目的 了解安徽省在治HIV/AIDS患者心理健康状况,为更好地开展该人群精神卫生服务提供基础数据。方法 2020年9月对安徽省立感染病院及阜阳市正在进行抗病毒治疗的HIV/AIDS患者进行方便抽样调查,抽取189例HIV/AIDS患者,分别采用抑郁量表 (CES-D) 、感知压力量表(PSS)、简易应对方式量表(SCSQ)和中国版10项目大五人格量表(TIPI-C)测量调查对象抑郁症状、压力状况、遇到困难等的态度或做法和人格结构。结果 189例HIV/AIDS患者积极应对得分为(19.31±7.83)分,消极应对得分为(11.27±4.61)分,感知压力得分为(27.44±8.10)分;65.08%的调查对象存在抑郁症状(CES-D≥16),抑郁组积极应对得分(17.64±6.63)低于非抑郁组(22.41±8.92)(W=10 412.500,P<0.001,消极应对得分(11.90±4.81)高于非抑郁组( 10.10±3.99)(W=12 577.500,P=0.012),感知压力水平(30.64±6.38)高于非抑郁组(21.48±7.62)(W=14 321.000,P<0.001)。28.04%的HIV/AIDS患者有自杀意念,5.29%有自杀企图,调查对象产生心理压力的来源,主要是感染HIV,占73.54%(139/189)。结论 HIV/AIDS患者抑郁等心理问题较为严重,应积极开展心理支持和干预。
Abstract
Objective To understand the mental health status of HIV/AIDS patients under treatment in Anhui Province,so as to provide basic data for better implementation of mental health services for this population. Methods In September 2020,a total of 189 HIV/AIDS patients who were undergoing antiviral treatment in Anhui Provincial Infectious Hospital and Fuyang City were investigated by convenient sampling.The center for epidemiologic studies depression scale (CES-D),perceived stress scale (PSS),simple coping style scale (SCSQ) and the ten-item personality inventory in China (TIPI-C) were used to measure the attitude or practice and personality structure of the respondents when they encountered depression symptoms,stress conditions,difficulties,etc. Results The positive coping score of 189 HIV/AIDS patients was (19.31 ± 7.83),the negative coping scores was (11.27±4.61),and the perceived stress scores was (27.44 ± 8.10).65.08% of the respondents had depressive symptoms (CES-D ≥ 16).The positive coping score of the depression group (17.64±6.63) was lower than that of the non-depression group (22.41±8.92) (W=10 412.500,P<0.001),the negative coping score (11.90±4.81) was higher than that of the non-depression group (10.10±3.99) (W=12 577.500,P=0.012),and the perceived stress level (30.64±6.38) was higher than that of the non-depression group (21.48±7.62) (W=14 321.000,P<0.001).28.04% of HIV/AIDS patients had suicidal ideation and 5.29% had suicidal attempt.The main source of psychological stress of the respondents was HIV infection,accounting for 73.54% (139/189). Conclusion The depression and other psychological problems of HIV/AIDS patients are serious,and psychological support and intervention should be actively carried out.
关键词
艾滋病毒/艾滋病 /
心理健康 /
抑郁症状
Key words
HIV/AID /
Mental health /
Depressive symptom
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