摘要
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 assess the effectiveness of psychological intervention in a grouped counseling participated by multi-drug resistant tuberculosis( MDR- TB) patients,and provide reference for enhancing the mental well-being of MDR- TB patients.Methods From 2013 to 2014,128 MDR- TB patients who had been included and treated by the global funds MDR- TB program in Wuhan were deemed as study subjects. A Zung Self-rating Depression Scale( SDS) was incorporated into a questionnaire which was handed out in a person-to-person interview. The 61MDR- TB patients who have depressive symptoms were randomly divided into intervention group( n = 30) and control group( n = 31). The intervention group received 8 rounds of grouped counseling,the control group received no intervention. Comparison was made between data collected prior and after the implementation of psychological intervention. Results Before the group guidance,the intervention group and control group had no significant differences in both Scales( P > 0. 05). After the group psychological counseling,the intervention group showed significant decrease in score of SDS( 48. 17 ± 5. 10 vs 61. 00 ± 2. 08,t = 12. 58,P < 0. 001. There was no significant differences in control group. Conclusion Intervention of grouped psychological counseling was constructive in terms of lowering the level of depression in MDR- TB patients,therefore it is of great significance regarding enhancing patients' treatment compliance.
引文
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