159例肺结核患者的社会支持与生命质量相关性的 探讨研究

摘要:目的　通过调查159例肺结核患者的社会支持和生命质量，分析和讨论两者的一般情况以及相关性，探讨二者对肺结核患者的影响。方法　使用社会支持评定量表（SSRS）以及36 条目简明量表（SF-36）对159例肺结核患者进行自评调查。资料分析使用均数、t检验，并对社会支持和生命质量进行了相关分析和多重线性回归分析。结果　SF-36量表评定患者各项得分为生理机能（70.25±26.028）分，生理职能（27.99±36.713）分，躯体疼痛（62.03±22.687）分，一般健康状况（46.26±21.553）分，精力（54.87±21.250）分，社会功能（63.99±29.344）分，情感职能（46.33±41.408）分，精神健康（59.80±18.625）分，均低于一般人群的参考水平（P＜0.01）。SF-36量表与社会支持量表测得结果总分相关系数r＝0.187，呈正相关。多重线性回归中，患者社会支持总分、是否住院和年龄进入肺结核患者生命质量得分方程（F＝6.342，P＜0.01）。结论　肺结核患者生命质量低于一般人群，且生命质量与社会支持有密切的相关性，社会支持是生命质量的影响因素，改善肺结核患者的社会支持将有助于改善生命质量。

Investigation of the correlation between social support and quality of life among 159 patients with pulmonary tuberculosis

Abstract: Objective The study aimed to survey the levels of social support and quality of life among 159 patients with pulmonary tuberculosis, so as to analyze and assess the general conditions of and correlation between the two as well as to explore the influence of the two on the patients. Methods Self-evaluation was performed on 159 patients with pulmonary tuberculosis by using the Social Support Revalued Scale (SSRS) and SF-36. The data were analyzed by mean and t-test. Correlation analysis and multiple linear regression analysis were used to analyze social support and quality of life. Results The patients scored in SF-36 on physiological function, physical role, bodily pain, general health condition, vitality, social function, emotional function, and mental health were 70.25±26.028, 27.99±36.713, 62.03±22.687, 46.26±21.553, 54.87±21.250, 63.99±29.344, 46.33±41.408, and 59.80±18.625, respectively; and all items were lower than the scores of the general populations (P<0.01). The overall score in SF-36 was positively correlated with that in SSRS, with a correlation coefficient of r=0.187. Multiple linear regression analysis showed that the overall score on social support, hospitalization, and age fitted into the equation of life quality score (F=6.342, P<0.01). Conclusion The quality of life among patients with pulmonary tuberculosis is poorer than that of the general population, and is closely associated with social support, which is shown to be an influence factors for quality of life. Improving social support for patients with pulmonary tuberculosis is helpful for improving their quality of life.