摘要
目的了解肺结核患者的焦虑、抑郁情绪,探讨污名知觉、孤独感和自尊对患者焦虑、抑郁情绪的影响。方法采取方便抽样的方法,选取2019年10月—2020年10月遵义医科大学附属医院结核门诊的213名患者进行问卷调查,应用医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)、UCLA孤独量表简版(the short-form of the UCLA loneliness scale,ULS-8)、自尊量表(rosenberg self-esteem scale,SES)和结核病污名感受量表(tuberculosis-related stigma scale,TSS)评估患者的焦虑和抑郁情绪、孤独感、自尊、污名知觉。分别以焦虑和抑郁情绪作为结果变量建立中介模型。结果肺结核患者焦虑、抑郁得分与污名知觉和孤独感存在正相关(r=0.36~0.57,P<0.01),与自尊存在负相关(r=-0.49~-0.58,P<0.01);自尊和孤独感是污名知觉与肺结核患者焦虑、抑郁情绪之间的中介变量(模型195%CI:0.01~0.12,0.03~0.14;模型295%CI:0.02~0.16,0.02~0.12),且自尊和孤独感在污名知觉与肺结核患者焦虑、抑郁情绪之间起链式中介作用(模型195%CI:0.01~0.07;模型295%CI:0.01~0.06)。结论肺结核患者的污名知觉通过自尊和孤独感的链式中介作用预测患者的焦虑、抑郁情绪。
Objective To understand the anxiety and depression of patients with pulmonary tuberculosis,and to explore the influence of stigma perception,loneliness and self-esteem on the anxiety and depression of patients.Methods 213 pulmonary tuberculosis outpatients were recruited using convenient sampling method in Hospital affiliated to Zunyi Medical University from October 2019 to October 2020.The anxiety,depression,loneliness,self-esteem and stigma perception were respectively assessed by Hospital Anxiety and Depression Scale(HADS),UCLA Loneliness Scale(ULS-8),Self-Esteem Scale(SES)and Tuberculosis-related Stigma Scale(TSS).Anxiety and depression as outcome variables were used to establish mediation models.Results The scores of HADS were positively correlated with stigma perception and loneliness(r=0.36-0.57,P<0.01),while negatively correlated with self-esteem(r=-0.49--0.58,P<0.01).Self-esteem and loneliness were the mediating variables between stigma perception and emotion of anxiety and depression of pulmonary tuberculosis patients(Model 195%CI:0.01-0.12,0.03-0.14;Model 295%CI:0.02-0.16,0.02-0.12).Meanwhile,self-esteem and loneliness played a chain mediating role between stigma perception and the emotion of anxiety and depression of pulmonary tuberculosis patients(model 195%CI:0.01-0.07;Model 295%CI:0.01-0.06).Conclusions stigma perception of patients with pulmonary tuberculosis can predict anxiety and depression through the chain mediating effect of self-esteem and loneliness.
作者
胥昕延
郑兴敏
郑丽丽
丁洁
欧薇
陈玲
XU Xin-yan;ZHENG Xing-min;ZHENG Li-li;DING Jie;OU Wei;CHEN Ling(Institute of Management,Zunyi Medical University,Zunyi,Guizhou 563003,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2021年第10期766-770,共5页
Chinese Preventive Medicine
基金
贵州省高等学校人文社会科学研究基地项目和自筹经费项目(2016JD087)
关键词
肺结核
污名知觉
焦虑
抑郁
自尊
孤独感
Pulmonary tuberculosis
Stigma perception
Anxiety
Depression
Self-esteem
Loneliness
作者简介
胥昕延,硕士研究生在读,主要从事情绪障碍研究;通信作者:欧薇,E-mail:57485550@qq.com
