摘要
目的观察艾滋病(AIDS)患者反刍思维、病耻感、自杀意念现状,并分析反刍思维在AIDS患者病耻感与自杀意念间的中介效应。方法选取2020年1月至2021年12月郑州市第六人民医院接收的115例AIDS患者作为研究对象,采用简体中文版事件相关反刍性沉思问卷(C-ERRI)评估患者入院1 h内的反刍思维水平,采用简化艾滋病耻辱量表(SBHSS)评估病耻感,采用Beck自杀意念量表中文版(BSICV)评估自杀意念,分析AIDS患者反刍思维与病耻感、自杀意念之间的相关性,采用中介效应检验方程明确反刍沉思在病耻感和自杀意念间的中介效应。结果115例AIDS患者中侵入性沉思得分(19.96±4.23)分,目的性沉思得分(20.82±4.31)分,C-ERRI得分(40.78±5.79)分,SBHSS得分(9.17±2.18)分,BSICV得分(26.85±4.77)分。经一般双变量Pearson相关性分析,AIDS患者侵入性沉思、目的性沉思及C-ERRI总分与病耻感、自杀意念呈负相关(r<0,P<0.05)。中介效应分析显示,a=0.678,b=-0.793,P<0.001,c’=-0.045,P=0.548,为完全中介效应,并经因果分析法验证。结论AIDS患者自杀意念处于中上水平,存在较高的病耻感,AIDS患者反刍思维、病耻感、自杀意念两两相关,且反刍思维在病耻感与自杀意念间起完全中介作用。
Objective To observe the status of rumination thinking,stigma and suicidal ideation in patients with acquired immune deficiency syndrome(AIDS),and to analyze the mediating effect of rumination thinking on stigma and suicidal ideation in AIDS patients.Methods A total of 115 AIDS patients patients admitted to the Sixth People’s Hospital of Zhengzhou from January 2020 to December 2021 were selected as the research objects.All patients were assessed with Chinese event related rumination inventory(C-ERRI)within 1h after admission.The simplified Berger HIV stigma scale(SBHSS)was used to evaluate stigma,Beck scale for suicide ideation-Chinese version(BSICV)was used to assess the suicidal ideation of AIDS patients,and the correlation between rumination thinking and stigma and suicidal ideation of AIDS patients was analyzed.The mediating effect test equation was used to clarify the mediating effect of rumination thinking between stigma and suicidal ideation.Results According to the statistics of the scale,the average score of invasive meditation was(19.96±4.23)points,the average score of purposeful meditation was(20.82±4.31)points,the average total score of C-ERRI was(40.78±5.79)points,the SBHSS score(9.17±2.18)points,the average score of BSICV was(26.85±4.77)points.According to the general bivariate Pearson correlation analysis,invasive meditation,purposeful meditation and the total score of C-ERRI in AIDS patients were negatively correlated with the sense of stigma and suicidal ideation(r<0,P<0.05).The intermediary effect analysis showed that a=0.678,b=-0.793,P<0.001,c’=-0.045,P=0.548,which was a complete intermediary effect and verified by causality analysis.Conclusion The suicide ideation of AIDS patients is in the upper middle level,and there is a high sense of stigma.The ruminant thinking,shame and suicide ideation of AIDS patients are correlated,and ruminant thinking plays a completely intermediary role between shame and suicide ideation.
作者
张乐乐
韩伟娜
ZHANG Lele;HAN Weina(Infection Department,the Sixth People’s Hospital of Zhengzhou,Zhengzhou 455000,China)
出处
《河南医学研究》
CAS
2022年第22期4123-4126,共4页
Henan Medical Research
关键词
艾滋病
反刍思维
病耻感
自杀意念
中介效应
acquired immune deficiency syndrome
rumination thinking
stigma
suicidal ideation
mediating effect
