北京市结核病患者心理健康现况及社会支持影响因素研究  

Study on the mental health status and the influencing factors of social support in patients with tuberculosis in Beijing

作　　者：陈曦[1] 倪新兰[1] 贺晓新[1] 高志东[1] 赵瑶[1] 许琰[1] 张红伟[1] 赵鑫[1] 孙闪华[1] 洪峰[1] 

机构地区：[1]北京结核病控制研究所,100035

出　　处：《中国防痨杂志》2016年第6期479-485,共7页Chinese Journal of Antituberculosis

基　　金：北京市卫生系统高层次卫生技术人才培养计划（2013-3-102）

摘　　要：目的了解肺结核患者心理健康状况及社会支持情况，并探讨患者心理健康状况的影响因素。方法于2015年1—6月，对北京市所辖16个区（县）的1105例新登记肺结核患者进行问卷调查。结构型自填问卷由北京结核病控制研究所联合北京大学第六医院精神卫生学方面的有关专家共同设计完成，包括一般信息调查、社会支持评定量表、Kesslerl0（K10）量表。共发放问卷1132份，收回1119份，有效问卷1105份，有效率98．7％。调查肺结核患者的性别、年龄、学历、职业及吸烟饮酒史，同时了解患者的心理健康现况及相关的社会支持现状，采用logistic多元回归分析患者心理现况影响因素，用Spearman相关分析K10量表得分与社会支持量表得分的相关性。结果K10量表得分中位数为11分（Q1=14分，Q3=18分）。172例肺结核患者K10量表得分在22-50分，占15．6％，心理健康状况差；933例肺结核患者得分在10-21分，占84．4％，心理健康状况好。调查对象中，男742例，占67．1％；女363例，占32．9％。764例遇到烦恼问题一般不求助别人，占69．1％；341例遇到烦恼问题经常求助别人，占30．9％。335例从不参加集体活动，占30．3％；770例经常主动参加各类集体活动，占69．7％。logistic多元回归分析显示，女性（OR=1．72，95％CI：1．23～2．41，P=0．002）、遇到烦恼不会倾诉（OR=1．55，95％CI：1．04～2．29，P：0．030）、不经常参加集体活动（OR=1．86，95％CI：1．32～2．61，P〈O．01）是导致肺结核患者心理健康状况差的影响因素。社会支持总得分中位数为38分（Q1=32分，Q3=43分）；主观支持得分中位数22分（Q1=18分，Q3=26分）；客观支持得分中位数为8分（Q1=6分，Q3=10分）；支持利用度得分中位数为7分（Q1=6分，Q3=9分）。患者K10得分与主观支持、客观支持、支持利用度、支持总分之间呈明显Objective To investigate mental health status and social support in order to evaluate the influen- cing factors of mental health status. Methods Questionnaire survey was conducted in 1105 new registered tuber- culosis patients from sixteen districts of Beijing city during Jan. to Jun. 2015. Structured self-administered question naire including the general information survey, social support rating scale, Kessler 10 （K10） scale was designed by experts from Beijing Research Institute for Tuberculosis Control and the No. 6 Hospital of Peking University. A total of 1132 questionnaires were issued and 1119 were recovered including 1105 valid questionnaires, and the effective rate was 98.7~. Gender, age, education, occupation, history of smoking and drinking, the status of mental health and related social support status were investigated in patients with pulmonary tuberculosis. The factors affecting the psychological status of patients were analyzed with logistic regression. The relationship between K10 scores and so- cial support scale scores was analyzed using Spearman correlation analysis. Results The K10 of median score was 11 points （Q1 = 14 points and Q3= 18 points）. The K10 scores were ranged from 22 to 50 points accounting for 15.6% with poor mental health in 172 cases with pulmonary tuberculosis. However, in the other 933 cases with pulmonary tuberculosis, the scores were ranged from 10 to 21 points accounting for 84. 4% with good mental health status. There were 742 males （67.1%） and 363 females （32.9%）. Seven hundred and sixty-four （69.1%） cases didn＇t get help from others when encountered problems and 341 （30.9%） cases usually got help from others when encountered problems. Three hundred and thirty-five （30.3%） cases had never participated in collective activities and 770 （69.7%） cases took part in various group activities. The analysis using logistic multiple regression showed that female （OR= 1.72, 95 CI： 1.23-- 2.41, P= 0. 002）, not pouring out one＇ s troubles （

关 键 词：结核 Kessler量表 心理健康 社会支持 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]