{"title":"中国浙江省结核病患者精神应对机制现状及多维决定因素:一项基于人群的横断面调查。","authors":"Lifen Lu, Luman Zheng, Qiongyi Zhu, Qi Qiu, Tianping Zhou, Jing Fu, Xiao Pan, Gui Zheng, Yan Xu","doi":"10.2147/RMHP.S532707","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>Investigate the different spiritual coping strategies employed by tuberculosis patients during their illness and determine the multidimensional determinants influencing these adaptive strategies.</p><p><strong>Design: </strong>Online cross-sectional design.</p><p><strong>Methods: </strong>Between January and September 2024, 448 tuberculosis (TB) patients in Zhejiang Province, China, were recruited via WeChat-based outreach. Data collection was implemented through a digitally administered, self-report survey platform. Comprehensive statistical analyses were performed, including independent samples <i>t</i>-tests, one-way ANOVA for group comparisons, Pearson correlation coefficients for bivariate associations, and hierarchical multiple linear regression modeling to identify predictor clusters. This cross-sectional investigation rigorously adhered to the STROBE guidelines throughout its design, execution, and reporting phases.</p><p><strong>Results: </strong>Among the 448 patients, 255 were male and 193 were female, with an average age of 47.45 (SD = 18.23) years. The factors influencing the level of Positive Spiritual Coping (PSC) were sex (t = -2.593, p = 0.010), residence (t = 2.317, p = 0.021), marital status (t = -2.485, p = 0.013), and economic indicators (F = 2.951, p = 0.032). The factors influencing the level of Negative Spiritual Coping (NSC) were age (F = 3.226, p = 0.041), marital status (t = 2.635, p = 0.009), alcohol consumption (t = 2.840, p = 0.005), number of children (t = 2.022, p = 0.044), and TB diagnosis type (t = -2.323, p = 0.021). The PSC level was negatively correlated with depression (p < 0.01) and positively correlated with the Brief Resilience Scale (BRS), Family APGAR Index (APGAR), and Personal Mastery Scale (PMS) (p < 0.01). The NSC level was positively correlated with depression, anxiety, and stress (p < 0.01) and negatively correlated with BRS, APGAR, and PMS (p < 0.01). Multivariate linear regression analysis indicated that PMS (2.852, P=0.005), APGAR (3.740, P<0.0001), BRS (3.457, P=0.001), and gender (3.343, P=0.001) significantly affected the PSC level in TB patients. Depression (10.112, P < 0.0001), APGAR (-4.571, P < 0.0001), BRS (-3.084, P = 0.002), number of children (-2.315, P = 0.021), and type of TB diagnosis (2.217, P = 0.027) were factors that independently affected the NSC level of TB patients.</p><p><strong>Conclusion: </strong>TB patients exhibit better PSC levels in female patients, and higher PMS, BRS, and APGAR levels correlate with higher PSC levels. NSC levels are higher in patients without children and pulmonary TB, while higher BRS and APGAR levels are associated with lower NSC levels. These findings can help healthcare providers tailor person-centered spiritual care strategies for TB patients based on factors influencing spiritual coping, thereby improving their mental health during illness, reducing psychological distress, and facilitating earlier recovery.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2445-2459"},"PeriodicalIF":2.0000,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278963/pdf/","citationCount":"0","resultStr":"{\"title\":\"Current Landscape and Multidimensional Determinants of Spiritual Coping Mechanisms Among Tuberculosis Patients in Zhejiang, China: A Population-Based Cross-Sectional Investigation.\",\"authors\":\"Lifen Lu, Luman Zheng, Qiongyi Zhu, Qi Qiu, Tianping Zhou, Jing Fu, Xiao Pan, Gui Zheng, Yan Xu\",\"doi\":\"10.2147/RMHP.S532707\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>Investigate the different spiritual coping strategies employed by tuberculosis patients during their illness and determine the multidimensional determinants influencing these adaptive strategies.</p><p><strong>Design: </strong>Online cross-sectional design.</p><p><strong>Methods: </strong>Between January and September 2024, 448 tuberculosis (TB) patients in Zhejiang Province, China, were recruited via WeChat-based outreach. Data collection was implemented through a digitally administered, self-report survey platform. Comprehensive statistical analyses were performed, including independent samples <i>t</i>-tests, one-way ANOVA for group comparisons, Pearson correlation coefficients for bivariate associations, and hierarchical multiple linear regression modeling to identify predictor clusters. This cross-sectional investigation rigorously adhered to the STROBE guidelines throughout its design, execution, and reporting phases.</p><p><strong>Results: </strong>Among the 448 patients, 255 were male and 193 were female, with an average age of 47.45 (SD = 18.23) years. The factors influencing the level of Positive Spiritual Coping (PSC) were sex (t = -2.593, p = 0.010), residence (t = 2.317, p = 0.021), marital status (t = -2.485, p = 0.013), and economic indicators (F = 2.951, p = 0.032). The factors influencing the level of Negative Spiritual Coping (NSC) were age (F = 3.226, p = 0.041), marital status (t = 2.635, p = 0.009), alcohol consumption (t = 2.840, p = 0.005), number of children (t = 2.022, p = 0.044), and TB diagnosis type (t = -2.323, p = 0.021). The PSC level was negatively correlated with depression (p < 0.01) and positively correlated with the Brief Resilience Scale (BRS), Family APGAR Index (APGAR), and Personal Mastery Scale (PMS) (p < 0.01). The NSC level was positively correlated with depression, anxiety, and stress (p < 0.01) and negatively correlated with BRS, APGAR, and PMS (p < 0.01). Multivariate linear regression analysis indicated that PMS (2.852, P=0.005), APGAR (3.740, P<0.0001), BRS (3.457, P=0.001), and gender (3.343, P=0.001) significantly affected the PSC level in TB patients. Depression (10.112, P < 0.0001), APGAR (-4.571, P < 0.0001), BRS (-3.084, P = 0.002), number of children (-2.315, P = 0.021), and type of TB diagnosis (2.217, P = 0.027) were factors that independently affected the NSC level of TB patients.</p><p><strong>Conclusion: </strong>TB patients exhibit better PSC levels in female patients, and higher PMS, BRS, and APGAR levels correlate with higher PSC levels. NSC levels are higher in patients without children and pulmonary TB, while higher BRS and APGAR levels are associated with lower NSC levels. These findings can help healthcare providers tailor person-centered spiritual care strategies for TB patients based on factors influencing spiritual coping, thereby improving their mental health during illness, reducing psychological distress, and facilitating earlier recovery.</p>\",\"PeriodicalId\":56009,\"journal\":{\"name\":\"Risk Management and Healthcare Policy\",\"volume\":\"18 \",\"pages\":\"2445-2459\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-07-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278963/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Risk Management and Healthcare Policy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/RMHP.S532707\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S532707","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
目的:探讨结核病患者在疾病期间采用的不同精神应对策略,并确定影响这些适应策略的多维因素。设计:在线横断面设计。方法:2024年1月至9月,通过微信外展招募中国浙江省448例结核病患者。数据收集是通过数字化管理的自我报告调查平台实施的。进行了全面的统计分析,包括独立样本t检验、组比较的单因素方差分析、双变量关联的Pearson相关系数和分层多元线性回归模型来确定预测聚类。这个横断面调查在其设计、执行和报告阶段严格遵守了STROBE指南。结果:448例患者中,男性255例,女性193例,平均年龄47.45岁(SD = 18.23)。影响积极精神应对水平的因素为性别(t = -2.593, p = 0.010)、居住地(t = 2.317, p = 0.021)、婚姻状况(t = -2.485, p = 0.013)、经济指标(F = 2.951, p = 0.032)。影响消极精神应对(NSC)水平的因素为年龄(F = 3.226, p = 0.041)、婚姻状况(t = 2.635, p = 0.009)、饮酒(t = 2.840, p = 0.005)、子女数(t = 2.022, p = 0.044)、结核病诊断类型(t = -2.323, p = 0.021)。PSC水平与抑郁呈负相关(p < 0.01),与短暂弹性量表(BRS)、家庭APGAR指数(APGAR)和个人掌握量表(PMS)呈正相关(p < 0.01)。NSC水平与抑郁、焦虑、应激呈正相关(p < 0.01),与BRS、APGAR、PMS呈负相关(p < 0.01)。多因素线性回归分析显示,PMS (2.852, P=0.005)、APGAR (3.740, P)与PMS、BRS、APGAR水平呈正相关。结论:女性结核病患者PSC水平较高,PMS、BRS、APGAR水平较高。无儿童和肺结核患者的NSC水平较高,而BRS和APGAR水平较高与NSC水平较低相关。这些发现可以帮助医疗保健提供者根据影响精神应对的因素为结核病患者量身定制以人为本的精神护理策略,从而改善他们在疾病期间的心理健康,减少心理困扰,并促进早期康复。
Current Landscape and Multidimensional Determinants of Spiritual Coping Mechanisms Among Tuberculosis Patients in Zhejiang, China: A Population-Based Cross-Sectional Investigation.
Aim: Investigate the different spiritual coping strategies employed by tuberculosis patients during their illness and determine the multidimensional determinants influencing these adaptive strategies.
Design: Online cross-sectional design.
Methods: Between January and September 2024, 448 tuberculosis (TB) patients in Zhejiang Province, China, were recruited via WeChat-based outreach. Data collection was implemented through a digitally administered, self-report survey platform. Comprehensive statistical analyses were performed, including independent samples t-tests, one-way ANOVA for group comparisons, Pearson correlation coefficients for bivariate associations, and hierarchical multiple linear regression modeling to identify predictor clusters. This cross-sectional investigation rigorously adhered to the STROBE guidelines throughout its design, execution, and reporting phases.
Results: Among the 448 patients, 255 were male and 193 were female, with an average age of 47.45 (SD = 18.23) years. The factors influencing the level of Positive Spiritual Coping (PSC) were sex (t = -2.593, p = 0.010), residence (t = 2.317, p = 0.021), marital status (t = -2.485, p = 0.013), and economic indicators (F = 2.951, p = 0.032). The factors influencing the level of Negative Spiritual Coping (NSC) were age (F = 3.226, p = 0.041), marital status (t = 2.635, p = 0.009), alcohol consumption (t = 2.840, p = 0.005), number of children (t = 2.022, p = 0.044), and TB diagnosis type (t = -2.323, p = 0.021). The PSC level was negatively correlated with depression (p < 0.01) and positively correlated with the Brief Resilience Scale (BRS), Family APGAR Index (APGAR), and Personal Mastery Scale (PMS) (p < 0.01). The NSC level was positively correlated with depression, anxiety, and stress (p < 0.01) and negatively correlated with BRS, APGAR, and PMS (p < 0.01). Multivariate linear regression analysis indicated that PMS (2.852, P=0.005), APGAR (3.740, P<0.0001), BRS (3.457, P=0.001), and gender (3.343, P=0.001) significantly affected the PSC level in TB patients. Depression (10.112, P < 0.0001), APGAR (-4.571, P < 0.0001), BRS (-3.084, P = 0.002), number of children (-2.315, P = 0.021), and type of TB diagnosis (2.217, P = 0.027) were factors that independently affected the NSC level of TB patients.
Conclusion: TB patients exhibit better PSC levels in female patients, and higher PMS, BRS, and APGAR levels correlate with higher PSC levels. NSC levels are higher in patients without children and pulmonary TB, while higher BRS and APGAR levels are associated with lower NSC levels. These findings can help healthcare providers tailor person-centered spiritual care strategies for TB patients based on factors influencing spiritual coping, thereby improving their mental health during illness, reducing psychological distress, and facilitating earlier recovery.
期刊介绍:
Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include:
Public and community health
Policy and law
Preventative and predictive healthcare
Risk and hazard management
Epidemiology, detection and screening
Lifestyle and diet modification
Vaccination and disease transmission/modification programs
Health and safety and occupational health
Healthcare services provision
Health literacy and education
Advertising and promotion of health issues
Health economic evaluations and resource management
Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.