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1、肠结核患者心理健康与社会支持状况的调查分析贾佳1陈涛2赵逵1*孙泽群3(1遵义医学院附属医院消化内科贵州遵义563000;2湖北医药学院附属人民医院祌经内科湖北十堰442000;3湖北医药学院附属人民医院消化内科湖北十堰442000)摘要目的调查肠结核患者心理健康状况与社会支持状况及其关系。方法对48例肠结核患者及对照组使用症状自评量表(SCL-90}、社会支持评定量表(SSRS)进行评定,结果采用t检验、相关分析进行统计分析。结果同对照组相比,肠结核患者存在明显心理障碍,尤其以躯体化、人际敏感、抑郁、焦虑、恐惧等显著
2、(P<0.01)。肠结核患者的社会支持总分、客观支持、主观支持和支持利用度明显低于对照组,差异只有统计学意义(p<o.oi);心理健康评分与支持总分、支持利用度呈负相关(P<0.05)。结论肠结核患者心理健康问题严重,社会支持低,患者的心理健康与其社会支持状况密切相关。关键词:肠结核;心理状况;社会支持中图分类号:R524文献标识码:BAstudyofthepsychologicalhealthandsocialfactorsinpatientswithintestinaltuberculosisJI
3、AJialCHENTao2ZHAOKuil*SUNZe-qun3(1DepartmentofGastroenterology,theAffiliatedHospitalofZunyiMedicalCollege,Zunyi563003,GuizhouProvince,China2DepartmentofNeurology,TheAffiliatedPeople'sHospitalofHubeiMedicialUniversity,Shiyan442000,China3DepartmentofGastroenterolo
4、gy,TheAffiliatedPeople'sHospitalofHubeiMedicialUniversity,Shiyan442000,China)[Abstract]ObjectiveToinvestigatethepsychologicalhealthandsocialsupportinpatientswithintestinaltuberculosisandit,srelationship.MethodsQuestionnairesofSymptomChecklist90(SCL-90)andSocialS
5、upportRatingScale(SSRS)wereusedin48patientswithintestinaltuberculosisand45healthyvolunteers.Statisticalanalyseswereprocessedusingttestandcorrelationanalysis.ResultsComparedwithcontrolgroup,Thefactor-scoreofSCL-90suchassomatizationin,interpersonalsensitivity,depr
6、ession,anxiety,phobiaoftheintestinaltuberculosispatientsweresignificenthigher(P<0.01).Thesubjectivesupportandsocialsupportavailabilityofsocialsupportevaluationscaleamongtheintestinaltuberculosispatientswaslowerthanthecontrolgroup(P<0.05,P<0.01).Theresul
7、tsofSCL-90andSSRShasanegitiverelationship(P<0.05).ConclusionThereareseriouspsychologicalhealthproblemandlowersocialsupportinpatientswithintestinaltuberculosis.Psychologicalhealthiscloselyrelatedtothesocialsupportinpatientswithintestinaltuberculosis.[Keywords]
8、lntestinaltuberculosis;Psychologicalhealth;Socialsupport肠结核是结核杆菌侵犯肠道引起的慢性特异性感炎。近年来伴随着肺结核的发病率的上升趋势,肠结核也较前有所增加。由于这类疾病本身的特点和社会人群普遍对结核病的恐惧情绪,该病不仅给患者带来了躯体不适、经济负担,还给患者带来了沉重