女性肺结核患者心理状况及干预效果分析

Investigation of the mental health status and the effectiveness of nursing intervention on the hospitalized female patients with tuberculosis

目的分析女性肺结核患者心理及社会支持状况,探讨其心理干预效果。方法采用症状自评量表、社会支持评定量表对肺结核患者进行问卷调查研究,分析女性肺结核患者心理特点,并对其进行心理干预。结果症状自评量表表明,女性肺结核患者在抑郁、焦虑、偏执3个因子上与男性患者存在差异,且差异有统计学意义(P<0.01)。女性肺结核患者进行心理干预后,其症状自评量表中阳性项目数降低,而社会支持评定量表中患者客观、主观支持及支持总分均增高,差异有统计学意义(P<0.01)。结论女性肺结核患者心理状况以抑郁、焦虑、偏执为其特点,进行心理干预可消除其不良心理状况。在执行全程督导管理治疗肺结核的过程中,应注重配合心理干预,以改善患者生活质量,加强临床治疗效果。

Objective To provide evidences on psychological intervention treatment of tuberculosis,and to investigate the mental health status and the effectiveness of nursing intervention on the hospitalized female patients with tuberculosis.Methods 116 patients with new smear positive pulmonary tuberculosis were tested with Symptom Check List 90（SCL-90） and social support rating scale（SSRS）.And the psychological health status of female patients was analyzed.Results The SCL-90 results showed that the scores of depression,anxiety and paranoid in female patients were significantly higher than those in male patients（P0.01）.After the treatment of nursing intervention,positive factors SCL-90 of the female patients were significantly declined,and the scores of subjective,objective and total social support were significantly increased（P0.01）.Conclusion The mental health status in the female patients with smear positive pulmonary tuberculosis were characterized by epression,anxiety and paranoid.Psychological intervention could improve the disorder of patients.