摘要
目的研究初治涂阳肺结核患者的心理学特征及其相关影响因素,探讨支持性心理干预对初治涂阳肺结核患者负性心理的影响。方法釆用心理《症状自评量表》(S》mptmndinMist90,2.-90)对2018年4—10月沈阳市胸科医院就诊的263例初治涂阳肺结核患者进行测评评估?通过与我国正常人SCL-90量表评估的国内常模(简称“常模”)中各项因子进行对比评估。在进行2周的支持性心理干预后,分析其临床干预效果。结果所有初治涂阳肺结核患者干预前在躯体化症状、强迫、焦虑、抑郁及敌对等方面得分分别为(1.52±0.31)分、(1.81±0.42)分、(1.45±0.23)分、(1.62±0.28)分、(1.59±0.58)分,均高于常模[分别为(1.37±0,48)分、(1.62±0.58)分、(1.39±0.43)分、(1.50±0.59)分、(1.46±0.55)分了◎值分别为6.161,5.759,3.331.5.456,2.862,P值均<0.01)。女性患者在躯体化症状、抑郁、焦虑、人际关系敏感性等方面得分(分别为1.61±0.48、1.67±0.49,1.51±0.26J.72±0.38)明显高于男性(分别为1.45±0.25、1.58±0.52、1.39土0.63、1.59±0.46)(/值分别为2.571、2.137,2.532J.985.P值均V0.05)。受教育程度在大专及以上的患者在抑郁、焦虑、偏执方面得分(分别为1.73±0.36,1.52±0.27,1.53±0.39)均高于受教育程度在髙中及以下的患者(分别为1.59±0.47,1.39±0.59,1.41±0.46)(/值分别为2.026,2.123,1.987.P值均V0.05)。不同年龄组在抑郁(分别为1.60±0,36-1.68±0.43)、焦虑(1.42±0.53-1.51±0,18)及人际关系敏感性(1.63±0.47-1.72土0.35)方面的差异均有统计学意义(F值分别为2.378、2.356和2.427,P值均<0.05)。经支持性心理治疗后,躯体化症状[(1.39±0.42)分]、强迫氐1.65±0.51)分]、焦虑[(1.35±0.29)分]、抑郁[(1.54±0.47)分]、敌对[(1.51±0.35)分]、精神病性[(1.29±0.35)分]的得分均低于干预前[分别为(1.52±0.31)分、(1.81±0.42)分、(1.45±0.23)分、(1.62±0.28)分、(1.59±0.58)分、(1.30±0.13)分](r值分别为10.153、&252、3.584�
Objective To investigate the psychological characteristics of newly diagnosed smear positive pulmonary tuberculosis (PTB) patients and analyze the related influencing factors, and to explore the effect of supportive psychotherapy on newly diagnosed smear positive PTB patients. Methods Symptom checklist 90 (SCL-90) was used to evaluate 263 initial treatment smear-positive PTB patients, who visited Shenyang Chest Hospital in April to October 2018,and then compared the evaluation results of the patients with that of normal Chinese people (norm). The related influencing factors were analyzed. Then two weeks supportive psychotherapy was given to those patients and the clinical effects were analyzed after intervention. Results The scores of somatization symptoms, compulsion, anxiety, depression and hostility was 1. 52zt0. 31 > 1.81±0. 42, 1.45±0. 23, 1. 62 ±0. 28 and 1. 59士0. 58 respectively in the patients before they received intervention, which were significantly higher than those in the norm (1. 37 + 0. 48, 1. 62±0. 58, 1. 39士0. 43, 1. 50±0. 59 and 1. 46 + 0. 55)(t value was 6. 161. 5.759, 3.331, 5. 456, 2.862 respectively, P<0. 01). The scores of somatization symptoms, depression, anxiety and interpersonal sensitivity in the female patients (1. 61 + 0. 48, 1. 67iO. 49, 1. 51±0. 26 and 1. 72±0. 38) were significantly higher than those in the male patients (1. 45i0. 25, 1. 58 + 0. 52, 1. 39zt0. 63 and 1. 59 + 0. 46)(/ value was 2. 571,2. 137,2. 532, 1. 985 respectively, P<C0. 05). The scores of depression, anxiety and paranoia in the patients with college education level or above (1. 73±0. 36, 1. 52±0? 27 and 1. 53+0. 39) were significantly higher than those in the patients with senior high school education level or below (1. 59 + 0. 47, 1. 39±0. 59 and 1. 41 dz 0. 46)(r value was 2. 026, 2. 123 and 1. 987 respectively. PV0. 05). There were significant differences of scores on depression (1? 60±0. 36 -1. 68zt0. 43), anxiety (1. 42 + 0. 53--1. 51 ±0. 18) and interpersonal sensitivity (1. 63zb 0. 47-1.
作者
吴颖
杜桂春
鲍丙丽
杨雪
陈禹
孙颖
WU Ying;DU Gui-chun;BAO Bing-li;YANG Xue;CHEN Yu;SUN Ying(Shenyang Chest Hospital & Shenyang Tenth Penple's Hospital, Shenyang 110044 , China)
出处
《结核病与肺部健康杂志》
2019年第1期48-53,共6页
Journal of Tuberculosis and Lung Health
关键词
结核
肺
心理生理性障碍
心理测定学
心理疗法
短期
数据说明
统计
Tuberculosis,pulmonary
Psychophysiological disorders:Psychometrics
Psychotherapy,short-term
Data interpretation,statistical
