基于社区随访模式管理的泸州市中青年HIV/AIDS患者社会支持分析  

Analyses of social support for young and middle-aged HIV/AIDS patients in Luzhou City based on community follow-up management model

作　　者：陈小雪 叶雨婷 吕馨月 华涵 郎杰那么 范颂 陈润 李爱玲 CHEN Xiao-xue;YE Yu-ting;LV Xin-yue;HUA Han;LANG Jie-na-me;FAN Song;CHRN Run;LI Ai-ling(School of Public Health,Southwest Medical University,Luzhou,Sichuan 646000,China)

机构地区：[1]西南医科大学公共卫生学院,四川泸州646000

出　　处：《现代预防医学》2024年第2期285-290,共6页Modern Preventive Medicine

基　　金：西南医科大学校级课题(21YYJC0578)。

摘　　要：目的应用社会网络分析法(SNA)分析泸州市接受社区随访管理的中青年(18~50岁)HIV/AIDS患者社会支持主体网络特征,为开展社会支持、健康干预工作提供依据。方法采用定额抽样方法以泸州市接受社区随访管理的中青年HIV/AIDS患者作为调查对象,设计社会支持网络矩阵问卷,使用Excel 2016编制关系矩阵,使用ucinet 6.0软件分析社会支持网络特征,NetDraw绘制2-mode社会网络图。结果泸州市接受社区随访管理的165名中青年HIV/AIDS患者的社会支持得分24.15±8.10分,各维度依次为医院(2.45),社区(2.36),家庭(2.16),新媒体(1.65),传统媒体(1.59),朋友(1.47),亲戚(1.30),社会组织(1.18),同事(0.95),邻居(0.83);社会支持网络整体密度矩阵为1.59,核心-边缘最终拟合优度0.61,拟合较好;其中医院、社区的中心度最高,位于主核心位置,家庭和新媒体位于次核心位置,其余位于边缘位置。结论泸州市接受社区随访管理的中青年HIV/AIDS患者社会支持水平较低,主要依赖于医院、社区卫生服务中心,家庭、新媒体和社会组织集合的支持作为补充。建立以医院-社区为核心,家属为桥梁的社会支持网络,结合社会组织拓宽社会支持网络,开展互联网形式健康干预,增加其支持种类数量和力度,提高其生活质量,也可为其他地区提供借鉴。Objective To apply Social Network Analysis(SNA)to analyze the characteristics of the social support network from 18 to 50 years old HIV/AIDS patients receiving community follow-up management in Luzhou City,and to provide a basis for the development of social support and health intervention work.Methods A quota sampling method was used,with young and middle-aged HIV/AIDS patients receiving community follow-up management in Luzhou City as the survey subjects.A social support network matrix questionnaire was designed,and a relationship matrix was constructed using Excel 2016.The social support network characteristics were analyzed using UCINET 6.0 software,and a 2-mode social network graph was drawn using Net-Draw.Results The social support scores of 165 young and middle-aged HIV/AIDS patients who received community follow-up management in Luzhou City were 24.15±8.10,as follows:hospital(2.45),community(2.36),family(2.16),new media(1.65),traditional media(1.59),friends(1.47),relatives(1.30),social organizations(1.18),colleagues(0.95),and neighbors(0.83);The overall density matrix of the social support network is 1.59,with a core edge final goodness of fit of 0.61,indicating a good fit.Among them,hospitals and communities had the highest centrality and were located in the main core position,while family and new media were in the secondary core position.The rest were situated in the periphery.Conclusion The social support level of young and middle-aged HIV/AIDS patients receiving community follow-up management in Luzhou City is relatively low,mainly relying on support from hospitals,community health service centers,family,new media,and social organizations as supplementary sources.In the future,it is recommended to establish a social support network with hospitals and communities as the core,utilizing family members as bridges.Furthermore,expanding the social support network through social organizations and implementing internet-based health interventions can increase the variety and intensity of support,improve the p

关 键 词：社会网络分析法 艾滋病 中青年患者 社会支持主体 

分 类 号：R512.91[医药卫生—内科学]