以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (4): 65-69.doi: 10.16460/j.issn1008-9969.2024.04.065

Previous Articles     Next Articles

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. 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

PDF (PC)

401

Like

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

CLC Number: 

  • R473.51
[1] Crea TM, Collier KM, Klein EK, et al.Social distancing, community stigma, and implications for psychological distress in the aftermath of ebola virus disease[J]. PLoS One,2022,17(11):e0276790.DOI:10.1371/journal.pone.0276790.
[2] 张孟羽,郭丽娜,郭园丽,等.脑卒中患者社会疏离及影响因素研究[J].现代预防医学, 2023, 50(11):2051-2055; 2061.DOI:10.20043/j.cnki.MPM.202211258.
[3] 董朝晖,卢惠娟,陆箴琦,等.癌症患者社会疏离体验的质性研究[J].中华护理杂志,2023,58(6):670-675.DOI:10.3761/j.issn.0254-1769.2023.06.004.
[4] 王文,吴丹,邰安婷,等.结直肠癌幸存者情绪调节策略在病耻感与社会疏离水平的中介效应[J].护理学报, 2023,30(14):59-64.DOI:10.16460/j.issn1008-9969.2023.14.059.
[5] Ahmad OB, Boschi-Pinto C, Lopez AD, et al.Age standardization of rates: a new WHO standard[J]. Geneva:World Health Organization,2001,9(10):1-14.
[6] 中华人民共和国国家卫生和计划生育委员会.肺结核诊断标准(WS 288-2017)[J].新发传染病电子杂志,2018,3(1):59-61.DOI:10.3877/j.issn.2096-2738.2018.01.017.
[7] 刘学,李国新,张广清,等.220名维持性血液透析患者照顾者心理弹性现状及影响因素分析[J].护理学报,2023,30(8):63-68.DOI:10.16460/j.issn1008-9969.2023.08.063.
[8] Jessor R, SL J, Problem behavior and psychosocial development: a longitudinal study of youth[M]. New York:Academic Press,1977.
[9] 吴霜,李彦章,赵小淋,等.一般疏离感量表在老年人中的信度和效度分析[J].成都医学院学报,2015,10(6):751-754.DOI:10.3969/j.issn.1674-2257.2015.06.031.
[10] 贺娟凤,柯珂,吴小佳,等.中青年脑卒中患者社会疏离感现状及其影响因素的研究[J].卒中与神经疾病,2022,29(6):530-534.DOI:10.3969/j.issn.1007-0478.2022.06.006
[11] Van Rie A, Sengupta S, Pungrassami P, et al.Measuring stigma associated with tuberculosis and HIV/AIDS in southern thailand: exploratory and confirmatory factor analyses of two new scales[J].Trop Med Int Health,2008,13(1):21-30.DOI:10.1111/j.1365-3156.2007.01971.x.
[12] 赵爱青,吴沛霞.结核病污名感受量表的汉化及其信度和效度的评价[J].解放军护理杂志,2011,28(6):12-14.DOI:10.3969/j.issn.1008-9993.2011.06.004.
[13] Broadbent E, Petrie KJ, Main J, et al.The Brief Illness Perception Questionnaire[J]. JPsychosom Res,2006,60(6):631-637.DOI:10.1016/j.jpsychores.2005.10.020.
[14] 孙伟铭,楼青,袁也丰,等.简易版疾病认知问卷中文版在躯体化障碍患者中的应用[J].重庆医科大学学报,2015,40(8):1138-1142.DOI:10.13406/j.cnki.cyxb.000482.
[15] 高启胜,护理科研统计方法与软件操作实战[M].上海:上海交通大学出版社.2019:175.
[16] 郝丽敏,韩文萍,韩慧琴,等.卵巢癌术后化疗病人社会疏离现状及影响因素研究[J].护理研究, 2023,37(10):1713-1718.DOI:10.12102/j.issn.1009-6493.2023.10.004.
[17] 苏晓慧,陈文月,魏敏.235例单侧全髋关节置换术后患者社会疏离现状及影响因素分析[J].护理学报,2021,28(16):37-41.DOI:10.16460/j.issn1008-9969.2021.16.037.
[18] Li C, Hu M, Yang T, et al.Correlates of stigma for poststroke patients: a Meta-analysis[J]. J Clin Nurs,2023,32(9-10):1952-1962.DOI:10.1111/jocn.16250.
[19] 吴红伦,钟颖嫦,王海燕,等.老年糖尿病患者社会疏离感现状及其影响因素研究[J].中华护理教育,2023,20(5):594-598.DOI:10.3761/j.issn.1672-9234.2023.05.015.
[20] 黄维健,李小寒.心理健康素养的影响因素及干预研究进展[J].解放军护理杂志, 2022, 39(6):81-83.DOI:10.3969/j.issn.1008-9993.2022.06.020.
[21] Fierloos IN, Tan SS, Williams G, et al.Socio-demographic characteristics associated with emotional and social loneliness among older adults[J]. BMC Geriatr,2021,21(1):114-124.DOI:10.1186/s12877-021-02058-4.
[22] 谢芳晖,雷丽梅,赵霞,等.肺结核患者社会疏离感与领悟社会支持的相关性分析[J].现代临床医学,2022,48(3):166-169+174.DOI:10.11851/j.issn.1673-1557.2022.03.002.
[23] 贺娟凤,柯珂,吴小佳,等.中青年脑卒中患者社会疏离感现状及其影响因素的研究[J].卒中与神经疾病,2022,29(6):530-534.DOI:10.3969/j.issn.1007-0478.2022.06.006.
[24] Zeilani RS, Abdalrahim MS, Hamash K, et al.The experience of family support among patients newly diagnosed with cancer in Jordan[J]. Eur J Oncol Nurs, 2022, 60(1):102173.DOI:10.1016/j.ejon.2022.102173.
[25] Muntyanu A, Gabrielli S, Donovan J, et al.The burden of alopecia areata: a scoping review focusing on quality of life, mental health and work productivity[J]. J Eur Acad Dermatol Venereol, 2023, 37(8):1490-1520.DOI:10.1111/jdv.18926.
[26] 栗文娟,汤语忌,崔倩.稳定期精神分裂症患者社会疏离感及影响因素研究[J].护理学杂志,2022,37(9):77-79.DOI:10.3870/j.issn.1001-4152.2022.09.077.
[27] Chen X, Chen Y, Zhou L, et al.The role of self-esteem as moderator of the relationship between experienced stigma and anxiety and depression among tuberculosis patients[J]. Sci Rep, 2023,13(1):6889-6899.DOI:10.1038/s41598-023-34129-4.
[28] Chen X, Du L, Wu R, et al.Tuberculosis-related stigma and its determinants in Dalian, northeast China: a cross-sectional study[J]. BMC Public Health, 2021, 21(1):6-16.DOI:10.1186/s12889-020-10055-2.
[1] LI Yue-ge, KONG Han, CAO Ding, LI Jia-xin, SHANG Ya-meng, CHANG Shu-ying. Current status of fear of cancer recurrence in young and middle-aged patients with cervical cancer after surgery and its influencing factors: a 228-case study [J]. Journal of Nursing, 2024, 31(20): 8-12.
[2] ZHANG Cheng-jie, JING Kun-juan, LIU Dong-xue. Efficacy comparison of nomogram and classification and regression tree in predicting stigma in elderly stroke patients [J]. Journal of Nursing, 2023, 30(11): 7-12.
[3] YAN Wen-juan, LI Zhuang-miao, YU Meng-ting, LI Shi-en, CHI Yan-hong. Systematic Review of Influence Factors of Stigma in Stroke Patients [J]. Journal of Nursing, 2022, 29(8): 46-52.
[4] SUN Cai-yun, LIN Zheng, ZHOU Mei-jing, GU Zi-jun, WANG Mi, GU Jun-yi, ZHU Zhan-hui. Current Status of Benefit Finding among Patients with Inflammatory Bowel Diseases and Its Influence Factors [J]. Journal of Nursing, 2022, 29(6): 1-6.
[5] TANG Qing-yun, HUANG Xia-yun, LI Yan-yun, XIE Hong-yan, LI Bing. Status of Fear of Progression in HIV/AIDS Young Men Who Have Sex with Men and Its Influencing Factors : A 286- case Study [J]. Journal of Nursing, 2022, 29(21): 43-48.
[6] YAN Xue, LIU Qian-qian, WEI Si-qi. Qualitative Studies on Influencing Factors of Social Alienation in Gynecological Cancer Patients: A Meta-integration [J]. Journal of Nursing, 2022, 29(20): 39-43.
[7] ZHANG Yun-fei, LUO Hui-yu, ZHU Hong-yu, LI Mao-lu, XU Zhen-hua, KE Xi. Current Status and Influencing Factors of Resourcefulness in Patients with Permanent Enterostomy [J]. Journal of Nursing, 2022, 29(14): 12-17.
[8] GAO Yuan-zhi, MEI Guang-hai, FAN Xiao-yan, MA Shuo. Meta-integration of Qualitative Research on Stigmatization against HIV/AIDS Patients [J]. Journal of Nursing, 2022, 29(10): 47-53.
[9] CUI Juan, Sun Xiang-lian, YANG Ke, WANG Jie-min, LI Hong-li, YIN Chong-gao. Current Status of Body Image and Sexual Adjustment in Breast Cancer Patients and Its Influence Factors [J]. Journal of Nursing, 2021, 28(6): 1-5.
[10] LI Yan-qing, ZHANG Xiao-mei, XU Xiu-qun. Translation of the Skidmore Anxiety Stigma Scale and Its Reliability and Validity [J]. Journal of Nursing, 2021, 28(24): 17-21.
[11] WANG Shuo, LV Li-ming, ZHANG Li-yao, MA Jun-jie, KONG Rong-hua. Mediating Effect of Social Relational Quality Between Stigma and Social Avoidance and Distress among Breast Cancer Survivors [J]. Journal of Nursing, 2021, 28(15): 48-53.
[12] YE Zi-wen, ZHWN Li, ZHU Mu-lan, HU Ting, WANG Hui-zhen. Stigma of Patients with Preventive Ostomy and Its Influence Factors: A 220-case Study [J]. Journal of Nursing, 2019, 26(3): 40-45.
[13] TANG Ming-wen, ZHANG Yan-hong, LIU Shou-juan. Stigma of Inpatients with Schizophrenia at Remission Phase and Its Influence Factors: A 425-case Study [J]. Journal of Nursing, 2019, 26(14): 43-46.
[14] YIN Xiu-jun. Current Status of Stigma of 120 Syphilis Infection Patients and Its Influence Factors [J]. Journal of Nursing, 2018, 25(22): 44-47.
[15] REN Zhi-ling, MAO Nai-quan, GAN Hai-jie, WEI Yu-qun, WEI Qiao-ling, SUN Yue, PANG Yong-hui. Influence Factors of Stigma of Patients with Lung Cancer [J]. Journal of Nursing, 2018, 25(19): 5-9.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!