心理干预对流动人口肺结核患者强化期治疗负性情绪的影响

Effect of psychlogical intervention on tuberculosis among fluid population of reinforcement stage treatment with negative emotion

目的:探讨心理干预对流动人口肺结核患者强化期治疗负性情绪的影响。方法:将164例初治涂阳流动人口肺结核患者按就诊时间分为干预组和对照组各82例,对照组实施常规护理,干预组在常规护理基础上实施心理干预,心理干预时间为强化期治疗2个月,第2个月完成强化期初治涂阳疗程后,采取症状自评量表(SCL-90)对两组患者进行调查,并比较两组各因子评分。结果:实施心理干预的干预组在SCL-90量表中躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐惧、偏执、精神病性等因子评分低于对照组,有统计学意义(P<0.05),显示心理干预后患者心理健康水平明显提高。结论:心理干预可减轻流动人口肺结核患者强化期治疗的负性情绪,增强了患者的心理适应能力。

Objective：To studied the effects of mental intervention on negative emotion of the patients of fluid population with pulmonary tuberculosis cured in reinforcement stage.Methods：The 164 patients with new smear positive pulmonary tuberculosis were separated averagely into two groups at random.Two groups were applied with usual care in two weeks of reinforcement stage treatment,as one group was practiced with mental intervention which named interventional group.After reinforcement stage treatment,the patients were investigated with symptom checklist（SCL-90）,and the factor scores in two group were compared.Results：After reinforcement stage treatment,the factor scores in interventional group,such as somatization,obsessive compulsive symptom,Interpersonal sensitivity,athymia,depression,hostility,phobophobia,paranoid,psychotic were lower than the other group（P0.05）.The results showed that the patients′ mental health of interventional group was improved after mental intervention.Conclusions：Mental intervention can release negative emotion of the patients of fluid population with pulmonary tuberculosis cured in reinforcement stage and enhance psychological adaptability.