结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (3): 185-188.doi: 10.3969/j.issn.2095-3755.2013.03.011

• 论著 • 上一篇    下一篇

广州市海珠区流动人口肺结核患者心理健康状况分析

张克迅,李佩竹,彭凤玲,谭守勇,刘健雄,何立乾,林茵,陈其琛   

  1. 510095 广州市胸科医院院办公室
  • 收稿日期:2013-06-08 出版日期:2013-09-30 发布日期:2013-09-30
  • 通信作者: 李佩竹,Email:13711180192@163.com
  • 基金资助:
    广东省社会发展领域科技计划项目(2010B031600192);广东省广州市医药卫生科技项目(201102A213187)

Analysis of mental health status of floating population with tuberculosis in Haizhu district of Guangzhou city

ZHANG Ke-xun, LI Pei-zhu, PENG Feng-ling, TAN Shou-yong, LIU Jian-xiong, HE Li-qian, LIN Yin, CHEN Qi-chen   

  1. Admin Office of Guangzhou Chest Hospital, Guangzhou 510095,China
  • Received:2013-06-08 Online:2013-09-30 Published:2013-09-30
  • Contact: LI Pei-zhu,Email:13711180192@163.com

摘要: 目的调查分析流动人口肺结核患者心理健康水平,为探索适合流动人口肺结核患者的心理治疗以及健康教育方式提供依据。方法采用统一的指导语,运用《症状自评量表(SCL-90)》对广州市海珠区173例流动人口肺结核患者(纳入实验组)进行调查,与国内常模(1388例)进行对比研究,应用EpiData 3.0软件建立数据库录入问卷,使用PASW 18.0软件进行统计分析。结果实验组流动人口肺结核患者SCL-90的躯体化、强迫症状、抑郁和精神病性症状因子的得分(分别为1.24±0.36、1.40±0.36、1.36±0.33、1.15±0.26)低于国内常模得分(分别为1.37±0.48、1.62±0.52、1.50±0.59、1.29±0.42),差异均有统计学意义(t值分别为-5.20、-8.71、-5.95、-7.83,P值均<0.01);人际关系敏感、焦虑和敌对因子得分(分别是1.79±0.48、1.57±0.54、1.56±0.54)高于国内常模得分(分别是1.65±0.61、1.39±0.43、1.46±0.55),差异均有统计学意义(t值分别为2.4、4.58、2.73,P值均<0.05或0.01)。采用多因素分析,人际关系敏感与年收入、疗程和有无空洞有关(年收入>5000~元, Wald χ2=20.916,P<0.001,OR=0.035,95%CI=0.008~0.147;年收入>10000~元,Wald χ2=1.146,P=0.284,OR=0.393,95%CI=0.071~2.171;年收入>15000~元,Wald χ2=0.317,P=0.573,OR=0.731,95%CI=0.246~2.174;年收入>20000元,Wald χ2=6.145,P=0.013,OR=0.247,95%CI=0.081~0.746;复治患者,Wald χ2=4.321,P=0.038,OR=0.248,95%CI=0.067~0.924;肺部有空洞者,Wald χ2=4.123,P=0.042,OR=2.321,95%CI=1.030~5.232)。焦虑因子与年收入有关(年收入>5000~元,Wald χ2=14.047,P<0.001,OR=0.016,95%CI=0.002~0.130;年收入>15000~元,Wald χ2=1.650,P=0.999,OR=2.083,95%CI=0.680~6.370;年收入>20000元,Wald χ2=4.934,P=0.026,OR=0.253,95%CI=0.075~0.850)。结论流动人口肺结核患者心理健康状况与病情有无空洞、疗程及年收入等因素有关,流动人口肺结核患者心理健康水平较差,应给予心理治疗。

Abstract: Objective To investigate the mental health status of floating population with tuberculosis in order to provide evidence-based psychological treatment and health education.Methods We investigated the mental health status of 173 cases of floating population with tuberculosis by the symptom checklist (SCL-90), and made comparison with 1388 cases of national norm. EpiData 3.0 software is used for setting up the database and data entry. PASW 18.0 is used for statistical analysis.Results SCL-90 shows the experimental group has lower scores in somatic(score 1.24±0.36), compulsive (score 1.40±0.36), depressed (score 1.36±0.33) and psychotic symptoms factor (1.15±0.26) compared to the domestic norm(scores respectively 1.37±0.48, 1.62±0.52, 1.50±0.59, 1.29±0.42). The differences are statistically significant (t values is -5.20, -8.71, -5.95, -7.83, P<0.01). Score in interpersonal sensitivity, anxiety, and hostile factor (respectively 1.71±0.48, 1.57±0.54, 1.56±0.54) is higher than domestic norm(respectively 1.65±0.61, 1.39±0.43, 1.46±0.55). The differences are statistically significant (t values is 2.24, 4.58, 2.73, P<0.01). By using multivariate analysis, we find that interpersonal sensitivity is related to annual income, patient category and with or without lung cavity (patients with annual incomes between 5000 to 10000 yuan, Wald χ2=20.916,P<0.001,OR=0.035,95%CI:0.008-0.147; patients with annual incomes of between 10000 to 15000 yuan, Wald χ2=1.146,P=0.284,OR=0.393,95%CI=0.071-2.171; patients with annual incomes of 15000 to 20000 yuan, Wald χ2=0.317,P=0.573,OR=0.731,95%CI=0.246-2.174; patients with annual incomes of more than 20000 yuan, Wald χ2=6.145,P=0.013,OR=0.247,95%CI=0.081-0.746; for previously treated patients, Wald χ2=4.321,P=0.038,OR=0.248,95%CI=0.067-0.924; for patients with lung cavities, Wald χ2=4.123,P=0.042,OR=2.321,95%CI=1.030-5.232). The anxiety factor is related to annual income (annual income between 5000-10000 yuan, Wald χ2=14.047, P<0.001, OR=0.016,95%CI: 0.002-0.130; annual income of 15000-20000 yuan, Wald χ2=1.650, P=0.199, OR=2.083,95%CI=0.680-6.370; annual income of more than 20000 yuan, Wald χ2=4.934, P=0.026, OR=0.253,95%CI=0.075-0.850).Conclusion Migrant patients’ mental health status is relevant to patients’ illness condition, patient category and annual income. In general, the mental health status of floating population with tuberculosis is relatively low. Therefore, mental therapy should be provided.