结核病强化治疗期患者病耻感与心理弹性、社会支持、应对方式的相关性分析  

Correlation Analysis between Stigma and Psychological Resilience,Social Support,and Coping Styles in Patients with Intensive Treatment for Tuberculosis

作　　者：应小燕 YING Xiaoyan(The First People's Hospital of Yongkang City,Yongkang 321300,China)

机构地区：[1]永康市第一人民医院,浙江永康321300

出　　处：《中外医学研究》2024年第31期152-155,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：金华市科学技术局项目(2022-4-371)。

摘　　要：目的:分析结核病强化治疗期患者病耻感与心理弹性、社会支持、应对方式的相关性。方法:选取2022年6月—2023年6月永康市第一人民医院收治的180例结核病强化治疗期患者。收集所有患者一般资料,评价所有患者病耻感、心理弹性、社会支持及应对方式。比较不同一般资料患者结核病污名感受量表(TSS)评分。根据TSS评分,将患者病耻感程度划分为轻中度(≤48分)、重度(>48分),比较不同程度病耻感患者心理弹性量表简化版(CD-RISC-10)、领悟社会支持量表(PSSS)、医学应对方式问卷(MCMQ)评分。分析结核病强化治疗期患者TSS评分与CD-RISC-10评分、PSSS评分、MCMQ评分的相关性。结果:180例患者中,TSS评分最低37分,最高64分,平均(52.18±7.38)分。不同受教育程度、家庭月收入水平、有无合并其他疾病、是否复治肺结核、不同医疗费用患者TSS评分比较,差异有统计学意义(P<0.05)。180例患者中,轻中度病耻感患者113例(62.78%),重度病耻感患者67例(37.22%)。重度病耻感患者CD-RISC-10评分、PSSS评分、面对评分均明显低于轻中度病耻感患者,回避评分、屈服评分均明显高于轻中度病耻感患者,差异有统计学意义(P<0.05)。Pearson分析显示,结核病强化治疗期患者TSS评分与CD-RISC-10评分、PSSS评分、MCMQ面对评分呈负相关,与MCMQ回避评分、MCMQ屈服评分呈正相关(P<0.05)。结论:结核病强化治疗期患者存在病耻感,且不同患者的病耻感程度有所差异,另一方面,结核病强化治疗期患者病耻感与其心理弹性、社会支持、应对方式具有相关性。Objective:To analyze the correlation between stigma and psychological resilience,social support and coping styles in patients with intensive treatment for tuberculosis.Method:A total of 180 patients with intensive treatment for tuberculosis admitted to the First People's Hospital of Yongkang City from June 2022 to June 2023 were selected.General data of all patients were collected and their stigma,psychological resilience,social support and coping styles were evaluated.The tuberculosis stigma perception scale(TSS)scores of patients with different general data were compared.According to the TSS score,the patients'stigma was divided into mild to moderate(≤48 points)and severe(>48 points),and the scores of psychological resilience scale simplified version(CD-RISC-10),perceptional social support scale(PSSS)and medical coping style questionnaire(MCMQ)were compared for patients with different levels of stigma.The correlation between TSS score and CD-RISC-10,PSSS,MCMQ score in patients with tuberculosis during intensive treatment was analyzed.Result:Among 180 patients,the lowest TSS score was 37 points,the highest was 64 points,and the average score was(52.18±7.38)points.There were statistically significant differences in TSS scores among patients with different education level,family monthly income level,whether they were combined with other diseases,whether they were retreated with tuberculosis,and different medical expenses(P<0.05).Among 180 patients,113 cases(62.78%)had mild to moderate stigma and 67 cases(37.22%)had severe stigma.The CD-RISC-10 score,PSSS score and face score of patients with severe stigma were significantly lower than those with mild to moderate stigma,and the avoidance score and yield score were significantly higher than those patients with mild to moderate stigma,the differences were statistically significant(P<0.05).Pearson analysis showed that TSS score was negatively correlated with CDRISC-10 score,PSSS score and MCMQ face score,and positively correlated with MCMQ avoidance score and MCMQ

关 键 词：结核病 病耻感 心理弹性 社会支持 应对方式 

分 类 号：R473.5[医药卫生—护理学]