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321例青年初治肺结核患者社会疏离感现状及影响因素研究OACSTPCD

Current status of social alienation of young patients with newly-treated pulmonary tuberculosis and its influencing factors:a 321-case study

中文摘要英文摘要

目的 调查 321例青年初治肺结核患者社会疏离感现状,并分析其影响因素.方法 采用便利抽样法,选取 2022年 1月—2023 年 4 月新疆喀什及和田地区结核病定点医院登记的 321例青年初治肺结核患者作为研究对象.采用一般资料调查表、一般疏离感量表、结核病病耻感量表、简易版疾病感知问卷进行调查.采用多重线性回归分析青年初治肺结核患者社会疏离感影响因素.结果 本组青年初治肺结核患者社会疏离感总分为[41.00(35.00,44.00)]分.多重线性回归分析结果显示,性别、文化程度、家庭人均月收入、疾病感知、病耻感是青年初治肺结核患者社会疏离感的影响因素(P<0.05),共解释总变异的 39.9%.结论 321例青年初治肺结核患者社会疏离感处于中等水平.医务人员应重点关注女性、文化程度低、家庭经济收入低、疾病感知水平高、病耻感强烈的患者,整合社会资源,调动各方社会支持,关注心理状态,及时给予其心理疏导,普及结核病相关知识,纠正其负性认知.

Objective To investigate the status quo of social alienation in young patients with newly-treated pulmonary tuberculosis and analyze its influencing factors.Methods A total of 321 young newly-treated tuberculosis patients registered in tuberculosis designated hospitals in Kashgar and Hetian,Xinjiang from January 2022 to April 2023 were selected as the study objects by convenient sampling.The general information questionnaire,General Alienation Scale,Tuberculosis Stigma Scale and simple version of Disease Perception Questionnaire were used to conduct the survey.Multiple linear regression was used to analyze the influencing factors of social alienation in young patients with newly-treated tuberculosis.Results The total score of social alienation was[41.00(35.00,44.00)].Multiple linear regression analysis showed that sex,education level,family per capita monthly income,disease perception and stigma were the influencing factors of social alienation in young patients with newly-treated tuberculosis(P<0.05),accounting for 39.9%of the total variation.Conclusion Young patients with newly-treated pulmonary tuberculosis have a moderate level of social alienation.More attention should go to female patients,those less-educated,with lower family income,higher disease perception,and stronger stigma.The integration of social resources,more social support,timely psychological intervention,popularization of tuberculosis-related knowledge,and correction of negative cognition should be considered.

吴茜;蒋宇;金梦杰;范恩;施莉;王梅新

新疆医科大学 护理学院,新疆 乌鲁木齐 830011新疆昌吉回族自治州中医医院 护理部,新疆 昌吉 831100新疆和田地区结核病专科医院 护理部,新疆 和田 848000新疆喀什地区结核病防治所护理部,新疆 喀什 844000新疆医科大学第一附属医院督导办,新疆 乌鲁木齐 830000

临床医学

青年肺结核社会疏离感疾病感知病耻感

young peopletuberculosissocial alienationdisease perceptionstigma

《护理学报》 2024 (004)

65-69 / 5

中华护理学会2021年度立项科研课题项目(ZHKY202102);省部共建中亚高发病成因与防治国家重点实验室开放课题(SKL-HIDCA-2023-HL7)

10.16460/j.issn1008-9969.2024.04.065

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