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目的通过调查159例肺结核患者的社会支持和生命质量,分析和讨论两者的一般情况以及相关性,探讨二者对肺结核患者的影响。方法使用社会支持评定量表(SSRS)以及36条目简明量表(SF-36)对159例肺结核患者进行自评调查。资料分析使用均数、t检验,并对社会支持和生命质量进行了相关分析和多重线性回归分析。结果SF-36量表评定患者各项得分为生理机能(70.25±26.028)分,生理职能(27.99±36.713)分,躯体疼痛(62.03±22.687)分,一般健康状况(46.26±21.553)分,精力(54.87±21.250)分,社会功能(63.99±29.344)分,情感职能(46.33±41.408)分,精神健康(59.80±18.625)分,均低于一般人群的参考水平(P<0.01)。SF-36量表与社会支持量表测得结果总分相关系数r=0.187,呈正相关。多重线性回归中,患者社会支持总分、是否住院和年龄进入肺结核患者生命质量得分方程(F=6.342,P<0.01)。结论肺结核患者生命质量低于一般人群,且生命质量与社会支持有密切的相关性,社会支持是生命质量的影响因素,改善肺结核患者的社会支持将有助于改善生命质量。
Objective To investigate the general situation and the correlation of 159 patients with tuberculosis by investigating the social support and quality of life of the patients with tuberculosis. Methods A total of 159 patients with pulmonary tuberculosis underwent self-assessment using the Social Support Rating Scale (SSRS) and the 36-item conciseness scale (SF-36). Data analysis using mean, t test, and social support and quality of life were analyzed and multiple linear regression analysis. Results The score of SF-36 was 70.25 ± 26.028, physical function (27.99 ± 36.713), somatic pain (62.03 ± 22.687), general health (46.26 ± 21.553), energy (54.87 ± 21.250), social function (63.99 ± 29.344), emotional function (46.33 ± 41.408), mental health (59.80 ± 18.625), all lower than the reference level of the general population (P <0.01). SF-36 scale and social support scale measured the total score correlation coefficient r = 0.187, was positively correlated. In multiple linear regression, the total social support scores of patients, whether hospitalized and age entered the pulmonary tuberculosis patients quality of life score equation (F = 6.342, P <0.01). Conclusion The quality of life of patients with pulmonary tuberculosis is lower than that of general population, and the quality of life is closely related to social support. Social support is the influencing factor of quality of life. Improving the social support of tuberculosis patients will help to improve the quality of life.