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目的调查长沙市结核病患者的自我感受负担(self-perceived burden,SPB)水平,分析其影响因素。方法运用自设调查表和自我感受负担量表对长沙市某结核病医院的200例结核病患者进行调查;并运用有序Logistic回归分析SPB的影响因素。结果结核病患者SPB得分为(29.25±8.82)分,处于中等水平;单因素分析结果显示:不同职业、婚姻状况、主要照顾者、参加结核病教育讲座等7个因素是结核病患者SPB的影响因素。有序Logistic回归分析结果显示,增加结核病患者SPB的因素有:参加结核病教育讲座(OR=3.452,95%CI:2.116~78.257)、结核病患者住院次数(与住院次数1比较,均OR>1)和经济状况很差(OR=2.918,95%CI:1.113~7.653)三个因素。结论结核病患者具有中等水平的SPB。结核病患者自我感受负担的主要影响因素有是否参加结核病教育讲座、因结核病住院的次数和经济状况等。
Objective To investigate the self-perceived burden (SPB) level of patients with tuberculosis in Changsha City and analyze the influencing factors. Methods A total of 200 tuberculosis patients in a TB hospital in Changsha City were investigated using self-directed questionnaires and self-perceived burden of care scales. Logistic regression analysis was used to analyze the influencing factors of SPB. Results The score of SPB in tuberculosis patients was (29.25 ± 8.82) points, which was moderate. The univariate analysis showed that 7 factors such as different occupations, marital status, main caregivers and attending tuberculosis education lectures were the influencing factors of SPB in tuberculosis patients. Logistic regression analysis showed that the number of tuberculosis patients who received SPB was significantly higher than that of TB patients (OR = 3.452, 95% CI: 2.116 ~ 78.257), tuberculosis patients hospitalized (OR> 1) And poor economic conditions (OR = 2.918, 95% CI: 1.113 ~ 7.653) three factors. Conclusion Tuberculosis patients have moderate levels of SPB. The main factors that affect the self-perceived burden of tuberculosis patients are whether to attend lectures on tuberculosis education, the number of hospitalizations due to tuberculosis and the economic status.