结核病患者心理脆弱及焦虑抑郁状态相关研究进展  

Research progress on mental vulnerability and anxiety-depression status in tuberculosis patients

作　　者：孟婷 陈敬芳 邓国防[3] 林奕[3] 阮淑金[1] 刘琳琳 李孟君 Meng Ting;Chen Jingfang;Deng Guofang;Lin Yi;Ruan Shujin;Liu Linlin;Li Mengjun(School of Nursing,South China University,Hengyang 421001,China;Department of Research and Teaching,Shenzhen Third People’s Hospital,Shenzhen 518112,China;Department of Pulmonary Medicine,Shenzhen Third People’s Hospital,Shenzhen 518112,China;Department of Nursing,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]南华大学护理学院,衡阳421001 [2]深圳市第三人民医院科研教学部,深圳518112 [3]深圳市第三人民医院肺病医学部,深圳518112 [4]首都医科大学附属北京天坛医院护理部,北京100070

出　　处：《结核与肺部疾病杂志》2024年第6期583-589,共7页Journal of Tuberculosis and Lung Disease

基　　金：深圳市高水平医院建设专项(G2022006)。

摘　　要：结核病是由结核分枝杆菌引起的以肺部感染为主的慢性传染性疾病,其治疗周期一般为6个月,患者在抗结核治疗过程中易出现焦虑、抑郁状态,尤其是心理脆弱者,不仅会影响个体身心健康、精神状况及人际交往,还会降低其服药和治疗积极性和依从性,影响抗结核治疗结局。因此,本文就心理脆弱和焦虑抑郁的概念、发病情况、评估工具、影响因素及临床干预方法等方面进行综述,为临床医师开展结核病患者早期心理脆弱、焦虑抑郁筛查,并及时实施心理干预,降低结核病患者严重心理疾病的发生提供参考依据。Tuberculosis(TB)is a chronic infectious disease primarily characterized by pulmonary infection,caused by Mycobacterium tuberculosis,with a typical treatment duration of 6 months.Patients are prone to experiencing anxiety and depression during anti-TB treatment,especially those who are psychologically vulnerable which will not only affect their physical and mental health,mental status and interpersonal communication,ultimately impacting the outcomes of anti-TB therapy.Therefore,this paper summarizes the concepts of mental vulnerability,anxiety,and depression,their incidence,assessment tools,influencing factors,and clinical intervention strategies.The aim is to provide a reference for clinicians to carry out early screening of psychological vulnerability,anxiety and depression in TB patients,and implement psychological intervention in time to reduce the occurrence of serious mental illness in TB patients.

关 键 词：结核 心理学 临床 心理现象和过程 综述文献(主题) 

分 类 号：R52[医药卫生—内科学] R395[医药卫生—临床医学]