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

doi:10.16460/j.issn1008-9969.2024.04.065

护理学报 ›› 2024, Vol. 31 ›› Issue (4): 65-69.doi: 10.16460/j.issn1008-9969.2024.04.065

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

吴茜¹, 蒋宇², 金梦杰¹, 范恩³, 施莉⁴, 王梅新⁵

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

收稿日期:2023-09-25 出版日期:2024-02-25 发布日期:2024-03-07
通讯作者: 王梅新（1958-）,女,新疆乌鲁木齐人,本科学历,教授,硕士研究生导师。E-mail:1005483572@qq.com
作者简介:吴茜（1997-）,女,陕西商洛人,本科学历,硕士研究生在读。
基金资助:
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）

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

WU Qian¹, JIANG Yu², JIN Meng-jie¹, FAN En³, SHI Li⁴, WANG Mei-xin⁵

1. School of Nursing, Xinjiang Medical University, Urumqi 830011, China;
2. Dept. of Nursing Administration, Changji Hui Autonomous Prefecture Hospital of Traditional Chinese Medicine, Changji 831100, China;
3. Dept. of Nursing Administration, Xinjiang Tuberculosis Designated Hospital of Hetian, Hetian 848000, China;
4. Dept. of Nursing Administration, Xinjiang Kashgar Tuberculosis Prevention and Control Institute, Kashgar 844000, China;
5. Supervisory Office, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China

Received:2023-09-25 Online:2024-02-25 Published:2024-03-07

摘要/Abstract

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。

关键词: 青年, 肺结核, 社会疏离感, 疾病感知, 病耻感

Abstract: 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.

Key words: young people, tuberculosis, social alienation, disease perception, stigma

中图分类号:

R473.51

吴茜, 蒋宇, 金梦杰, 范恩, 施莉, 王梅新. 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[J]. 护理学报, 2024, 31(4): 65-69.

WU Qian, JIANG Yu, JIN Meng-jie, FAN En, SHI Li, WANG Mei-xin. Current status of social alienation of young patients with newly-treated pulmonary tuberculosis and its influencing factors: a 321-case study[J]. Journal of Nursing, 2024, 31(4): 65-69.

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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

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

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