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上海市嘉定区流动人口肺结核患者抑郁和焦虑状况及其影响因素分析 被引量:1

Depression and anxiety status and its impact factors in floating population with tuberculosis in Jiading District of Shanghai
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摘要 【目的】了解上海市嘉定区流动人口肺结核患者的焦虑和抑郁心理状况,为探索流动人口肺结核患者的心理干预提供依据。【方法】采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和自制问卷对2015年1-9月确诊的166例肺结核患者进行调查,与国内常模进行对比研究以及影响因素分析。【结果】166例肺结核患者中发生抑郁的占20.5%,发生焦虑的占13.3%,抑郁评分均值为(40.78±12.62)分,焦虑评分均值为(37.67±11.70)分,两者均高于全国常模(P<0.05)。女性、回避社交活动、没有除政府减免外其他补助是产生焦虑的主要原因。【结论】嘉定区流动人口肺结核患者的心理健康状况较差,在对患者进行治疗的同时对其开展有针对性的心理干预十分必要。 [Objective]To investigate the anxiety and depression status of floating population with tuberculosis in Jiading District of Shanghai in order to provide evidence-based psychological treatment in this regard.[Methods]We investigated the mental health status of 166 floating population with tuberculosis who were diagnosed from January 2015 to September 2015 by self-rating depression scale(SDS),self-rating anxiety scale(SAS)and self-designed questionnaire,and made comparison with national norm and analysis on its influencing factors.[Results]The occurrence rate of depression and anxiety among the pulmonary tuberculosis patients were respectively 20.5 percent and 13.3 percent.The average scores of SDS and SAS in the patients were respectively(40.78±12.62)points and(37.67±11.70)points,which were both significantly higher than those of Chinese people norm(P<0.05).The main causes for the anxiety included female sex,avoidance of sociality and having no other subsidy except governmental relief.The anxiety and depression status of floating population with tuberculosis is associated with female sex,lack of sociality and subsidy.[Conclusion]The mental health status of floating population with tuberculosis is relatively poor.Therefore,mental therapy should be provided to these patients at the same time when they are under medical treatment.
作者 冯燕 钟培松 李茂青 龚刚 FENG Yan;ZHONG Pei-song;LI Mao-qing;GONG Gang(Shanghai Jiading District Center for Disease Control and Prevention,Shanghai 201800,China)
出处 《上海预防医学》 CAS 2020年第3期239-243,共5页 Shanghai Journal of Preventive Medicine
基金 上海市嘉定区科学技术委员会科研项目(JDKW-2017-W07)。
关键词 肺结核 流动人口 抑郁 焦虑 影响因素 tuberculosis floating population depression anxiety influencing factors
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