中国行为医学科学
中國行為醫學科學
중국행위의학과학
2008年
3期
220-221
,共2页
王申广%徐伟%李绍波%贾传鲁
王申廣%徐偉%李紹波%賈傳魯
왕신엄%서위%리소파%가전로
肺结核%社会扶持%心理健康状况%治疗依从性
肺結覈%社會扶持%心理健康狀況%治療依從性
폐결핵%사회부지%심리건강상황%치료의종성
Tuberculosis%Social support%Psychological health status%Treatment compliance
目的 探讨肺结核患者社会支持程度对心理健康状况及治疗依从性的影响.方法 采用整群随机抽样的方法进行调查,共收集96例肺结核患者,对患者进行症状自评量表(SCL-90)、社会支持量表(SSRS)、)治疗依从性评定.结果 96例结核患者SSRS总分及主观支持、客观支持、支持利用因子评分分别为:(35.07±5.16)分,(16.37±5.36)分,(11.36±4.45)分,(6.96±2.82)分.其中＜35分者(低分组)39例;＞45分者(高分组)26例;35～45分者31例.社会支持高分组与低分组SCL-90评分结果比较显示,高分组其总分、及强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子分显著低于低分组,差异有显著性(P＜0.05).高分组治疗依从性评分为(13.79±5.12)分,低分组治疗依从性评分为(10.80±2.84)分,两者差异有显著性(P＜0.05).结论 社会支持程度直接影响个体的心理健康状况,社会支持各维度与治疗依从性均呈显著正相关.
目的 探討肺結覈患者社會支持程度對心理健康狀況及治療依從性的影響.方法 採用整群隨機抽樣的方法進行調查,共收集96例肺結覈患者,對患者進行癥狀自評量錶(SCL-90)、社會支持量錶(SSRS)、)治療依從性評定.結果 96例結覈患者SSRS總分及主觀支持、客觀支持、支持利用因子評分分彆為:(35.07±5.16)分,(16.37±5.36)分,(11.36±4.45)分,(6.96±2.82)分.其中＜35分者(低分組)39例;＞45分者(高分組)26例;35～45分者31例.社會支持高分組與低分組SCL-90評分結果比較顯示,高分組其總分、及彊迫、人際敏感、抑鬱、焦慮、敵對、恐怖、偏執、精神病性因子分顯著低于低分組,差異有顯著性(P＜0.05).高分組治療依從性評分為(13.79±5.12)分,低分組治療依從性評分為(10.80±2.84)分,兩者差異有顯著性(P＜0.05).結論 社會支持程度直接影響箇體的心理健康狀況,社會支持各維度與治療依從性均呈顯著正相關.
목적 탐토폐결핵환자사회지지정도대심리건강상황급치료의종성적영향.방법 채용정군수궤추양적방법진행조사,공수집96례폐결핵환자,대환자진행증상자평량표(SCL-90)、사회지지량표(SSRS)、)치료의종성평정.결과 96례결핵환자SSRS총분급주관지지、객관지지、지지이용인자평분분별위:(35.07±5.16)분,(16.37±5.36)분,(11.36±4.45)분,(6.96±2.82)분.기중＜35분자(저분조)39례;＞45분자(고분조)26례;35～45분자31례.사회지지고분조여저분조SCL-90평분결과비교현시,고분조기총분、급강박、인제민감、억욱、초필、활대、공포、편집、정신병성인자분현저저우저분조,차이유현저성(P＜0.05).고분조치료의종성평분위(13.79±5.12)분,저분조치료의종성평분위(10.80±2.84)분,량자차이유현저성(P＜0.05).결론 사회지지정도직접영향개체적심리건강상황,사회지지각유도여치료의종성균정현저정상관.
Objective To explore the influence of social support degree to the psychological health status and the treatment compliance in tuberculosis patients.Methods 96 patients selected by cluster randomized sampling method were surveyed by the fixed questionnaires of SCL-90,SSRS and compliance measurement.Results Among the 96 patients the SSRS total score ,subjective support score,objective support score,support utilization factor score were:35.07±5.16,16.37±5.36,11.36±4.45,6.96±2.82 respectively,the patients amount of low score (＜35) group ,high score (＞45) group, middle score (35～45) group were each 39,26,31 respectively.Comparing the score of social support by SCL-90 showed there were significant difference existed between the high score group and low score group on the aspects of total score, obsessive-compulsive, interpersonal sensitivity ,depression, anxiety, phobic anxiety, paranoid ideation and psychosis (P＜0.05).Also significant difference existed between high score treatment compliance group (13.79±5.12) and the low score treatment compliance group(10.80±2.84).Conclusions The social support degree influenced directly on the personal psychological health status ,and all the aspects of social support had positive relation with treatment compliance.
