Longitudinal study on the trajectory of psychological pain in pulmonary tuberculosis patients
ZHU Yuqing
SUN Xin
WEN Jun
Abstract：Objective: To explore the trajectory of psychological distress in patients with tuberculosis and analyze its influencing factors. Methods: A convenience sampling method was used to select 156 patients with tuberculosis admitted to our hospital between January 2021 and April 2024 as the study subjects. Questionnaires were conducted using a general information survey form and the Kessler Psychological Distress Scale. Latent class growth modeling, univariate and multivariate analyses were performed. Results: The psychological distress of tuberculosis patients showed three different trajectories, which were classified as high-level psychological distress decreasing group (31.0%), medium-level psychological distress decreasing group (43.7%), and low-level psychological distress decreasing group (25.3%). There were statistically significant differences in gender, marital status, educational level, average monthly income, presence of other chronic diseases, and discrimination due to tuberculosis among different trajectory groups. Conclusion: There are three potential trajectories of psychological distress from diagnosis to recovery in tuberculosis patients. Different trajectories are influenced by factors such as gender, marital status, educational level, average monthly income, presence of other chronic diseases, and whether they have experienced discrimination due to tuberculosis. Clinical staff should closely monitor patients with high levels of psychological distress, promptly identify existing or potential psychological issues, and provide positive and targeted psychological counseling to minimize adverse events caused by psychological distress.
Keywords：pulmonary tuberculosispsychological paintrajectorylongitudinal studyinfluencing factorsnursing
Publication Date：2025-05-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 1992-1997 )