Analysis of the current situation and influencing factors of psychological distress among tuberculosis patients in a hospital in Xinjiang#br#
CHEN Han1 Gulisumuhan Abulaiti1 CHEN Weixing2 YANG Fengqin3 WANG Meixin1
1.Nursing School of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China;
2.the Second Department of Respiratory, the Eighth Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
3.Department of Nursing, the Eighth Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China
Abstract：Objective To understand the current situation and influencing factors of psychological distress among tuberculosis patients in a hospital in Xinjiang. Methods From November 2020 to April 2021, a total of 280 tuberculosis patients in the respiratory department of a hospital in Xinjiang were conveniently selected, while the family function scale, Morisky medication adherence scale, and Kessler 10 scale were used to investigate and analyze the influencing factors of psychological distress. Results In this survey, a total of 280 questionnaires were distributed, 6 invalid questionnaires were excluded, and 274 questionnaires were recovered, with an effective recovery rate of 97.9%. There were statistically significant differences in the psychological distress scores of tuberculosis patients with different age, education level, place of residence, chronic diseases, and taking chronic disease drugs (P ＜ 0.05). The total score of psychological distress was (18.60±6.13) points, the incidence rate was 64.23%; the total score of family function was (7.66±2.41) points; the score of medication compliance was (6.09±1.32) points. Psychological distress was negatively correlated with family function and medication compliance (r = -0.520, -0.506, P ＜ 0.05), and family function was positively correlated with medication compliance (r = 0.133, P ＜ 0.01). Multiple linear regression analysis showed that hemoptysis, combined chronic diseases, time of taking anti-tuberculosis drugs, family support, and medication compliance were the main predictors of psychological distress in tuberculosis patients (P ＜ 0.05), which could explain 48.05% of the total variation of psychological distress in tuberculosis patients. Conclusion The incidence of psychological distress in tuberculosis patients is relatively high. Active measures should be taken related influencing factors, in order to improve the psychological status of patients and improve the quality of life.
陈晗1 古丽苏木汗·阿布来提1 陈卫星2 杨风勤3 王梅新1. 新疆某医院结核病患者心理困扰现状及影响因素分析[J]. 中国医药导报, 2022, 19(9): 59-62.
CHEN Han1 Gulisumuhan Abulaiti1 CHEN Weixing2 YANG Fengqin3 WANG Meixin1. Analysis of the current situation and influencing factors of psychological distress among tuberculosis patients in a hospital in Xinjiang#br#. 中国医药导报, 2022, 19(9): 59-62.
[1] Chen X，Du L，Wu R，et al. Tuberculosis-related stigma and its determinants in Dalian，Northeast China：a cross-sectional study [J]. BMC Public Health，2021，21（1）：1-6.
[2] Shivapujimath R，Rao AP，Nilima AR，et al. A cross-sectional study to assess the stigma associated with tuberculosis among tuberculosis patients in Udupi district，Karnataka [J]. Indian J Tuberc，2017，64（4）：323-326.
[3] Paulo BX，Peixoto B. Emotional distress patients with several types of tuberculosis. A pilot study with patients from the Sanatorium Hospital of Huambo [J]. Int J Mycobacteriol，2016，5（Suppl 1）：S58.
[4] Peltzer K. Decline of common mental disorders over time in public primary care tuberculosis patients in South Africa [J]. Int J Psychiatry Med，2016，51（3）：236-245.
[5] 刘海妮，华中秋，张少茹，等.结核病患者心理困扰现状及其影响因素分析[J].现代预防医学，2020，47（4）：665-668.
[6] 梁丽霞，李芳琳，史铁英.慢性病患者家庭功能的研究进展[J].中华现代护理杂志，2020，26（26）：3557-3562.
[7] 练海娟，姚梅琪，陈金花，等.脑卒中患者家庭功能与康复锻炼依从性现状及其相关性分析[J].中华现代护理杂志，2019，25（27）：3474-3479.
[8] 符亚静，张艳，赵敬，等.河南省农村慢性非传染性疾病病人家庭功能现状及影响因素[J].护理研究，2019，33（16）：2836-2840.
[9] 阿丽米拉·努合曼，周梅，周丽，等.家庭功能对老年高血压患者抑郁情绪、日常生活行为能力、幸福感指数及生活质量的影响[J].中华现代护理杂志，2018，24（33）：4072-4075.
[10] 梁雪，谷玥.老年肝癌患者家庭功能现状及其影响因素分析[J].中华现代护理杂志，2018，24（33）：4051-4053.
[11] 周成超，楚洁，王婷，等.简易心理状况评定量表Kessler10中文版的信度和效度评价[J].中国临床心理学杂志，2008，16（6）：627-629.
[12] 杨婷婷，童叶青，殷晓旭，等.Morisky服药依从性量表、家庭APGAR问卷在结核病患者中的应用评价[J].中国社会医学杂志，2016，33（6）：580-582.
[13] 张斯钰，白丽琼，谭红专，等.Morisky服药依从性量表在肺结核患者中的应用[J].中国防痨杂志，2010，32（9）：527-530.
[14] 盛宇超，张扬，黄朋，等.江苏地区耐多药肺结核患者社会支持及心理健康状况研究[J].中国初级卫生保健，2018， 32（2）：50-52，59.
[15] 符婷，黄丽菊，杨进军，等.308例耐多药肺结核患者心理健康状况及其影响因素分析[J].中国防痨杂志，2020， 42（4）：72-77.
[16] 杨琴.结核病相关病耻感对患者抑郁症状的影响及其中介效应分析[D].武汉：华中科技大学，2019.
[17] 蔡穆，黎永华.肺结核患者心理健康状况及其影响因素调查分析[J].中国卫生统计，2018，35（6）：913-915.
[18] 张彦春 郑丽君.中老年肺结核患者居家心理健康状况评价及其影响因素调查[J].护理实践与研究，2020，17（17）：38-40.
[19] Solikhah MM，Nursasi AY，Wiarsih W. The relationship between family’s informational support and self-efficacy of pulmonary tuberculosis client [J]. Enferm Clin，2019， 29（Suppl 2）：424-427.
[20] 李春燕，蔡小芳，袁美.我院近三年初治肺结核患者的心理健康状况和影响因素分析[J].中国卫生统计，2019， 36（2）：109-111.
[21] Mongan R，Ajar FF. Relationship Between Family Support and Medical Compliance in Patients with Pulmonary Tuberculosis in the Working Area of the Community Health Center of Abeli，Kendari [J]. Public Health Indonesia，2017，3（1）：17-22.
[22] 王琳，侯黎莉，郭影，等.肺结核患者焦虑和抑郁状态及其影响因素[J].国际护理学杂志，2018，37（20）：2844-2849.
[23] 苏静怡，何丽燕，黄波，等.护理干预对肺结核患者的临床效果[J].中外医学研究，2020，18（2）：117-119.
[24] 高颖，王琳.改良早期预警评分在肺结核咯血患者标准化抢救流程中的应用效果[J].解放军护理杂志，2018， 35（4）：53-56.
[25] 巩鑫.初治肺结核患者的心理健康状况及影响因素调查分析[J].中国医学创新，2020，17（19）：88-91.
[26] 曾华志，范玉云，陶曙.肺结核咯血患者焦虑状况调查分析[J].现代临床护理，2015，14（7）：1-4.
[27] 赵洪莲.基于多学科协作的预见性护理对肺结核患者心理状态及治疗依从性的影响[J].中国医药科学，2021，11（10）：134-137.
[28] 张红云，叶瑞珍，王雅芬.聚焦解决模式下的心理护理对肺结核患者负面情绪和生活质量的影响[J].中国当代医药，2020，27（26）：206-208，212.
[29] 任丹，张少茹，华中秋，等.肺结核患者应对方式，家庭功能与自尊的关系研究[J].中国社会医学杂志，2020， 37（6）：47-50.
京公网安备 11010502046598号