心理支持对耐多药结核病患者注射期治疗依从性的影响

摘要

Objective To explore impacts of psychological support on multidrug-resistant tuberculosis (MDR-TB) patient compliance during injection treatment.Methods MDR-TB patients were randomly divided into two groups with 40 cases in each group:experimental group was treated with individual psychological support intervention based on normal psychological support,and only normal psychological support was administered in control group.At expiration of six months after injection,changes of each factor on SCL-90 symptom self-evaluation scale and the ratio of treatment compliance before and after the intervention of psychological support were observed.Results After psychological support intervention,the treatment compliance of experimental group was higher than that of control group (92.5％ vs 75％),with statistical significant difference (P ＜ 0.01) between two groups in terms of somatization,obsessive-compulsive symptom,sensitive of interpersonal relationship,depression,anxiety,hostility,fear,paranoid,psychoticism and sleep.Conclusion Psychological support can improve patients' negative feelings,change their negative coping styles,and improve the treatment compliance.%目的 探讨心理支持对耐多药结核病患者注射期治疗依从性的影响.方法 选择80例耐多药结核病患者,随机分为两组,对照组40例实施常规心理支持,实验组40例在常规心理支持的基础上给予个体心理支持干预.半年后注射期满时观察两组患者心理支持干预前后SCL-90症状自评量表各因子的变化、治疗依从性的比率.结果 心理支持干预后,两组在躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性、睡眠方面差异均有统计学意义(P＜ 0.01),实验组患者治疗依从性高于对照组(92.5％ vs.75％).结论 心理支持能改善患者负性认知和不良情绪,转变患者消极的应对方式,有效提高治疗依从性.