There are hundreds of millions of internal migrants in China, and tuberculosis (TB) is an important health threat to them. However, the mental health problems of internal migrants with TB in China have been ignored. The present study aimed to determine the prevalence of depressive symptoms and its associated risk factors among internal migrants with TB in China. A cross-sectional survey was conducted between June 2018 and March 2019 in Shenzhen, southern China. Data were collected from 1,057 internal migrants with TB using a structured questionnaire. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale. Multinomial logistic regression analysis was used to identify risk factors for depressive symptoms. Of the 1,057 participants included in this study, 53.8% had depressive symptoms. Of these, 38.9% had mild, whereas 14.9% had moderate-to-severe depressive symptoms. Multinomial logistic regression analysis suggested that higher likelihoods of depressive symptoms were associated with female gender, lower education, family dysfunction, poor doctor-patient communication, and TB-related stigma. This study shows that the prevalence of depressive symptoms among internal migrants with TB is high in China. Targeting interventions and treatment of depressive symptoms among internal migrants with TB are needed.
In order to explore the effectiveness of the 5Why-based nursing intervention method in blood purification nursing, this paper takes 108 patients from Changzhou Second Hospital in the past three years as an example for experimental analysis. Moreover, this paper uses mathematical statistics to group patients into groups, and the two groups of patients are comparable. After grouping, this paper conducts preexperiment processing and then conducts patient grooming through various basic tasks so that the test results have a certain degree of reliability. On this basis, this paper verifies the nursing intervention methods through controlled trials. Among them, the control group is treated with the hospital’s conventional nursing methods and allowed patients to master self-nursing methods, while the test group is treated with 5Why-based nursing intervention on the basis of traditional nursing methods. Finally, this paper combines mathematical statistics to evaluate the effect of blood purification nursing. From the research results, it can be known that the 5Why-based nursing intervention method has certain effectiveness in blood purification nursing.
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