综合心理干预对肺结核合并乙型肝炎患者生活质量的影响

目的 探讨心理干预对肺结核合并乙型肝炎患者生活质量的影响.方法 将148名肺结核合并乙型肝炎患者随机分为试验组和对照组各74例,2组在常规治疗护理的基础上,试验组给予综合心理干预治疗,疗程3个月,采用症状自评量表、SF-36生活质量问卷进行评定分析.结果 症状自评量表评定,2组治疗前SCL-90各因子评分比较无差异无显著性(P＞0.05),2组治疗后相比均有显著性差异(P＜0.05或＜0.01).试验组心理干预治疗前后差异有显著性(P＜0.01),对照组在治疗前后抑郁及躯体化评分增高(P＜0.05),偏执及精神病性因子分降低(P＜0.05),其余无差异.SF-36干预前2组患者分值比差异较无显著性(P＞0.05);干预结束后试验组各项目评分值均显著高于对照组,差异有显著性(P＜0.01);干预后试验组各项目评分值均显著高于干预前,差异有显著性(P＜0.01);对照组治疗前后无差异(P＞0.05).结论 对肺结核合并乙型肝炎患者及时给予心理干预可显著提高患者的生活质量.

Effect of psycho-intervention on life quality of patients with pulmonary tuberculosis complicated with hepatitis B

Objective To investigate the effects of psycho-intervention on the life quality of patients with pulmonary tuberculosis complicated with hepatitis B.Methods 148 patients with pulmonary tuberculosis complicated with hepatitis B were randomly divided into trial group(n=74) and control group(n=74),the patients in trial group received combination of routine therapy and psycho-intervention,however the other 74 patients in control group received only routine therapy,with a treatment course of 3 months for both groups.Assessements were performed by using the Symptom Checklist-90(Scl-90) and SF-36 questionaire of life quality.Results Before treatment there was no significant difference in the scores of SCL-90 between two groups(P>0.05),however,after treatment there was a significant difference in the scores of SCL-90 between two groups(P<0.05 or P<0.01).Before and after treatment for 3 months,the sores in the test group were obviously different(P<0.01).In the control group,the scores in depression and somatization obviously increased after 3-month treatment,as compared with those before treatment(P<0.05),while the scores in paranoia and psychosis significantly decreased(P<0.05),and the others were similar(P>0.05).There was no significant difference in the scores of SF-36 in between two groups before intervention(P>0.05),however,after intervention the scores of SF-36 were remarkably higher in trial group than those in control group(P<0.01).All the scores in trial group after intervention was significantly higher than those before intervention(P<0.01).Conclusion The psycho-intervention could obviously improve the life quality of patients with pulmonary tuberculosis complicatedwith hepatitis B.