结核病患者生存质量及其影响因素的定性研究

Study of the Quality of Life and Its Influencing Factors in Tuberculosis

目的探讨定性研究方法在结核病患者的生存质量及其影响因素中的应用。方法联合采用专题小组讨论和个人深入访谈对调查对象进行访谈,探讨结核病患者的生存质量及其影响因素。结果结核病影响所有预测领域的生存质量,包括总体健康感觉、躯体感觉、心理健康、躯体功能、角色功能和社会功能;病人的社会耻辱感、药物负担、长期治疗的耐受性、性功能的紊乱、收入的减少以及恐惧也会对病人的生存质量产生一定的影响。结论尽管有合适的药物治疗,结核病及其治疗仍然对病人的生存质量有显著的影响。因此,医疗工作者在对患者进行治疗的同时,不仅要关注其躯体康复还必须提高他们的生存质量。

Objective To explore application of qualitative interviews to study the quality of life（QOL） and its influencing factors of tuberculosis. Method A Combination of in-depth individual interview and focus group discussions was applied to investigate the target population in the hospital to understand the quality of life and its influencing factors of tuberculosis. Result rib affected all predicted domains of QOL, including general health perceptions, somatic sensation, psychological health, physical function, social function, and social stigmatization. The pill burden, long duration of therapy, sexual dysfunction, loss of income and fear also impact the quality of life of the patients. Conclusion Despite available curative therapy, TB and its treatment still have significant short and long-term consequences on patients＇ QOL. So we must pay much more attention on their life quality during the course of medical treatment.