基层医院接受抗病毒治疗人类免疫缺陷病毒感染者抑郁焦虑状况及影响因素分析  

Analysis of the status and influencing factors of depression and anxiety symptoms in AIDS patients receiving antiviral treatment in basic hospital

作　　者：陈学军[1] 李敏[1] 张丹[1] 文静 CHEN Xue-jun;LI Min;ZHANG Dan;WEN Jing(Department of Nursing,Anyue People's Hospital,Ziyang 642350,China)

机构地区：[1]四川省安岳县人民医院护理部,四川安岳642350

出　　处：《实用医院临床杂志》2020年第3期136-139,共4页Practical Journal of Clinical Medicine

摘　　要：目的探讨接受抗病毒治疗艾滋病患者抑郁焦虑状况及影响因素。方法选取2017年1月至2018年5月本院接诊并进行抗病毒治疗的278例艾滋病患者进行问卷调查,问卷包括患者治疗情况、社会人口学特征、焦虑抑郁状况。结果抑郁症状患者58例(20.86%),焦虑症状患者40例(14.39%),不同性别、年龄患者焦虑、抑郁症状检出率差异无统计学意义(P>0.05);不同婚姻状况患者焦虑症状检出率差异无统计学意义(P>0.05),抑郁症状检出率差异有统计学意义(P<0.05);不同职业患者焦虑、抑郁症状检出率差异有统计学意义(P<0.05);接受抗病毒治疗年限以及依从性高低、宗教信仰情况与患者焦虑症状发生密切相关,差异有统计学意义(P<0.05),接受抗病毒治疗年限以及依从性高低、需终生抗病毒治疗的知情情况、日常居住情况、文化程度与患者抑郁症状发生密切相关,差异有统计学意义(P<0.05)。结论艾滋病患者焦虑抑郁的发生与患者多种因素相关,增加患者终生抗病毒治疗知晓率、依从性等可降低患者焦虑抑郁状况。Objective To investigate the status and influencing factors of anti-viral treatment of AIDS patients with depression and anxiety symptoms.Methods A total of 278 AIDS patients who were admitted to our hospital from May 2016 to May 2018 for antiviral treatment were selected and were investigated with questionnaires.The questionnaire included the socio-demographic characteristics of patients and anxiety and depression.Results There were 58 patients with depressive symptoms(20.86%),and 40 patients with anxiety symptoms,(14.39%).There was no significant difference in the detection rate of anxiety and depression between different gender,age and education levels(P>0.05).There was no significant difference in the detection rate of anxiety symptoms among patients with different marital status(P>0.05)but there was a statistically significant difference in the detection rate of depressive symptoms among different marital status of the patients(P<0.05).There was a statistically significant difference in the detection rate of anxiety symptoms and depressive symptoms among patients of different occupations(P<0.06).The age of antiretroviral treatment and the level of compliance and religious beliefs were closely related to the anxiety symptoms of the patients(P<0.05).The number of years of antiviral treatment and compliance,the need for life-time antiviral therapy,and the daily living conditions were closely related to the occurrence of depressive symptoms(P<0.05).Conclusion The occurrence of anxiety and depression in AIDS patients is related to various factors of patients.Increasing the awareness and compliance of patients with lifetime antiviral therapy can reduce anxiety and depression.

关 键 词：艾滋病 抗病毒治疗 抑郁 焦虑 影响因素 

分 类 号：R512.91[医药卫生—内科学] R749.72[医药卫生—临床医学]