艾滋病患者敌意心理的结构式访谈结果分析  

Analysis of the results of structured interview about hostile psychology in AIDS patients

作　　者：张晓庆[1] 莫相群 唐峥华[1] 覃玉宇[1] 苏婧 李新利 刘艳芬 陆春燕[3] ZHANG Xiao-qing;MO Xiang-qun;TANG Zheng-hua;QIN Yu-yu;SU Jing;LI Xin-li;LIU Yan-fen;LU Chun-yan(School of Public Health, Guangxi Medical University, Nanning, Guangxi530021, China)

机构地区：[1]广西医科大学公共卫生学院,广西南宁530021 [2]南宁市第四人民医院 [3]广西疾病预防控制中心

出　　处：《应用预防医学》2018年第2期89-92,97,共5页Applied Preventive Medicine

摘　　要：目的了解艾滋病患者的敌意心理状况及其影响因素,为防控患者的敌意心理提供科学依据。方法采用自编的结构式访谈问卷,对南宁市2个医疗机构门诊的艾滋病患者进行面对面个别访谈,获有效问卷1 516份。计算每位患者的敌对因子得分。当因子分<1.5为无敌意,1.5~1.9为轻度敌意,2.0~2.5为中度敌意,>2.5为重度敌意;描述不同敌对程度患者的分布情况。利用多重线性回归分析敌对因子得分的影响因素。结果无敌意心理者1 253人(82.7%),有敌意心理者263人(17.3%);其中轻度敌意者187人(12.3%),中度及重度敌意者76人(5.0%);常常有想打人或伤害他人的冲动者15人(1.0%)。敌对因子总分在性别、生活习惯、环境、业余锻炼、坚持吃药、睡眠情况、心理健康状况、对"四免一关怀"的了解、主动求助专业机构等组内的差异有统计学意义(P<0.05)。多重线性回归分析发现,对心理健康状况的自我评价(X_1)、睡眠情况(X_2)、生活习惯(X_3)及性别(X_4)四个自变量进入回归方程:Y=7.270-0.546X_1+0.177X_2+0.124X_3+0.191X_4。结论艾滋病患者中具有明显敌意心理者较少,其敌意心理的产生与生活习惯、自身心理健康状况及对社会资源的了解等方面有关。Objective To investigate the status of hostile psychology and its influencing factors in AIDS patients,and provide the basis for prevention and control of patients＇ hostile psychology. Methods Using self-compiled questionnaire of structured interview, AIDS patients from the outpatient departments of two medical institutions in Nanning, Guangxi were interviewed face to face, and 1 516 effective questionnaires were collected and analysed. The hostility score of each patient was calculated, the score 〈1.5, 1.5-1.9, 2.0-2.5 and〉2.5 was considered as no-hostile, mild hostile, moderate and high hostile psychology, respectively; and the proportion of each hostile level in the patients was described. Multiple linear regression analysis was applied to explore the influencing factors of hostility score. Results In the all patients interviewed 1 253（82.7%） did not have hostile psychology, 263（17.3%） patients had a hostile psychology with 187（12.3%） patients being mild hostile and 76（5.0%） patients moderate or high hostile,while only 15（1.0%） patients always having impulsions to hit or hurt others. The hostility scores of AIDS patients in differen groups of sex, living habits, living environment, physical exercises, insisting on taking the medicines, sleep condition, self-evaluating mental health, understanding of the national policy of ＂four free and one care＂, actively seeking helps from professional institutions were statistically significant different（P 0.05）. When the hostility score（Y）was set as the dependent variable, there were four independent variables（ self-evaluating mental health, sleep condition, living habits and sex） stepwise entering the regression equation（Y=7.270-0.546 X1＋ 0.177 X2＋0.124 X3＋0.191 X4）. Conclusions AIDS patients with hostile psychology was very few, and the generation of hostile psychology was connected with living habits, their mental health and understanding of the social resources.

关 键 词：艾滋病患者 敌意心理 结构式访谈 

分 类 号：R512.911[医药卫生—内科学]