肺结核患者心理健康状况分析

Analysis on mental health in patients with pulmonary tuberculosis

目的了解肺结核患者心理健康状况,为今后更有效地开展结核病健康教育工作提供参考。方法对乌鲁木齐市沙依巴克区2010年1~4月期间接受免费短程化疗的肺结核患者93例（病例组）及健康对照者102例（对照组）进行症状自评量表（SCL-90）问卷调查,采用χ2检验和t检验对2组的阳性项目数及9个因子进行比较。结果对照组的阳性项目数、躯体化、焦虑、恐怖因子得分高于国内常模（P〈0.05）;病例组患者阳性项目数及躯体化、强迫症状、人际关系敏感、抑郁、偏执、饮食与睡眠因子得分高于对照组,差异均有统计学意义（P〈0.05）。结论肺结核患者心理健康水平较差,在为患者治疗疾病的同时,应重视并解决其心理问题。

Objective To acknowledge the status of the mental health of TB patients and provide reference for carrying out health education in the future.Methods A questionnaire survey was conducted with SCL-90 in 93 TB patients（case group） and 102 normal residents（control group）,the statistical test was done using chi-square test and t test.Results The number of positive items and somatization factor in control group are higher than national norm;positive items,somatization,obsessive compulsive,interpersonal sensitivity,depression,paranoia,sleep and food in case group are higher than the control group,the differences were statistically significant（P0.05）.Conclusion The mental health level of tuberculosis patients is poor,with the same time of treatment,doctors should pay attention to mental health and solve their psychological problems.