广州市大学生艾滋病患者心理状况调查及干预效果评估  

Investigation on psychological status and evaluation on intervention effect of college students with AIDS in Guangzhou City

作　　者：周英[1] 何浩岚[2] 陈晓聪[1] ZHOU Ying;HE Hao-lan;CHEN Xiao-cong(Internal Medicine Department,South China Agricultural University Hospital,Guangzhou Guangdong 510640,China;Infectious Disease Department,Guangzhou Eighth People’s Hospital,Guangzhou Guangdong 510640,China)

机构地区：[1]华南农业大学医院内科,广东广州510640 [2]广州市第八人民医院感染科,广东广州510640

出　　处：《职业与健康》2022年第7期951-954,958,共5页Occupation and Health

基　　金：广东省医学科学技术研究基金项目(A2019523)。

摘　　要：目的 了解广州市大学生艾滋病患者心理状况并分析干预措施对心理状况的改善效果。方法 收集2019年1月—2020年12月于广州市某传染病医院就诊的大学生艾滋病患者387例,根据干预方式分为干预组(n=194)和对照组(n=193),对照组采用日常护理,干预组采用心理综合干预疗法,应用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、心理痛苦程度量表和症状自评量表(symptom checklist-90,SCL-90)评估大学生艾滋病患者心理状况。结果 387例大学生艾滋病患者SAS[(46.23±6.21)分]和SDS评分[(54.32±5.47)分]均显著高于全国常模水平[(29.78±0.46)、(48.11±10.57)分,均P<0.01];除躯体症状、精神病性和饮食睡眠外,SCL-90各项评分均明显高于全国常模(均P<0.01)。心理痛苦评分为(5.24±1.04)分,显著心理痛苦患者有315例,占81.34%。干预后2组SAS、SDS、SCL-90和心理痛苦评分均下降(均P<0.05),且干预组各评分下降更为明显(均P<0.05)。结论 广州市大学生艾滋病患者普遍存在抑郁、焦虑和中重度以上心理痛苦。综合心理干预能有效缓解大学生艾滋病焦虑和抑郁情绪,降低患者心理痛苦,具有积极临床意义。Objective To understand the psychological status of college students with AIDS in Guangzhou City,analyze the effect of intervention measures on mental health.Methods A total of 387 college students with AIDS who were treated in an infectious disease hospital in Guangzhou City from January 2019 to December 2020 were included,and were divided into the intervention group(n=194) and control group(n=193) according to intervention methods.The control group was treated with routine nursing,and the intervention group was treated with comprehensive psychological intervention therapy.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),psychological distress scale and the symptom checklist-90(SCL-90) were applied to assess the psychological status of college students with AIDS.Results The SAS score[(46.23±6.21)points] and SDS score[(54.32±5.47)points]in 387 college students with AIDS were significantly higher than the national norm levels[(29.78±0.46),(48.11±10.57)poiuts,both P <0.01].Except psychosis,diet and sleep,the scores of other items in SCL-90 were significantly higher than the national norms(all P<0.01).The psychological pain score was(5.24±1.04)points,and 315(81.34%) students had significant psychological pain,accounting for 81.34%.After the intervention,the scores of SAS,SDS,SCL-90 and psychological pain of the two groups were significantly decreased(all P<0.05),and the scores of the intervention group decreased more significantly(all P<0.05).Conclusions Depression,anxiety and moderate and severe psychological pain are very common in college students with AIDS in Guangzhou City.Comprehensive psychological intervention could effectively relieve the anxiety and depression in college students with AIDS,and reduce the psychological pain,which has positive clinical significance.

关 键 词：大学生 艾滋病 心理状况 干预效果 

分 类 号：R395.6[哲学宗教—心理学]