The correlation between medication adherence,social support,and depression in drug-resistant pul-monary tuberculosis patients
Objective To explore the correlation between depression,social support,and medication adher-ence in drug-resistant pulmonary tuberculosis patients.Method 40 drug-resistant pulmonary tuberculosis patients admitted to our hospital from January 2020 to May 2023 were selected as the drug resistance group,30 ordinary pul-monary tuberculosis patients in the same period were selected as the common group,and 30 healthy individuals in the same period were selected as the control group.Evaluate and compare three groups of Self Rating Depression Scale(SDS),Social Support Rating Scale(SSRS),Simplified Coping Style Questionnaire(SCSQ),and 8-item Morisky Medication Adherence Scale(MMAS-8)in Chinese,By Spearman rank correlation analysis,the correlation between MMAS-8 score and SSRS factor score,total score,SDS score,and SCSQ factor score in drug-resistant pulmonary tuberculo-sis patients was studied.Results The SDS score of the drug-resistant group was significantly higher than that of the ordinary group,and the SDS score of the ordinary group was higher than that of the control group,with a statistically significant difference(P＜0.05).The subjective support,objective support,support utilization score,and total score of the drug-resistant group were significantly lower than those of the ordinary group.The subjective support,objective support,support utilization score,and total score of the ordinary group were lower than those of the control group,with a statistically significant difference(P＜0.05).The MMAS-8 score and positive coping score of the drug resistant group were significantly lower than those of the ordinary group,while the negative coping score was higher than that of the ordinary group,with a statistically significant difference(P＜0.05).The MMAS-8 score of drug-resistant pulmonary tuberculosis patients is positively correlated with the scores of various factors in SSRS and the total score.The MMAS-8 score of drug-resistant pulmonary tuberculosis patients is negatively correlated with the SDS score.The MMAS-8 score of drug-resistant pulmonary tuberculosis patients is positively correlated with the positive coping score,and negatively correlated with the negative coping score,and P＜0.05.Conclusion Drug adherence in drug-resistant pulmonary tuberculosis patients is closely related to social support and depression,and should be given clinical attention.
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