接受抗反转录病毒治疗HIV感染者/艾滋病患者的希望水平及影响因素研究  

Study on the hope level and its influence factors of patients with HIV/AIDS who received antiretroviral therapy

作　　者：刘聪[1] 周凯[2] 何浩岚[1] 徐国红[1] 李永红[1] 陈丽娟[1] 罗灿伟 蔡卫平[1] 李凌华[1] 

机构地区：[1]广州市第八人民医院感染科,广州市510060 [2]中山大学公共卫生学院

出　　处：《中国护理管理》2017年第8期1047-1051,共5页Chinese Nursing Management

基　　金：广东省省级科技计划项目(2016B020238002);广州市科技计划项目(201508020256);广州市医药卫生科技项目(20161A010035)

摘　　要：目的:调查接受抗反转录病毒治疗(ART)的HIV感染者/艾滋病患者(PLWHA)的希望水平并分析其影响因素,为提高其生存质量提供理论依据。方法:便利抽取206例在门诊接受国家免费ART1~109个月的PLWHA,采用Herth希望量表调查其希望水平,使用Logistic回归分析其影响因素。结果:206例患者的希望水平得分为(36.2±3.89)分,3个维度得分从高到低为:采取积极行动(12.48±1.73)分,对现实与未来积极态度(11.98±1.35)分及与他人保持亲密的关系(11.74±1.47)分。统计结果提示,自我接受程度、月收入及感染途径影响接受ART的PLWHA的希望水平。结论:接受ART的PLWHA有较高水平希望值,帮助其接受感染HIV事实、理性面对自身性行为及获取社会支持,有利于提高其希望水平,从而提高生存质量。Objective： To explore the hope level and its influence factors of patients with HIV/AIDS （PWHA） who received antiretroviral therapy （ART）, and provide theoretical basis to improve their quality of life. Methods： Totally 206 PWHA receiving free ART 1-109 months were recruited to the study through convenience sampling. The Herth hope scale was applied to measure the hope level and its influence factors were statistically analyzed by logistic regression analysis. Results： The average score of hope level of the 206 PWHA was （36.2±3.89）, and the scores ranked in three dimensions from high to low were as follows： taking positive action （12.48±1.73）, having a positive attitude to the present and the future （11.98±1.35）, and maintaining positive relationship with others （11.74±1.47）. The results of the logistic regression analysis indicated that self-identification of HIV infection, monthly income and HIV transmitted way might be the important influencing factors of the hope level of PWHA receiving ART. Conclusion： The PWHA receiving ART in China have a medium or high level of hope. Assisting them to acxept the fact of HW infection, rationally treat with their sexual behavior and acquire social support, could benefit for increasing their hope level and improve their survival quality of life.

关 键 词：HIV感染者及艾滋病患者 抗反转录病毒治疗 希望 

分 类 号：R47[医药卫生—护理学]