耐药结核病患者的应激弹性
N Nur1, A B Sharif2, D K Mitra1
1Department of Public Health, North South University, Dhaka, Bangladesh.
概括
耐药肺结核 (DR-PTB) 患者表现出不同程度的抗压能力. 多抗药性肺结核 (MDR-PTB) 患者表现出比前扩散性抗药性肺结核 (XDR-PTB) 患者更高的恢复力,受性别和教育等因素的影响.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 心理学 心理学 心理学
背景情况:
- 全球抗药性肺结核病 (DR-PTB) 率的上升显著影响患者的身体和精神健康.
- 了解心理影响,特别是应激弹性,对于管理DR-PTB至关重要.
- 这项研究调查了患有多抗药性 (MDR-PTB) 和前扩展性耐药性 (XDR-TB前) 结核病的患者的应激弹性.
研究的目的:
- 为了评估DR-PTB患者的压力弹性水平.
- 确定与该人口中应激弹性相关的社会人口统计学和临床因素.
主要方法:
- 在孟加拉国达卡的一家医院招募了一组385名被诊断患有MDR-TB或XDR-TB前的成年患者.
- 通过验证的应激弹性量表 (RS 25) 问卷来衡量弹性.
- 使用统计分析,包括多重线性回归,以确定相关因素.
主要成果:
- 与XDR-TB前患者相比,患有MDR-PTB的患者报告了显著更高的平均弹性得分 (P=0.02).
- 在这两组中,大多数患者年龄在45岁或以下.
- 关键因素显著与应激弹性相关,包括性别,教育水平,就业状况和喘的存在.
结论:
- 在MDR-PTB和XDR-TB前患者之间,压力抵抗力显著不同.
- 社会人口统计学特征在调节DR-PTB患者的应激弹性方面发挥着显著的作用.
- 这些发现凸显了针对DR-PTB患者根据其特定的耐药性概况和个人情况制定量身定制的心理支持策略的需要.
相关概念视频
Pulmonary Tuberculosis V
214
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
214
Pulmonary Tuberculosis I
286
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
286
Development of Antibiotic Resistance
46
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
46
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Pulmonary Tuberculosis II
281
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
281
Pulmonary Tuberculosis IV
175
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
175


