摘要
目的:了解艾滋病(AIDS)患者抑郁、焦虑、孤独感状况,并分析其影响因素。方法:采用自评抑郁量表(SDS)、焦虑自评量表(SAS)、孤独评定量表(UCLA)、社会支持量表(SSS)对125例AIDS患者进行测评,分析其心理健康水平及其与社会支持、人口学特征、健康相关指标的相关性。结果:AIDS患者各心理量表评分均显著高于国内常模(P<0.01),抑郁情绪检出率为52.8%,焦虑情绪检出率为32.8%,高度孤独感检出率为86.4%。多重线性回归分析结果显示:社会支持、已婚是AIDS患者抑郁的保护因素,而CD4+T淋巴细胞计数>200个/μL、职业为行政、有2~3个兄弟姐妹是其抑郁的危险因素;离异是患者焦虑的保护因素,而CD4+T淋巴细胞计数>200个/μL、职业为行政、临床分期为Ⅲ期是其焦虑情绪的危险因素;社会支持、已婚、丧偶、职业为技术是患者孤独感的保护因素,而CD4+T淋巴细胞计数>200个/μL是其孤独感的危险因素。结论:AIDS患者抑郁、焦虑、孤独感的发生率高于一般人群,应根据患者的不同特征,采取个性化干预措施,帮助其改善心理健康状况。
Objective： To investigate the status and influencing factors of depression,anxiety and loneliness in acquired immune deficiency syndrome （AIDS） patients.Methods： Self-rating depression scale,self-rating anxiety scale,loneliness scale,and social support scale were used to measure the mental health and social support level of the 125 AIDS patients who were selected as the study subjects.The correlation of mental health with social support,demographic characteristics and health related indicators were analyzed to explore the influencing factors of mental health of AIDS patients.Results： The psychological scales scores of AIDS patients were significantly higher than those of the national norm （ P 〈0.01）.The detection rates of depression,anxiety and high loneliness were 52.8%,32.8% and 86.4%,respectively.Multiple linear regression analysis showed that the social support and married status were protective factors for depression in AIDS patients,while the CD4 ＋ T lymphocyte count,administrative occupation and 2-3 siblings were risk factors.Divorce was a favorable factor influencing patients’ anxiety,whereas the CD4 ＋ T lymphocyte count,administrative occupation,and clinical stage Ⅲ were negative factors.Social support,married status and technical occupation were protective factors of loneliness,and CD4 ＋ T lymphocyte count was a risk factor of loneliness.Conclusion： The prevalence of depression,anxiety and loneliness in AIDS patients was higher than that of general population.According to different characteristics of AIDS patients,individualized interventions should be taken to improve their mental health.
作者
黄嘉月
莫建明
杨光林
张晓彬
陈县祥
叶力
李春灵
Huang Jiayue;Mo Jianming;Yang Guanglin;Zhang Xiaobin;Chen Xianxiang;Ye Li;Li Chunling(Department of Maternal,Child and Adolescent Health,School of Public Health;First School of Clinical Medicine;Department of Epidemiology,School of Public Health,Guangxi Medical University,Nanning 530021,China)
出处
《广西医科大学学报》
CAS
2018年第11期1576-1580,共5页
Journal of Guangxi Medical University
基金
国家自然科学基金资助项目(No.31860040)
广西医科大学大学生创新创业训练计划项目课题资助(No.201610598043)
关键词
艾滋病患者
心理健康
负面情绪
AIDS patients
mental health
negative emotions
