中青年肺结核心理、心理弹性、社会支持状况及其相关性分析

Analysis of psychology,psychological resilience,social support and correlation among young and middleaged patients with tuberculosis

目的探讨中青年肺结核心理状况与心理弹性、社会支持的相关性。方法选取2018年1月—2019年6月在医院确诊并接受治疗的184例肺结核患者作为病例组,按照组间匹配的原则,选取同期来医院进行健康检查的156例健康志愿者作为对照组。两组均采用统一的指导语,运用症状自评量表(SCL-90)、心理弹性量表(CD-RISC)及社会支持评定量表(SSRS)进行调查研究,并对结果进行统计分析。结果病例组躯体化、焦虑、抑郁评分均高于对照组,差异具有统计学意义(P<0.05);病例组乐观、坚韧、力量评分显著低于对照组,差异具有统计学意义(P<0.05);病例组主观支持、客观支持、支持利用度评分低于对照组,差异具有统计学意义(P<0.05);多因素分析结果显示,肺结核患者心理状况评分与心理弹性及社会支持呈负相关(P<0.05)。结论中青年肺结核患者心理状态、心理弹性水平均较差,社会支持利用度低,心理状态与心理弹性水平、社会支持密切相关,护理人员应多关注心理状态,制定相应的干预措施,以提高患者的心理弹性水平及社会支持,从而改善心理状态。

Objective To explore the correlation among the psychological status,psychological resilience,and social support in young and middle-aged patients with tuberculosis was set the study subject.Methods A total of 184 tuberculosis patients diagnosed and treated in the hospital from January 2018 to June 2019 were selected as a case group,and according to the principle of matching between groups,156 healthy volunteers who came to the hospital for health examination during the same period were selected as a control group.Both groups adopted a unified instruction,using symptom checklist 90(SCL-90),Connor-Davidson resilience scale(CD-RISC)and social support rating scale(SSRS)to conduct investigation and research,and conduct statistical analysis on the results.Results The somatization,anxiety,and depression scores of the case group were higher than those of the control group,and the differences were statistically significant(P<0.05).The optimism,toughness,and strength scores of the case group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).The subjective support,objective support,and support utilization scores of the case group were lower than those of the control group,and the differences were statistically significant(P<0.05).Multivariate analysis showed that the psychological status score of tuberculosis patients was negatively correlated with psychological resilience and social support(P<0.05).Conclusion The young and middle-aged tuberculosis patients had poor psychological status and psychological resilience,and low utilization of social support.The psychological status was closely related to psychological resilience and social support.Nursing staff should pay more attention to their psychological status and formulate corresponding intervention measures to improve the level of psychological resilience of patients and social support to improve the psychological state.