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2189例住院结核病患者病耻感现状及影响因素分析 被引量:1

Analysis of Current Situation and Influencing Factors of Stigma Associated with Tuberculosis Patients
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摘要 目的探讨结核病患者病耻感现状及影响因素。方法采用方便抽样法,选取2021年6月至2021年12月于我院住院的2189例结核患者作为调查对象。采用一般调查资料量表、结核病相关病耻感量表进行调查。结果结核病患者病耻感得分为(9.60±4.47)分,在年龄、民族、文化程度、婚姻、居住地、职业状况、个人收入、家庭人口数、慢性病合并个数、因肺结核住院次数、初治复治、痰菌性质、是否耐药上差异有统计学意义(P<0.05);多元线性回归分析结果显示,民族(β=-0.167,P=0.000)、离异患者(β=0.079,P=0.000)、居住地在镇或县(β=-0.060,P=0.010)、个人月收入(β=-0.054,P=0.034)、慢性病合并症(β=0.098,P=0.000)是结核病患者病耻感的影响因素。结论结核病患者病耻感程度较高,提示临床重视、识别结核病患者病耻感较高患者,应积极调动家庭、社会支持,以降低结核病患者相关病耻感,并探索更有效的干预措施。 Objective To investigate the current situation and influencing factors of stigma in tuberculosis patients.Methods From June 2021 to December 2021,a convenient sampling method was used to select 2189 TB patients who were hospitalized in a tertiary hospital in Chengdu as respondents.The survey was conducted using general survey data scale and tuberculosis related stigma scale.Results The score of stigma was divided into(9.60±4.47),which showed statistical differences in age,ethnicity,education,marriage,place of residence,occupational status,personal income,number of family population,number of chronic diseases combined,number of hospitalizations due to tuberculosis,initial treatment and re-treatment,sputum nature,drug resistance,and statistical differences.Multiple linear regression analysis showed that ethnicity(β=-0.167,P=0.000),divorced patients(β=0.079,P=0.000),residence in towns or counties(β=-0.060,P=0.010),personal monthly income(β=-0.054,P=0.034),and the number of comorbid chronic diseases(β=0.098,P=0.000)were influencing factors of tuberculosis patients'stigma.Conclusion The high degree of stigma in tuberculosis patients suggests that clinical attention should be paid to and identified patients with high stigma in tuberculosis patients,and family and social support should be actively mobilized to reduce the stigma associated with tuberculosis patients and explore more effective interventions.
作者 姚蓉 周艳 雷丽梅 赵霞 杨婷 喻玲玲 钟琴 Yao Rong;Zhou Yan;Lei Limei(Tuberculosis Department,Public Health Clinical Center of Chengdu,Chengdu,Sichuan 610066,China.)
出处 《四川医学》 CAS 2024年第3期239-244,共6页 Sichuan Medical Journal
基金 2021年成都市医学科研课题(编号:2021211,2021172) 2023年成都市医学科研课题(编号:2023060)。
关键词 结核 病耻感 影响因素 tuberculosis shame influencing factors
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