结核病与肺部健康杂志 ›› 2014, Vol. 3 ›› Issue (4): 261-264.doi: 10.3969/j.issn.2095-3755.2014.04.011

• 论著 • 上一篇    下一篇

复治肺结核患者心理特征与治疗依从性的相关性研究

徐艳松,钱波,李冰   

  1. 277500 山东省枣庄市王开传染病医院护理部
  • 收稿日期:2014-07-17 出版日期:2014-06-30 发布日期:2014-06-30
  • 通信作者: 李冰,Email:sdwkyylb@126.com

Research on the relationship between the psychological characteristics and treatment compliance of patients with retreated pulmonary tuberculosis

XU Yan-song, QIAN Bo, LI Bing   

  1. The Nursing Department of Wangkai Infectious Diseases Hospital of Zaozhuang City, Zaozhuang 277500,China
  • Received:2014-07-17 Online:2014-06-30 Published:2014-06-30
  • Contact: LI Bing, Email:sdwkyylb@126.com

摘要: 目的 研究复治肺结核患者个性心理特征、治疗依从性及两者之间的关系。方法 采用艾森克人格问卷(EPQ)[包括E(外倾性)、P(精神质)、N(神经质)、L(效度量表)4个分量表]、症状自评量表(SCL-90)及自行设计的复治肺结核患者治疗依从性个性问卷,调查300例复治肺结核患者,实际回收有效问卷290份。分别描述复治肺结核患者生理、心理特征及治疗依从性,分析患者心理特征及治疗依从性两者的相关性;并与全国常模进行比较。结果 E、P量表得分[分别为(55.51±9.54)、(46.46±10.48)分]低于全国常模[分别为(57.75±8.26)、(48.14±9.74)分];两者比较t值分别为99.12、75.51,P值均<0.01。N量表得分高于全国常模[分别为(57.47±10.91)、(41.27±9.42)分];t=89.72,P<0.01。治疗依从性Spearman相关分析,患者E、P、N、L得分[(44.56±9.27)分]与治疗依从性呈正相关(相关系数分别为0.692、0.328、0.280、0.240,P值均<0.01)。结论 复治肺结核患者个性内倾,存在焦虑、抑郁、怀疑等心理问题,存在上述问题的患者治疗依从性差。复治肺结核患者的心理问题亟待解决,应针对不同人群的特点提供切实有效的护理措施,提高患者治疗依从性,从而达到治愈肺结核的目的。

Abstract: Objective To study the individual psychological characteristics, treatment compliance and the relationship of retreated pulmonary tuberculosis patients.Methods The Eysenck Personality Questionnai (EPQ) (including extraversion, psychoticism, neuroticism and lie), the Symptom Checklist 90 (SCL-90) and self-designed questionnaire on treatment compliance of retreated pulmonary tuberculosis patients were used. Three hundred questionnaires were delivered and 290 effective copies were retrieved. Patients’ physiological and psychological features and treatment compliance were described, and the relationship between psychological characteristics and treatment compliance was analyzed and compared with the national norms.Results Extraversion scale and psychoticism scale were (55.51±9.54) and (46.46±10.48) respectively, which were less than the national norms ((57.75±8.26) and (48.14±9.74) respectively). The t values were 99.12 and 75.51, and P values were both less than 0.01. The neuroticism scale (57.47±10.91) was more than the national norms (41.27±9.42).The t value was 89.72 and P value was less than 0.01. According to the correlation analysis of Spearman, the patients’ score (44.56±9.27) of E, P, N and L were positively correlated with their treatment compliance (the related coefficient was 0.692, 0.328, 0.280 and 0.240 respectively. The P values were all less than 0.01).Conclusion Retreated pulmonary tuberculosis patients have introversive personality, and they have psychological problems such as anxiety, depression, doubt, etc. The treatment compliance of patients with above problems is very poor. The psychological problems of retreated pulmonary tuberculosis patients need to be solved. According to the characteristics of different patient groups, the effective care measures should be provided to improve the treatment compliance and cure tuberculosis.