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艾滋病患者社会支持、应对方式、心理健康三者关系研究

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目的 调查艾滋病患者心理健康、社会支持及应对方式水平,并分析三者之间的相关性.方法 选取安义县疾控中心 2021 年10 月-2024 年 9 月纳入监测的 82 例艾滋病患者作为研究对象,使用抑郁自评量表、焦虑自评量表、社会支持评定量表及医学应对问卷对研究对象进行测评,探究艾滋病患者心理健康与社会支持、应对方式的相关性.结果 共回收有效问卷 78 份,有效回收率 95.12%.78 例艾滋病患者中,61 例患者为中、重度焦虑,60 例患者为中、重度抑郁;69 例患者社会支持度低或一般;患者面对维度平均分为(19.12±3.83)分,回避维度为(15.36±3.53)分,屈服维度为(10.36±3.53)分.Pearson相关性显示,艾滋病患者焦虑状况与社会支持总分呈负相关(r=-0.68),应对方式中与面对呈负相关(r=-0.45),与屈服呈正相关(r=0.23),与回避呈正相关(r=0.44);艾滋病患者抑郁状况与社会支持总分呈负相关(r=-0.53),应对方式中与面对呈负相关(r=-0.41),与屈服呈正相关(r=0.36),与回避呈正相关(r=0.48).结论 艾滋病患者焦虑、抑郁状况处于中高水平,与低社会支持度有关,应对方式以负面应对为主.建议通过加大社会支持度和心理疏导,促进艾滋病患者正面应对疾病,从而提高患者的心理健康水平.
Study on the Relationship Among Social Support,Coping Style and Mental Health of AIDS Patients
Objective To investigate the level of mental health,social support and coping style of AIDS patients,and to analyze the correlation among them.Methods A total of 82 AIDS patients included in the monitoring of Anyi County Center for Disease Control and Prevention from October 2021 to September 2024 were selected as the research objects.The self-rating depression scale,self-rating anxiety scale,social support rating scale and medical coping questionnaire were used to evaluate the research objects,and the correlation between mental health,social support and coping style of AIDS patients was explored.Results A total of 78 valid questionnaires were collected,with an effective recovery rate of 95.12%.Of the 78 AIDS patients,61 patientshad moderate to severe anxiety and 60 patientshad moderate to severe depression.69 patients had low or general social support;the average score of the patient's face dimension was(19.12±3.83)scores,the avoidance dimension was(15.36±3.53)scores,and the yield dimension was(10.36±3.53)scores.Pearson correlation showed that the anxiety status of AIDS patients was negatively correlated with the total score of social support(r=-0.68),and the coping style was negatively correlated with the face(r=-0.45),positively correlated with the yield(r=0.23),and positively correlated with the avoidance(r=0.44).The depression status of AIDS patients was negatively correlated with the total score of social support(r=-0.53).The coping style was negatively correlated with the face(r=-0.41),positively correlated with the yield(r=0.36),and positively correlated with the avoidance(r=0.48).Conclusion The anxiety and depression of AIDS patients are at a medium-high level,which is related to low social support,and the coping style is mainly negative coping.It is suggested to promote the positive response of AIDS patients to the disease by increasing social support and psychological counseling,so as to improve the mental health level of patients.

AIDSMental healthSocial supportCoping style

潘小琴

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安义县疾控中心慢病防治科,江西 安义 330500

艾滋病 心理健康 社会支持 应对方式

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(24)