结核与肺部疾病杂志 ›› 2022, Vol. 3 ›› Issue (4): 305-308.doi: 10.19983/j.issn.2096-8493.20220090

• 论著 • 上一篇    下一篇

支气管结核患者焦虑、抑郁心理状况与行电子支气管镜治疗依从性的相关性分析

胡娟, 周燕, 杨澄清()   

  1. 武汉市肺科医院呼吸与危重症Ⅱ病区,武汉 430000
  • 收稿日期:2022-05-14 出版日期:2022-08-20 发布日期:2022-08-16
  • 通信作者: 杨澄清 E-mail:147391593@qq.com
  • 基金资助:
    湖北省卫生健康科研基金资助(J20191320);武汉市医学科研项目(WX19A05);武汉医学中青年骨干人才培养工程(201987)

Correlation analysis of psychological condition like anxiety/depression and electronic bronchoscope treatment adherence in bronchial tuberculosis patients

Hu Juan, Zhou Yan, Yang Chengqing()   

  1. Department of Respiratory and Critical Care Ⅱ, Wuhan Pulmonary Hospital, Wuhan 430000, China
  • Received:2022-05-14 Online:2022-08-20 Published:2022-08-16
  • Contact: Yang Chengqing E-mail:147391593@qq.com
  • Supported by:
    Hubei Provincial Health Research Foundation(J20191320);Wuhan Medical Research Project(WX19A05);Wuhan Medical Backbone Talents Training Project(201987)

摘要:

目的:分析支气管结核患者焦虑、抑郁心理状况与行电子支气管镜治疗依从性的关系。方法:收集武汉市肺科医院 2020年1月至2021年12月收治的120例支气管结核患者作为研究对象。采用焦虑(SAS)、抑郁(SDS)量表评估患者心理状况,ARS量表评估患者治疗依从性。采用多重线性回归分析行电子支气管镜治疗依从性的影响因素。采用Pearson相关性分析评估支气管结核患者焦虑、抑郁心理状况与行电子支气管镜治疗依从性的关系。结果:支气管结核患者SAS评分、SDS评分分别为(51.61±6.25)分、(54.53±7.43)分;ARS平均得分为(4.02±1.04)分。Pearson相关性分析发现患者SAS、SDS得分与ARS总分明显正相关(r=0.452,P<0.001;r=0.418,P<0.001)。多元线性回归分析结果显示,经济收入(β=10.234,t=2.283,P=0.024)、文化水平(β=-3.908,t=2.083,P=0.045)、SAS评分(β=4.527,t=2.472,P=0.012)、SDS评分(β=6.094,t=2.795,P=0.008)均是影响患者治疗依从性ARS评分的主要因素。结论:支气管结核患者行电子支气管镜治疗依从性较低,患者越焦虑、抑郁,依从性越差。

关键词: 结核, 支气管, 焦虑, 支气管镜

Abstract:

Objective: To analyze the psychological condition like anxiety/depression and electronic bronchoscope treatment adherence in bronchial tuberculosis patients. Methods: We selected 120 bronchial tuberculosis patients treated in Wuhan Pulmonary Hospital between January 2020 and December 2021 as research objects. The anxiety and depression scale (SAS, SDS) were used to assess psychological status of patients, and ARS scale was used to assess patient treatment compliance. A Pearson correlation analysis was conducted to evaluate the relationship of psychological condition(anxiety/depression) and electronic bronchoscope treatment adherence in those bronchial tuberculosis patients. Results: Average SAS score and SDS score of those bronchial tuberculosis patients were 51.61±6.25 and 54.53±7.43 respectively; The average ARS score was 4.02±1.04. Pearson correlation analysis found that SAS and SDS scores of patients were both significantly positively correlated with their ARS scores (r=0.452,P<0.001;r=0.418,P<0.001). Multiple linear regression analysis results showed that economic income, educational level, SAS and SDS scores were the main factors influencing patients’ ARS scores (β=10.234,t=2.283,P=0.024;β=-3.908,t=2.083,P=0.045;β=4.527,t=2.472,P=0.012;β=6.094,t=2.795,P=0.008). Conclusion: Electronic bronchoscope treatment adherence of bronchial tuberculosis patients was relatively low. Patients with more anxiety or depression got poorer treatment adherence.

Key words: Tuberculosis, Bronchi, Anxiety, Bronchoscopes

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