50岁及以上HIV感染者述情障碍现状及影响因素分析  

Status and influencing factors of alexithymia in people living with HIV aged 50 years and above

作　　者：毛弦筠 程静 钟汶汐 谭丹 张曦 马李 沈黛珺 王汐雨 唐建 田敏 陈燕华 MAO Xian-jun;CHENG Jing;ZHONG Wen-xi;TAN Dan;ZHANG Xi;MA Li;SHEN Dai-jun;WANG Xi-yu;TANG Jian;TIAN Min;CHEN Yan-hua(School of Nursing,Southwest Medical University,Luzhou,Sichuan 646000,China;不详)

机构地区：[1]西南医科大学护理学院,四川泸州646000 [2]西南医科大学附属中医医院疼痛科 [3]西南医科大学附属医院手术室 [4]西南医科大学附属医院骨科 [5]西南医科大学附属医院护理部

出　　处：《现代预防医学》2024年第20期3823-3828,共6页Modern Preventive Medicine

基　　金：四川省科技厅自然科学基金面上项目(2024NSFSC0571);四川省哲学社会科学基金一般项目(SCJJ23ND214)。

摘　　要：目的了解50岁及以上HIV感染者述情障碍现状,并分析其影响因素。方法2023年11月至2024年3月,以便利抽样法选取四川省泸州市、资阳市和自贡市50岁及以上HIV感染者为研究对象,采用多伦多述情障碍量表(TAS-20)、孤独感量表(UCAL)和蒙特利尔认知评估量表(MoCA)对50岁及以上HIV感染者进行问卷调查;t检验、方差分析比较不同特征50岁及以上HIV感染者述情障碍得分差异,多元线性回归分析探究50岁及以上HIV感染者述情障碍的影响因素。结果207名50岁及以上HIV感染者TAS-20、UCAL、MoCA平均得分分别为:(61.93±10.99)分、(44.91±9.87)分、(18.56±4.86)分,述情障碍检出率为52.2%;多因素分析结果显示,非婚(β=0.13,95%CI:0.03~0.53)、孤独感强(β=0.44,95%CI:0.32~0.55)、认知功能表现差(β=-0.25,95%CI:-0.37~-0.14)可能是50岁及以上HIV感染者述情障碍的影响因素。结论与其他年龄段HIV感染者相比,50岁及以上HIV感染者述情障碍患病率较高,艾滋病防控管理人员应重点关注非婚、孤独感强以及认知功能表现差的感染者,为其制定个性化干预措施,缓解述情障碍。Objective To understand the status of alexithymia in people living with HIV aged 50 years and over,and to analyze its influencing factors.Methods From November 2023 to March 2024,HIV-infected people aged 50 and over in Luzhou City,Ziyang City and Zigong City of Sichuan Province were selected by convenience sampling method.The 20-item Toronto Alexithymia Scale(TAS-20),Loneliness Scale(UCAL)and Montreal Cognitive Assessment Scale(MoCA)were used to conduct a questionnaire survey on people living with HIV aged 50 and over.T-test and ANOVA were used to compare the scores of alexithymia in HIV-infected people aged 50 years and above with different characteristics.Multiple linear regression analysis was used to explore the influencing factors of alexithymia in HIV-infected people aged 50 years and above.Results The average scores of TAS-20,UCAL and MoCA were(61.93±10.99)points,(44.91±9.87)points and(18.56±4.86)points,respectively,in 207 HIV-infected patients aged 50 years and above.The detection rate of Alexithymia was 52.2%.The results of multivariate analysis showed that non-marriage(β=0.13,95%CI:0.03-0.53),loneliness(β=0.44,95%CI:0.32-0.55),poor cognitive function(β=-0.25,95%CI:-0.37-0.14)may be the influencing factor of alexithymia in HIV-infected persons aged 50 years and above.Conclusion Compared with other age groups,HIV-infected people aged 50 and above have a higher prevalence of alexithymia,and AIDS prevention and control managers should focus on unmarried,lonely and poor cognitive performance of infected people,to develop personalized interventions for them to alleviate alexithymia.

关 键 词：50岁及以上 HIV 述情障碍 孤独感 认知功能 影响因素 

分 类 号：R512.91[医药卫生—内科学]