questions （WHOQOL--100） and Symptom Checklist 90 （SCL--90） were used to evaluate the quality of life and mental health for both of the two groups. Results The total score of WHOQOL-- 100 and the scores of psychological domain, independence domain, social relation domain, and domination in the study group were significantly lower than that in the control group （P 〈 0.05）. Furthermore, the SCL--90 scores and factor scores of somatization, interpersonal sensitivity, depression, anxiety, terror in the study group were significantly higher compared to the control group （P 〈 0.05- 〈 0.01）. The total score of WHOQOL--100 was negatively correlated with the factor scores of somatization, interpersonal sensitivity, depression, anxiety, terror, psychoticism of SCL--90 （P 〈0.05）. Conelusions The quality of life and mental health of schizophrenics with tuberculosis are worse than those of schizophrenics without tuberculosis. Hence, more attention should be paid to improve their mental health status and quality of life.