Kundu Susmita, Basu Rivu, Sarkar Sarmistha, Nath Saswati, Biswas Debabani
Professor and Head of Department, Respiratory Medicine, R G Kar Medical College, Kolkata, India.
Assistant Professor, Community Medicine, R G Kar Medical College, Kolkata, India.
J Family Med Prim Care. 2021 Jan;10(1):392-397. doi: 10.4103/jfmpc.jfmpc_1787_20. Epub 2021 Jan 30.
There has been a new challenge to the already existing threat of tuberculosis (TB) and that is drug resistance TB (DR-TB). The causal relationships between mental disorders and TB are complicated and relatively unexplored. For this reason a qualitative study was done on DR-TB patients attending R G Kar Medical College.
The study population consisted of the patients who are registered for the DR-TB regimen are followed up four times with General Health Questionnaire (GHQ). Those scoring poorly were sent for expert evaluation by psychologist, who counselled them, and followed them up after in-depth interviews. These records of in-depth interview were analysed as qualitative research inputs.
In our study out of 165 patients, (4.8%) needed interventions. The domains emerging from the study are worried about future and as well as family, disbelief about the diagnosis, embarrassment regarding the diagnosis, fear of death, blaming fate for the disease, stigma, suicidal ideation.
This study finds out the important domains of psychogical problems among the patients and also advocates a psychologist to remain at DR-TB centres.
结核病（TB）这一现存威胁面临着新的挑战，即耐药结核病（DR-TB）。精神障碍与结核病之间的因果关系复杂且相对未被深入研究。因此，对在R G Kar医学院就诊的耐多药结核病患者进行了一项定性研究。
研究人群包括登记接受耐多药结核病治疗方案的患者，使用一般健康问卷（GHQ）对他们进行了四次随访。得分较低的患者被转介给心理学家进行专家评估，心理学家对他们进行咨询，并在深入访谈后对他们进行随访。这些深入访谈的记录作为定性研究资料进行了分析。
在我们的研究中，165名患者中有（4.8%）需要干预。研究中出现的领域包括对未来和家庭的担忧、对诊断的怀疑、对诊断的尴尬、对死亡的恐惧、将疾病归咎于命运、耻辱感、自杀念头。
本研究找出了患者心理问题的重要领域，并提倡在耐多药结核病治疗中心配备一名心理学家。
