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目的评价团体心理辅导方式对耐多药肺结核(MDR-TB)患者心理干预的效果,为促进耐多药结核病患者心理健康提供依据。方法对武汉市全球基金耐多药结核病防治领域2013—2014年纳入治疗的128例MDR-TB患者,使用Zung抑郁自评量表(Self-rating Depression Scale,SDS)进行面对面问卷调查,筛选出61例有抑郁症状者为研究对象,将研究对象分成干预组(n=30)和对照组(n=31),干预组进行团体心理辅导8次,对照组不接受心理干预,比较干预前后调查数据。结果两组研究对象在干预前评分差异无统计学意义(P>0.05)。团体心理辅导后,干预组抑郁评分较干预前下降(48.17±5.10vs61.00±2.08),差异有统计学意义(t=12.58,P<0.001),对照组抑郁评分干预前后比较差异无统计学意义(61.99±3.64vs60.64±3.18,t=1.23,P>0.05)。结论实施团体心理辅导可降低耐多药肺结核患者抑郁症状水平,对提高患者的治疗依从性具有重要意义。
Objective To evaluate the effect of group psychological counseling on psychological intervention in patients with multidrug-resistant pulmonary tuberculosis (MDR-TB) and provide basis for promoting mental health of patients with multidrug-resistant tuberculosis. Methods A total of 128 patients with MDR-TB treated in Wuhan Global Fund to Fight Drug-Resistant Tuberculosis (MDR-TB) from 2013 to 2014 were asked to conduct a face-to-face questionnaire using the Zung Self-rating Depression Scale (SDS) In the case of depressive symptoms, the subjects were divided into intervention group (n = 30) and control group (n = 31). The intervention group was given psychological counseling for 8 times. The control group did not receive psychological intervention. The survey data before and after intervention . Results There was no significant difference in scores between the two groups before intervention (P> 0.05). After group psychological counseling, the depression score of the intervention group decreased significantly (48.17 ± 5.10 vs 61.00 ± 2.08), the difference was statistically significant (t = 12.58, P <0.001), but there was no significant difference in the depression score of the intervention group before and after the intervention Significance (61.99 ± 3.64 vs 60.64 ± 3.18, t = 1.23, P> 0.05). Conclusion The implementation of group psychological counseling can reduce the level of depressive symptoms in patients with multidrug-resistant pulmonary tuberculosis and is of great significance to improve the treatment compliance of patients.