CAJ | 학술논문

目的：了解肺结核患者的心理健康状况及其心理健康状况的影响因素。方法选取2012年4月至2013年9月于本院新诊断的肺结核患者106例为病例组，同期无明显躯体疾病精神疾病的健康体检者为健康对照组，采用访谈法及自填法，应用症状自评量表（SCL-90量表），对其进行问卷调查，了解不同类型肺结核患者的心理健康状况。通过t检验，卡方（χ2）检验，方差分析和多重线性回归分析进行相关性检验，分析肺结核患者心理健康的影响因素。结果病例组患者SCL-90量表项目总分（135.93±16.57）高于健康对照组（129.8±5.04），主要表现在躯体化、抑郁、焦虑、恐怖和精神病型。单因素分析显示，性别、咯血、治疗类型、人均收入和是否当地户籍均为肺结核患者心理健康状况的影响因素。多因素多重线性回归分析显示，是否当地户籍和咯血是影响肺结核患者心理健康状况的最主要因素（分别为t=－3.19， P=0.002；t=－2.71， P=0.008）。结论肺结核患者心理健康水平差，主要表现在躯体化、抑郁、焦虑、恐怖和精神病型方面。在研究因素中，是否当地户籍和咯血是影响肺结核患者心理健康的主要因素。
목적：료해폐결핵환자적심리건강상황급기심리건강상황적영향인소。방법선취2012년4월지2013년9월우본원신진단적폐결핵환자106례위병례조，동기무명현구체질병정신질병적건강체검자위건강대조조，채용방담법급자전법，응용증상자평량표（SCL-90량표），대기진행문권조사，료해불동류형폐결핵환자적심리건강상황。통과t검험，잡방（χ2）검험，방차분석화다중선성회귀분석진행상관성검험，분석폐결핵환자심리건강적영향인소。결과병례조환자SCL-90량표항목총분（135.93±16.57）고우건강대조조（129.8±5.04），주요표현재구체화、억욱、초필、공포화정신병형。단인소분석현시，성별、각혈、치료류형、인균수입화시부당지호적균위폐결핵환자심리건강상황적영향인소。다인소다중선성회귀분석현시，시부당지호적화각혈시영향폐결핵환자심리건강상황적최주요인소（분별위t=－3.19， P=0.002；t=－2.71， P=0.008）。결론폐결핵환자심리건강수평차，주요표현재구체화、억욱、초필、공포화정신병형방면。재연구인소중，시부당지호적화각혈시영향폐결핵환자심리건강적주요인소。
Objective To investigate the mental health status of patients with different types of pulmonary tuberculosis and the factors which affect the mental health status of those patients. Methods Total of 106 cases with pulmonary tuberculosis from April 2012 to September 2013 in our hospital were selected. While 100 cases with no signiifcant physical illness psychiatric healthy subjects were taken as the control group. The factors affecting the psychological health of patients with pulmonary tuberculosis were analyzed by t test, chi-square test, variance analysis and multiple linear regression analysis, by interviews and self-administered method and symptom checklist 90 (SCL-90 table). Results Pulmonary tuberculosis patients with SCL-90 Scale total score was (135.93 ± 16.57), which higher than that of the control group (129.8 ± 5.04), mainly insomatization, depression, anxiety, terror, mental disease type, single factor analysis showed that the factors affecting psychological health status of the patients with pulmonary tuberculosis were gender, hemoptysis, type of treatment, per capita income, whether the impact of local household registration. Multivariate multiple linear regression analysis showed that whether the local household registration, hemoptysis were the most important factors that affect the mental health status of patients with pulmonary tuberculosis (t=-3.19, P=0.002;t=-2.71, P=0.008). Conclusions Mental health problems of patients with pulmonary tuberculosis mainly in somatization, depression, anxiety, terror, mental illness. Whether local household registration and hemoptysis were the main factors that affect the psychological health of patients with pulmonary tuberculosis.