Perceived stigma and depression in initially diagnosed pulmonary tuberculosis patients
Perceived stigma and depression in initially diagnosed pulmonary tuberculosis patients
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DOI：
10.1111/jocn.13837
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发表时间：
2017-12-01
影响因子：
4.2
通讯作者：
Fu, Chiung-Hui
中科院分区：
文献类型：
--
作者：
Lee, Li-Yun;Tung, Heng-Hsin;Fu, Chiung-Hui
目的与目的了解结核病患者的结核病污名和抑郁状况，探讨结核病污名和抑郁与人口学特征的关系，以及结核病患者抑郁的预测因素。抑郁症也是结核病患者的主要关注点。DesignA cross-sectional design was used in this study.MethodsA total of 84 subjects，obvious sampling，enrolled in this study，which was carried from 1 March 2013-30 December 2014.数据收集使用结构化问卷与人口组成部分，自闭症相关的耻辱量表，贝克抑郁量表-II。数据分析，使用spss版本20。采用独立t检验、Pearson相关系数检验和方差分析对患者的人口学特征、疾病特征以及污名与抑郁的相关性进行分析。多元线性回归用于确定抑郁症的预测因素。结果表明，不透露自己的疾病与结核病的耻辱和抑郁症。多元线性回归分析表明，结核病耻辱感和身体质量指数对抑郁的影响占34%.ConclusionsThese结果可作为临床医务人员了解结核病耻辱感和抑郁的参考。例如改善社区卫生保健教育或提供心理健康外展服务，在降低结核病患者的抑郁水平方面具有很大的潜力。
Aims and objectivesTo investigate the status of tuberculosis stigma and depression among tuberculosis patients, to examine the relationship between demographics and tuberculosis stigma and depression among tuberculosis patients, and to identify the predictors of depression among tuberculosis patients.BackgroundAfter the diagnosis of tuberculosis, patients suffer from disease symptoms and disease-related stigma. Depression is also a major concern in tuberculosis patients.DesignA cross-sectional design was used in this study.MethodsA total of 84 subjects, obtained through convenience sampling, enrolled in this study, which was conducted from 1 March 2013-30 December 2014. Data were collected using a structured questionnaire with a demographic component, the Tuberculosis-related Stigma Scale, and the Beck Depression Inventory-II. Data were analysed, using spss Version 20. Independent t tests, Pearson's correlation coefficient tests and analyses of variance were used for analysis of patient demographic characteristics, disease characteristics, and the correlation between stigma and depression. Multiple linear regression was used for determining the predictors of depression.ResultsThe results showed that not disclosing one's illness to others was associated with tuberculosis stigma and depression. Multiple linear regression analysis indicated that patient-perceived tuberculosis stigma and body mass index accounted for 34% of the variation in depression.ConclusionsThese results can serve as a reference for clinical healthcare providers to understand perceived stigma and depression in initially diagnosed tuberculosis patients.Relevance to clinical practiceAn intervention to reduce patient tuberculosis stigma, such as improving community healthcare education or offering mental health outreach, has great potential to lower the level of depression among patients with tuberculosis.