云南省某门诊男性HIV/AIDS心理健康状况及社会支持调查  

A survey of HIV/AIDS mental health status and social support among men in an outpatient clinic in Yunnan Province

作　　者：周瑶瑶 杨静 黄琼 毕雄凤 刘仕芳 桂琳 董兴齐 李惠琴 谢荣慧 ZHOU Yaoyao;YANG Jing;HUANG Qiong;BI Xiongfeng;LIU Shifang;GUI Lin;DONG Xingqi;LI Huiqin;XIE Ronghui(School of Public Health,Dali University,Dali,Yunnan 671000,China;Yunnan Provincial Infectious Diseases Hospital,Kunming,Yunnan 650300,China)

机构地区：[1]大理大学公共卫生学院,云南大理671000 [2]云南省传染病医院,云南昆明650300

出　　处：《现代医药卫生》2022年第18期3130-3134,共5页Journal of Modern Medicine & Health

基　　金：云南省科技厅重大科技专项计划云南省艾滋病病毒学及临床诊疗技术创新研究中心(202102AA310005);中国医学科学院北京协和医院“十三五”艾滋病和病毒性肝炎等重大传染病防治科技重大专项(2017ZXI0202101)。

摘　　要：目的 调查云南省某门诊男性人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)患者心理健康状况,为提高感染者生活质量提供科学依据。方法 采用症状自评量表(SCL-90)和简体中文版医疗社会支持量表(MOS-SSS)评定HIV/AIDS心理健康和社会支持情况。结果 106例HIV/AID患者的抑郁、恐怖、精神病性、其他4项因子分数较全国常模更高,人际关系敏感分数较全国常模更低,差异均有统计学意义(P<0.05)。与其他方式感染相比,同性方式感染的强迫症状、人际关系敏感、抑郁、焦虑、敌对、偏执、精神病性均分更高,差异均有统计学意义(P<0.05)。社会支持与心理状况相关性分析显示:实际性支持与躯体化、人际关系敏感、抑郁、恐怖和其他存在显著负相关(P<0.05);讯息与情绪性支持、躯体化、抑郁存在显著负相关(P<0.05);社会互动性合作与躯体化、人际关系敏感、抑郁、其他存在显著负相关(P<0.05);情感性支持与躯体化、人际关系敏感、抑郁、恐怖、其他存在显著负相关(P<0.05)。结论 社会支持情况会影响HIV/AIDS患者的心理健康状况,需在当前治疗模式下增加心理治疗项目对男性人群进行支持。Objective To investigate the mental health status of male human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS) patients in a clinic in Yunnan province,so as to provide a scientific basis for improving the quality of life of HIV/AIDS patients.Methods Symptom Checklist 90(SCL-90) and Medical Social Support Scale(MOS-SSS) were used to evaluate the mental health and social support of HIV/AIDS patients.Results The scores of depression,terror,psychosis and other four factors in 106 HIV/AID patients were higher than those in the national norm,and the scores of interpersonal sensitivity were lower than those in the national norm,and the differences were statistically significant(P<0.05).Compared with other forms of infection,the average scores of obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,paranoia,and psychosis of same-sex infection were higher,and the differences were statistically significant(P<0.05).The correlation analysis between social support and psychological status showed that actual sexual support was significantly negatively correlated with somatization,interpersonal sensitivity,depression,terror and others(P<0.05).Messages were significantly negatively correlated with emotional support,somatization,and depression(P<0.05).Social interaction cooperation was significantly negatively correlated with somatization,interpersonal sensitivity,depression,and others(P<0.05).Emotional support was significantly negatively correlated with somatization,interpersonal sensitivity,depression,terror and others(P<0.05).Conclusion Social support can affect the mental health of HIV/AIDS patients,and it is necessary to add psychotherapy programs to support the male population under the current treatment model.

关 键 词：人类免疫缺陷病毒 获得性免疫缺陷综合征 症状自评量表 医疗社会支持量表 

分 类 号：R512[医药卫生—内科学]