Investigation of social support level and analysis of influencing factors in 121 patients with pulmonary

doi:10.3969/j.issn.2095-3755.2018.02.016

Abstract

Abstract:

One hundred and twenty-one patients with pulmonary tuberculosis (TB), who were admitted to stay at Shandong Chest Hospital from February 2016 to January 2018, were enrolled into this study. Xiao Shui-yuan’s Social Support Rate Score (SSRS) was used to evaluate the factors relate to the enrolled patients, such as age, sex, education level, residence, course of disease, family function, average annual income and major caregivers. The scores of objective support and subjective support, support utilization, and social support were analyzed. The results showed that the average score of subjective support in 121 patients with pulmonary TB was (14.48±4.13) scores, and the average score of objective support was (8.83±2.47) scores, the score of utilization of support was (7.03±2.75) scores, and the total score was (30.36±6.00) scores. The multiple linear regression method was used to analyze the main factors affecting the level of social support, the results showed that the main factors affecting the level of social support were family function (t=-3.28, P=0.001), educational level (t=3.28, P=0.001) and age (t=-4.59, P<0.001), of which the determination coefficient was R ²=0.22. Medical staff should take variously effective interventions to improve the social support situation of TB patients and promote their physical and mental health development.

Key words: Tuberculosis, pulmonary, Social support, Sickness impact profile

GAO Chun-mei tuberculosis,Yu-xiao MA,Feng-ju QIN,Xu-sheng GAO,Qing WANG,Lei. ZHANG. Investigation of social support level and analysis of influencing factors in 121 patients with pulmonary[J]. Journal of Tuberculosis and Lung Health , 2018, 7(2): 149-152. doi: 10.3969/j.issn.2095-3755.2018.02.016

Figures/Tables 3

社会人口学特征	例数	客观支持 (分, $x ˉ$ ±s)	主观支持 (分, $x ˉ$ ±s)	对支持的利用度 (分, $x ˉ$ ±s)	社会支持总得分 ( $x ˉ$ ±s)
年龄(岁)
16~	46	8.97±2.52	15.57±4.44	7.68±2.83	33.44±6.76
≥50	75	8.56±2.31	13.67±4.01	6.89±2.65	28.83±4.95
性别
男	66	8.56±2.41	14.01±4.01	6.91±2.68	29.28±5.24
女	55	8.97±2.60	15.01±4.37	7.22±2.80	31.67±6.61
文化程度
初中及以下	39	8.57±2.32	13.69±4.02	6.91±2.66	28.89±5.49
中专或高中	47	8.57±2.40	14.02±4.02	6.95±2.69	29.42±5.73
大专及以上	35	8.96±2.61	15.52±4.51	7.73±2.75	33.20±6.00
居住地
城市	87	8.61±2.44	14.07±4.05	7.02±2.69	29.98±5.90
农村	34	8.93±2.61	15.03±4.38	7.25±2.81	31.29±6.21
病程(年)
<1	91	8.58±2.41	14.04±4.03	6.99±2.69	29.53±5.34
≥1	30	8.91±2.50	15.09±4.41	7.69±2.77	32.91±7.17
家庭功能
良好	29	8.99±2.62	15.68±4.54	7.79±2.77	33.37±7.83
中度障碍	41	8.61±2.41	14.23±4.11	7.20±2.81	29.89±5.29
重度障碍	51	8.21±2.37	14.01±4.01	6.99±2.59	29.03±4.68
年均总收入(万元)
<3	77	8.92±2.60	15.04±4.39	7.27±2.70	31.25±5.82
3~	5	8.60±2.43	14.03±4.02	6.99±2.61	29.81±6.25
≥6	39	8.91±2.57	15.02±4.34	7.25±2.67	31.15±5.50
主要照料者
子女	34	8.64±2.61	14.32±4.12	7.13±2.79	30.64±6.81
配偶	58	8.63±2.60	14.33±4.11	7.08±2.71	30.58±6.04
父母	29	8.33±2.57	14.12±4.07	7.08±2.79	29.54±4.69
合计	121	8.83±2.47	14.48±4.13	7.03±2.75	30.36±6.00

社会人口学特征	例数	社会支持总得分( $x ˉ$ ±s)	检验值	P值
年龄(岁)			t=5.46	<0.001
16~	46	33.44±6.76
≥50	75	28.83±4.95
性别			t=2.84	0.005
男	66	29.28±5.24
女	55	31.67±6.61
文化程度			F=10.11	<0.001
初中及以下	39	28.89±5.49
中专或高中	47	29.42±5.73
大专及以上	35	33.20±6.00
居住地			t=-1.39	0.165
城市	87	29.98±5.90
农村	34	31.29±6.21
病程(年)			t=3.52	0.001
<1	91	29.53±5.34
≥1	30	32.91±7.17
家庭功能			F=8.97	<0.001
良好	29	33.37±7.83
中度障碍	41	29.89±5.29
重度障碍	51	29.03±4.68
年均总收入(万元)			F=1.25	0.287
<3	77	31.25±5.82
3~	5	29.81±6.25
≥6	39	31.15±5.50
主要照料者			F=0.56	0.571
子女	34	30.64±6.81
配偶	58	30.58±6.04
父母	29	29.54±4.69

变量	非标准化		标准化偏回归系数	t值	P值
变量	偏回归系数	s $x ˉ$	标准化偏回归系数	t值	P值
常数项	33.09	1.63	-	20.27	<0.001
家庭功能	-1.58	0.48	-0.21	-3.28	0.001
文化程度	1.64	0.50	0.21	3.28	0.001
年龄	-3.78	0.82	-0.30	-4.59	<0.001

References 9

[1]	World Health Organization . Global tuberculosis report 2017. Geneva: World Health Organization, 2017.
[2]	孙丽娜, 孙京涛 . 社会支持状态对结核病患者治疗积极性的影响分析. 中国卫生产业, 2017,14(2):32-33. doi: 10.16659/j.cnki.1672-5654.2017.02.032 URL
[3]	陈晓敏, 李晖, 雷俊 , 等. 肺结核患者120例社会支持影响因素研究. 中国美容医学, 2012,21(18):28-29. doi: 10.3969/j.issn.1008-6455.2012.18.027 URL
[4]	肖水源 . 《社会支持评定量表》的理论基础与研究应用. 临床精神医学杂志, 1994,4(2):98-100.
[5]	李涛, 成诗明, 杜昕 . 全国结核病防治工作模式与患者发现和治疗管理水平分析. 中国防痨杂志, 2015,37(1):30-34. doi: 10.3969/j.issn.1000-6621.2015.01.007 URL
[6]	温萌, 刘相佟, 黄水平 . 脑卒中患者社会支持状况及其影响因素调查. 江苏预防医学, 2013,24(1):32-34.
[7]	徐文博, 孙晓晶 . 老年2型糖尿病病人自我护理能力及社会支持与生存质量的相关性. 中国老年学杂志, 2013,33(10):2342-2344. doi: 10.3969/j.issn.1005-9202.2013.10.051 URL
[8]	徐艳松, 钱波, 李冰 . 复治肺结核患者心理特征与治疗依从性的相关性研究. 结核病与肺部健康杂志, 2014,3(4):261-264. doi: 10.3969/j.issn.2095-3755.2014.04.011 URL
[9]	陈珣珣, 钟球, 周琳 , 等. 心理干预对广州市流动人口涂阳肺结核患者治疗依从性的影响. 中国防痨杂志, 2013,35(4):227-230.

[1]	Chen Yu, Li Xiaorui, Wang Miaoran, Zhang Yuqi, Liu Chang, Wang Zhaohua, Shi Jie, Fan Lichao, Yin Zhihua, Xie Jianping. The research progress on the role of metal ions in tuberculosis [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 102-112.
[2]	Xu Yannan, Fang Zihao, Zhao Wenli, Zheng Jiaxiong, Liu Suyang, Lin Jianxiong, Ji Liwei, Chang Qiaocheng. Characterisation of isoniazid-resistant Mycobacterium tuberculosis mutations in China [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 14-21.
[3]	Wan Ying, Pang Xuewen, Zhang Fan. Evaluation on effect of health promotion for tuberculosis prevention and control in Tianjin City from 2010 to 2020 [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 22-29.
[4]	Zhao Yongnian, Zhang Lijie, Wang Tongmin. Analysis of the epidemiological characteristics of reported pulmonary tuberculosis in Xinjiang Production and Construction Corps, 2014—2023 [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 30-34.
[5]	Zheng Jianli, Wu Yumei, Zhang Shili, Du Zixian, Li Turong, Chen Shisheng, Lin Wenge. Cost-effectiveness analysis of active tuberculosis screening among high-risk populations in Longyan City, Fujian Province [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 35-39.
[6]	Yang Yan, Dong Wen, Chen Jianjun, Zhang Yu. Epidemiologic characteristics of pulmonary tuberculosis in Zhuxi County, Shiyan City (2014-2023) [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 40-45.
[7]	Qi Wei, Zhao Enyi. The epidemic characteristics and the trends of pulmonary tuberculosis in elderly and non-elderly in central urban area, Tianjin from 2006 to 2020 [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 46-54.
[8]	Yan Qinghu, Xue Feng, Yu Yong, Qin Yi, Yan Qingmei, Cui Jia. The value of ultrasound-guided microwave ablation in the treatment of localized tuberculous lesions [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 55-60.
[9]	Chen Jing, Qin Yali, Wang Mingdong, Yang Rubin, Wang Qian, Peng Yanqing, Qiu Jiyao, Zhang Xiao, Zhou Xinai. The value of QuantiFERON-TB Gold Plus in the clinical diagnosis of active pulmonary tuberculosis [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 61-67.
[10]	Gu Jinhua, Zhang Panpan. Evaluation of the application value of three detection methods for Mycobacterium tuberculosis in a comprehensive hospital [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 68-72.
[11]	Yan Wenhua, Chen Wenjun. The value of digital health education in the preventive management of caregivers of patients with bacterial positive pulmonary tuberculosis [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 73-78.
[12]	Liao Ying, Pang Yan, Zhao Jing, He Gaoqin, You Maolin, Wang Lei. Analysis on the reporting and case finding delay characteristics of pulmonary tuberculosis patients in Liangping District, Chongqing from 2018 to 2023 [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 8-13.
[13]	Zhang Ying, Guo Chunhui. Research progress in the treatment of tuberculous tracheobronchial stenosis [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 87-93.
[14]	Yang Shuqi, Li Feng. Advances in PD1/PD-L1 inhibitors in tuberculosis research [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 94-101.
[15]	Hu Xinyang, Gao Jingtao. Interpretation of WHO global tuberculosis report 2024 [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(6): 500-504.