195例中青年HIV/AIDS患者心理痛苦现状及影响因素
Current status of psychological distress and its influencing factors among 195 middle-aged and young HIV/AIDS patients
樊栋亚 1冯婷 1李迪 2宋东鹏 2张倩3
作者信息
- 1. 南阳市中心医院,河南南阳 473000
- 2. 南阳市第一人民医院
- 3. 南阳市疾病预防控制中心
- 折叠
摘要
目的 了解中青年HIV/AIDS患者心理痛苦现状及影响因素,为临床干预策略制定提供参考.方法2019-2022年,以南阳市某三甲医院就医确诊及随访的18～59岁195例HIV/AIDS患者为调查对象,采用中青年艾滋病心理痛苦量表(PD-HIA)进行测试,并采用多元线性回归分析影响因素.结果195例患者平均(35.72±7.54)岁,心理痛苦得分平均为(75.39± 14.24),条目维度均分前3分别为孤独感(3.36±1.01)、自杀意念(3.27±0.98)、焦虑抑郁(3.24±0.97).多因素线性回归分析表明,性别、婚姻状况、工作状态、HIV确诊时间、社会支持水平、被歧视现象是中青年HIV/AIDS心理痛苦的影响因素(P值均＜0.05).结论 中青年HIV/AIDS心理痛苦程度较严重,应加强该类患者动态心理评估,适时采取针对性干预措施.
Abstract
Objective To investigate the current status and influencing factors of psychological distress among middle-aged and young HIV/AIDS patients,so as to formulation of clinical interventions.Methods A total of 195 HIV/AIDS patients at ages of 18 to 59 years that were definitively diagnosed and followed up in a tertiary hospital in Nanyang City from 2019 to 2022 were enrolled.The psychological distress was evaluated with the Psychological Distress Scale for HIV-Infected Adolescents(PD-HIA),and factors affecting the status of psychological distress were identified using multiple linear regression analysis.Results The study subjects had a mean age of(35.72±7.54)years,and the mean score of psychological distress was(75.39±14.24)points.The three dimensions of psychological distress items with the highest mean score included loneliness perception(3.36±1.01)points,suicidal ideation(3.27±0.98)points and anxiety and depression(3.24±0.97)points.Multivariate linear regression analysis showed that gender,marital status,working status,duration of confirmed HIV diagnosis,level of social support and being discriminated were factors affecting psychological distress among middle-aged and young HIV/AIDS patients(all P values＜0.05).Conclusions There is severe psychological distress among middle-aged and young HIV/AIDS patients.Dynamic psychological assessment and implementation of timely targeted interven-tions are recommended among middle-aged and young HIV/AIDS patients.
关键词
艾滋病/中青年/心理痛苦/现状/影响因素Key words
AIDS/Middle-aged and young people/Psychological distress/Current status/Influencing factor引用本文复制引用
出版年
2024
NETL
NSTL
万方数据