青年肺结核患者心理健康状况与社会支持的相关分析
Correlation analysis of the mental state and social support among young patients with tuberculosis
目的 了解青年肺结核患者心理健康状况及其影响因素,分析心理健康与社会支持的相关性,为制定合理的干预措施提供科学依据.方法 随机抽取2015年5月—2016年8月于徐州市传染病医院就诊的≤40岁青年肺结核患者200例,采用自行设计的一般资料调查表、症状自评量表(SCL-90)和社会支持量表(SSRS)对患者进行调查,并分析心理健康与社会支持的相关性.结果 本组青年肺结核患者SCL-90总分为(147.34±46.39)分,高于1986年、2006年全国常模,差异有统计学意义(t值分别为5.298、5.280;P<0.05);多元逐步回归分析显示,文化程度、年收入是青年肺结核患者SCL-90得分的影响因素.SCL-90总分与社会支持总分、主观支持得分、对支持的利用度得分呈负相关(r值分别为-0.232、-0.221、-0.407;P<0.05).结论 青年肺结核患者心理健康状况较差,其社会支持水平与心理健康状况密切相关,医护人员应当及时开展干预措施,切实改善患者心理健康状况,促进患者康复.
更多Objective To investigate the status and influence factors on mental health among young stuberculosis patients, and explore the correlation between mental health and social support, so as to provide scientific basis for the development of interventions.Methods A total of 200 young tuberculosis patients, aged ≤40 year, were selected in Xuzhou Infectious Hospital from May 2015 to August 2016,and investigated by self-designed general information questionnaire, Symptom Checklist (SCL-90) and Social Support Rating Scale (SSRS). The correlations were analyzed between mental health and social support.Results Compared with 1986 and 2006 national norm, the sum score of SCL-90 was (147.34±46.39) for involved youth (t=5.298, 5.280;P<0.05). In multiple regression analysis, the main influence factors included educational level, annual income for score of SCL-90. The score of SCL-90 was negatively correlated with scores of social support, subjective support and degree of support utilization (r=-0.232, -0.221, -0.407;P<0.05).Conclusions The mental health status of young patients with tuberculosis is poor, and social support is closely related to mental health. Medical staff should timely carry out psychological intervention measures to improve the mental health and promote the rehabilitation.
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