医学应对方式问卷对206例HIV/AIDS患者测评  

Evaluation on 206 HIV/AIDS Patients with Medical Coping Modes Questionnaire

作　　者：张建萍[1] 邓阳[1] 杨智彬[2] 周贵[1] Kcrshaw Trace 

机构地区：[1]昆明医科大学公共卫生学院,云南昆明650500 [2]玉溪市人民医院,云南玉溪653100 [3]美国耶鲁大学公共卫生学院

出　　处：《昆明医科大学学报》2012年第12期160-163,共4页Journal of Kunming Medical University

基　　金：美国贾氏学者基金资助项目(42011008)

摘　　要：目的了解云南省两地206例HIV/AIDS患者的医学应对方式基本情况,探讨影响因素.方法采用方便抽样方法选取HIV/AIDS患者较为集中的文山、玉溪两地患者作为样本;运用自行设计的一般人口学基本问卷,医学应对问卷(MCMQ),医院焦虑抑郁量表对目标人群进行测定.结果 HIV/AIDS患者面对因子得分低于常模,回避、屈服因子得分高于常模,差异有统计学意义(P<0.05);年龄,收入是回避因子的影响因素(P<0.05),文化程度是面对因子的影响因素(P<0.05);面对与抑郁呈负相关(r=-0.162,P<0.05),屈服与焦虑、抑郁呈正相关(r=0.429,P<0.00,r=0.401,P<0.00).结论患者多采取回避或屈服的方式应对疾病,不利于疾病的康复;提高其文化程度,消除歧视,使其能够积极面对,配合医生治疗;实施进一步的心理干预措施,以帮助他们采取有效的应对方式.Objective To understand the basic information about the medical coping measures of 206 HIV/AIDS patients and explore its influencing factors in Wenshan and Yuxi, Yunnan province. Methods Using convenience sampling method, we selected samples in Wenshan and Yuxi, where there were a large number of HIV/AIDS patients. The target population was tested by our self-administration questionnaire, the hospital anxiety and depression scale and medical coping modes questionnaires. Results The score of HIV/AIDS patients＇ face coping factor was lower than the common model, the scores of avoiding and yielding factors were higher than the common model, It is statistical significance （P 〈 0.05 ）. Age and income were the influencing factors of avoiding （P 〈 0.05） ; Educational level was the influencing factor of face coping （P 〈 0.05） ; Face coping was negatively correlated with depression （r = -0.162, P 〈 0.05 ）. Yielding was positively correlated with anxiety and depression （r = 0.429, P 〈 0.00, r = 0.401, P 〈 0.00）. Conclusions The patients mostly use the ways of avoiding and yielding to cope the disease, which has the negative impact on the recovery of disease. In order to help them to take more effective coping measures, we should enhance their educational level, eliminate the discrimination, make them face actively and cooperate with the treatment. Meanwhile, the psychological interventions should be further carried out.

关 键 词：医学应对方式 HIV AIDS患者 测评 

分 类 号：R512.9[医药卫生—内科学]