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目的了解耐多药肺结核患者在治疗过程中的心理状况和需求。方法对2011年3月1日至2012年2月29日期间在河南省开封市结核病防治所和重庆市永川二院收治的100例耐多药肺结核患者中完成3次问卷调查的51例患者数据进行分析,其中男性占86.3%(44/51),平均年龄(46.9±12.8)岁,农民占66.7%(34/51),小学及以下文化程度占39.2%(20/51)。结果耐多药肺结核患者开始治疗后心理状况明显好转,患者心理压力随着治疗的开展逐渐降低,入院时认为没什么压力者占21.6%(11/51),出院时占35.3%(18/51),治疗6个月时占70.6%(36/51)(χ2=39.9,P<0.01)。结论有效的医学治疗能改善耐多药肺结核患者的心理状况。
Objective To understand the psychological status and needs of MDR-TB patients in the course of treatment. Methods The data of 51 patients who completed 3 questionnaires among 100 MDR-TB patients admitted to the Tuberculosis Prevention and Control Institute of Kaifeng City in Henan Province and Yongchuan Second Hospital of Chongqing from March 1, 2011 to February 29, 2012 were collected. Among them, males accounted for 86.3% (44/51), average age (46.9 ± 12.8) years old, peasants accounted for 66.7% (34/51), and primary and below education accounted for 39.2% (20/51). Results The patients with multidrug-resistant pulmonary tuberculosis experienced a significant improvement in psychological status after treatment. The patients’ psychological stress gradually decreased with the progress of treatment. No significant pressure was found in hospital (21.6% (11/51) and 35.3% (18/51) , Accounting for 70.6% (36/51) at 6 months (χ2 = 39.9, P <0.01). Conclusion Effective medical treatment can improve the psychological status of MDR-TB patients.