结核病患者心理脆弱及焦虑抑郁状态相关研究进展

doi:10.19983/j.issn.2096-8493.2024131

摘要/Abstract

摘要：

结核病是由结核分枝杆菌引起的以肺部感染为主的慢性传染性疾病,其治疗周期一般为6个月,患者在抗结核治疗过程中易出现焦虑、抑郁状态,尤其是心理脆弱者,不仅会影响个体身心健康、精神状况及人际交往,还会降低其服药和治疗积极性和依从性,影响抗结核治疗结局。因此,本文就心理脆弱和焦虑抑郁的概念、发病情况、评估工具、影响因素及临床干预方法等方面进行综述,为临床医师开展结核病患者早期心理脆弱、焦虑抑郁筛查,并及时实施心理干预,降低结核病患者严重心理疾病的发生提供参考依据。

关键词: 结核, 心理学, 临床, 心理现象和过程, 综述文献(主题)

Abstract:

Tuberculosis (TB) is a chronic infectious disease primarily characterized by pulmonary infection, caused by Mycobacterium tuberculosis, with a typical treatment duration of 6 months. Patients are prone to experiencing anxiety and depression during anti-TB treatment, especially those who are psychologically vulnerable which will not only affect their physical and mental health, mental status and interpersonal communication, ultimately impacting the outcomes of anti-TB therapy. Therefore, this paper summarizes the concepts of mental vulnerability, anxiety, and depression, their incidence, assessment tools, influencing factors, and clinical intervention strategies. The aim is to provide a reference for clinicians to carry out early screening of psychological vulnerability, anxiety and depression in TB patients, and implement psychological intervention in time to reduce the occurrence of serious mental illness in TB patients.

Key words: Tuberculosis, Psychology, clinical, Psychological phenomena and processes, Review literature as topic

中图分类号:

R52
R395

孟婷, 陈敬芳, 邓国防, 林奕, 阮淑金, 刘琳琳, 李孟君. 结核病患者心理脆弱及焦虑抑郁状态相关研究进展[J]. 结核与肺部疾病杂志, 2024, 5(6): 583-589. doi: 10.19983/j.issn.2096-8493.2024131

Meng Ting, Chen Jingfang, Deng Guofang, Lin Yi, Ruan Shujin, Liu Linlin, Li Mengjun. Research progress on mental vulnerability and anxiety-depression status in tuberculosis patients[J]. Journal of Tuberculosis and Lung Disease, 2024, 5(6): 583-589. doi: 10.19983/j.issn.2096-8493.2024131

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