耐药肺结核患者的疾病应对方式及其影响因素分析  

Analysis of medical coping modes and influencing factors in patients with drug-resistant tuberculosis

作　　者：王智永 张宇琦 李宗煜 高文龙[2] WANG Zhiyong;ZHANG Yuqi;LI Zongyu;GAO Wenlong(Lanzhou Pulmonary Hospital,Lanzhou,Gansu 730030,China;Department of Epidemiology and Health Statistics,School of Public Health,Lanzhou University,Lanzhou,Gansu 730000,China)

机构地区：[1]兰州市肺科医院,甘肃兰州730030 [2]兰州大学公共卫生学院流行病与卫生统计学研究所,甘肃兰州730030

出　　处：《临床肺科杂志》2023年第9期1341-1345,共5页Journal of Clinical Pulmonary Medicine

基　　金：兰州市人才创新创业项目(No.2020-RC-76)。

摘　　要：目的了解耐药肺结核患者的疾病应对方式及其影响因素,为改善患者治疗结局提供依据。方法选取在兰州市肺科医院住院的54例耐药肺结核患者作为研究对象,使用医学应对方式问卷等调查工具进行调查。结果耐药肺结核患者的“回避”得分显著高于常模(P=0.031),“面对”和“屈服”得分与常模相比没有统计学意义(P>0.05)。治疗时长不低于6个月(OR=46.53;95%CI:2.05~1096.63)且家庭功能得分越低(OR=0.47;95%CI:0.27~0.79)的患者“面对”得分更高。女性患者的“回避”得分低于男性(OR=0.16;95%CI:0.04~0.68);年龄越小的患者“回避”得分越高(OR=0.91;95%CI:0.88~0.95);心理状态得分越高的患者更倾向于选择“回避”(OR=1.09;95%CI:1.05~1.14)和“屈服”(OR=1.11;95%CI:1.05~1.16)。结论耐药肺结核患者更多地采用消极应对方式,性别、年龄、治疗时长、心理状况和家庭功能等因素对耐药肺结核患者的疾病应对方式有影响。今后应重点关注耐药肺结核患者心理健康问题,提高患者面对疾病的积极性。Objective To understand the medical coping modes of patients with drug-resistant tuberculosis and their influencing factors,and to provide a theoretical basis for improving the treatment outcome of patients.Methods A total of 54 patients with drug-resistant tuberculosis hospitalized in Lanzhou Pulmonary Hospital were selected as the study subjects and investigated by the Medical Coping Modes Questionnaire(MCMQ).Results The score of“avoidance”in patients with drug-resistant tuberculosis was significantly higher than the norm(P=0.031),whereas the scores of“face”and“yield”were not significantly different from the norm(P>0.05).Patients with a treatment duration of at least 6 months(OR=46.53;95%CI:2.05~1096.63)and lower family functioning scores(OR=0.47;95%CI:0.27~0.79)had higher“face”scores.Female patients had lower“avoidance”scores than males(OR=0.16;95%CI:0.04~0.68);younger patients had higher“avoidance”scores(OR=0.91;95%CI:0.88~0.95);and patients with higher psychological status scores were more likely to choose“avoidance”(OR=1.09;95%CI:1.05~1.14)and“yield”(OR=1.11;95%CI:1.05~1.16).Conclusion Patients with drug-resistant tuberculosis adopt more negative coping modes,and factors such as gender,age,length of treatment,psychological status,and family function affect the disease coping modes.In the future,we should focus on the psychological health problems of patients and improve their enthusiasm to face the disease.

关 键 词：耐药肺结核 医学应对方式 贝叶斯 影响因素分析 

分 类 号：R521[医药卫生—内科学]