CAJ | 학술논문

目的探讨上海市真新街道社区医生在结核病患者追踪随访过程中应用心理干预技巧对辖区内结核病患者随访时的效果。方法将2009年10月～2010年9月发现的24例结核病作为对照组，2010年10月～2011年9月发现的26例结核病作为干预组，对照组患者做常规随访及家庭督导员培训，干预组则在患者强化治疗期间同时给患者及家庭督导员进行心理干预。通过采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、上海市肺结核病《短程督导治疗》记录卡评定两组之间的差别。结果干预前两组患者焦虑、抑郁等负性情绪差异无显著性（P＞0.05），干预后观察组患者焦虑、抑郁等负性情绪显著低于对照组（P＜0.05），家庭督导员对上海市肺结核病《短程督导治疗》记录卡记录的及时性明显高于对照组。结论社区医生在肺结核病病人追踪随访时，应用一些心理干预知识可以明显改善结核病患者的负性情绪，发挥家庭督导员督促意识，增强患者的治疗信心，提高患者服用药物的依从性。
목적탐토상해시진신가도사구의생재결핵병환자추종수방과정중응용심리간예기교대할구내결핵병환자수방시적효과。방법장2009년10월～2010년9월발현적24례결핵병작위대조조，2010년10월～2011년9월발현적26례결핵병작위간예조，대조조환자주상규수방급가정독도원배훈，간예조칙재환자강화치료기간동시급환자급가정독도원진행심리간예。통과채용초필자평량표（SAS）、억욱자평량표（SDS）、상해시폐결핵병《단정독도치료》기록잡평정량조지간적차별。결과간예전량조환자초필、억욱등부성정서차이무현저성（P＞0.05），간예후관찰조환자초필、억욱등부성정서현저저우대조조（P＜0.05），가정독도원대상해시폐결핵병《단정독도치료》기록잡기록적급시성명현고우대조조。결론사구의생재폐결핵병병인추종수방시，응용일사심리간예지식가이명현개선결핵병환자적부성정서，발휘가정독도원독촉의식，증강환자적치료신심，제고환자복용약물적의종성。
Objective To explore the effect of psychological intervention in patients with tuberculosis in the process of follow-up analysis in Zhenxin community health service center. Methods A total of 24 cases with tuberculosis were studied as control group from Oct.1st 2009 to Sep. 30th 2010 in our hospital,and 26 cases with tuberculosis were studied as intervention group from Oct.1st 2010 to Sep.30th 2011.The control group was given regular follow-up and family supervisor training,and the intervention group was given psychological intervention for patients and family supervisor in the period of intensive treatment.The difference of both groups was evaluated by using SAS,SDS and Shanghai tuberculosis short-range steering treatment record card. Results There was no difference of anxiety,depression and others between the two groups before psychological intervention (P > 0.05),the anxiety,depression in intervention group was obviously lower than that in control group(P < 0.05),the timeliness of record card in family supervisor was higher than that in control group(P < 0.05). Conclusion Community doctors can improve negative emotions of patients,play a family supervisor role,strengthen the patients confidence and improve the compliance of tuberculosis patients for taking medicine by using psychological intervention knowledge during community follow-up.