70例肺结核患者心理特征分析

Analysis of psychological character of 70 pulmonary tuberculosis cases

目的研究肺结核患者的心理健康状况,为完善肺结核综合治疗提供社会心理学依据。方法采用症状自评量表(SCL-90)对70例肺结核病人进行评定。结果肺结核病人偏执、人际关系均分低于国内常模,有显著性差异(0.05>P>0.01)。余项因子均分及阳性项目数明显高于常模,以躯体化、精神病性、焦虑、忧郁为突出(P<0.01);女性心理障碍严重程度高于男性(P<0.05),中年组抑郁程度超过青、老年组(P<0.05);文化程度在高中及以上者的心理障碍程度均超过初中及以下者(P<0.05)。病程长组心理障碍程度高于病程短组(P<0.05)。结论肺结核患者心理健康状况较差,广度大,在进行躯体治疗时应实施针对性心理干预和支持性心理治疗。

Objective To study psychological status of the pulmonary tuberculosis and provide social-psychological base for perfect the comprehensive support for tuberculosis treatment. Methods Symptom Check List 90（SCL - 90）questionnaire, were used to investigate 70 case of tuberculosis patient. Results Positive factors （SCL- 90）of the pulmonary tuberculosis patients were significantly higher than standard modle（0.05 〉 P 〉 0.01 ）, especially somatization, depression and anxiety（ P 〈 0.05）. The psychological disturbances of the female were more serious than those of males（ P 〈 0.05） .The degree of depression in middle aged group is higher than that in the young and ones （ P 〈 0.05）. The disturbances among the educated were more setious than these with little education（ P 〈 0.05） .There was much different in the state of mind in the length of sickness（ P 〈 0.05）. Conclusion The scope of the mental disturbances of TB patient is serious and wide. The psychosocial intervention is necessary alone with the chemical treatment