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目的了解上海市户籍肺结核患者心理健康状况,为开展心理支持工作提供依据。方法对浦东新区18个社区2011年11月~2012年10月登记确诊的上海市户籍肺结核患者进行症状自评量表(SCL-90)问卷调查,采用t检验和卡方检验比较阳性项目数和9个因子得分情况。结果男性患者敌对因子得分高于女性患者(t=-2.318,P<0.05);痰菌阴性患者抑郁、焦虑的检出率高于痰菌阳性患者(P<0.05);随着年龄、发生肺结核病次数的增加,研究对象SCL-90的总分上升(P<0.05)。结论应加强对高年龄、复治、痰菌阴性、男性患者心理支持工作,提高患者治疗依从性。
Objective To understand the mental health of registered permanent residents with pulmonary tuberculosis in Shanghai and to provide basis for psychological support. Methods Questionnaire of Self-rating Symptomatic Scores (SCL-90) of Shanghai registered tuberculosis registered in 18 communities in Pudong New District from November 2011 to October 2012 was investigated. Student’s t-test and chi-square test were used to compare the number of positive items and 9 factor score. Results Male patients had higher scores of hostility factor than female patients (t = -2.318, P <0.05). The detection rate of depression and anxiety in sputum negative patients was higher than that of sputum positive patients (P <0.05). With age, tuberculosis The increase of disease frequency, the total score of SCL-90 increased (P <0.05). Conclusions Psychological support should be strengthened in patients with high age, retreatment, sputum negative and male patients, and to improve patient compliance with treatment.