肺结核患者病耻感现状及其与遵医行为的相关性研究

Correlation research of pulmonary tuberculosis patients＇ stigma status and behavior of following doctor＇s instruction

目的调查肺结核患者的病耻感现状并探讨其与遵医行为的关系。方法采用结核病相关病耻感量表和结核病患者遵医行为评定量表对200名肺结核患者进行调查。结果结核病患者病耻感量表平均得分为（12．20±3．33）分，处于中等水平，其中“我患结核病后减少了与周围的人交往”得分最高（1．90±0．80）分，其次为“我觉得周围的人有意躲着我或避开我”（1．88±0．71）分。回归分析结果显示患者的婚姻状况、保险类型、居住地、月收入、治疗分类对患者的病耻感影响显著；相关分析结果显示结核病患者病耻感与其遵医行为无相关性（r=-0．50，P〉0．05）。结论肺结核患者的病耻感处于中等水平，病情隐瞒和社交回避是结核病患者病耻感的主要表现形式，病耻感与其遵医行为未见相关。

Objective It aims at investigating the stigma status and discussing its relation with the behavior of follow- ing doctor＇s instruction of the patients with pulmonary tuberculosis. Methods It conducted a survey among 200 pa- tients with pulmonary tuberculosis by using the stigma scale related to pulmonary tuberculosis and the rating scale of the patient＇s behavior of following the doctor＇s instruction. Results The average score on the stigma scale is（ 12.20 ±3.33） ,which is at a moderate level,including the stigma＇ I reduced the connection with others after I suffered from pulmonary tuberculosis＇ with the highest score （1.90 ±0.80） and the stigma＇ I felt others were inclined to avoid getting in touch with me＇ with the score of （1.88 ±0.71 ）. All of these show the facts that have significant influence on the patient＇s stigma are marital status, insurance type, place of residence, monthly income and therapeutic category ; the results of the correlation analysis show that no correlation was found between pulmonary tuberculosis patients＇ stigma and their behavior of following doctor＇s instruction （ r = - 0.50, P 〉 0.05 ）. Conclusion The pulmonary tuberculosis patients＇ stigma is at a moderate level,with the main patterns of manifestation of concealing the truth and social avoidance ,which has no correlation with their behavior of following doctor＇s instruction.