HIV/AIDS患者抑郁、焦虑情绪及生活质量干预前后效果评价

Effect assessment of depression,anxiety and quality of life with HIV/AIDS patients before and after intervention

目的探讨综合心理干预对艾滋病病毒(human immunodeficiency virus,HIV)感染者/艾滋病(ac-quired immunodeficiency syndrome,AIDS)患者抑郁、焦虑情绪及生活质量的影响。方法方便整群抽取安徽省3个地区HIV/AIDS患者,采用自填式问卷调查方法,对HIV/AIDS患者的心理状况及生活质量进行调查,开展健康促进,实施综合心理干预措施。结果 HIV/AIDS患者抑郁及焦虑情绪检出率分别为74.02%和68.50%,且生活质量也不容乐观。通过稳定患者情绪、增强安全感及答疑解惑等心理干预手段,有效的缓解HIV/AIDS患者抑郁与焦虑情绪(干预后抑郁、焦虑情绪检出率分别下降为55.28%和47.97%),且生活质量也得到明显改善,干预前后差异有统计学意义(P<0.05)。结论干预工作者对HIV/AIDS患者在临床药物治疗的同时给予有效的心理支持与人文关怀,可改善HIV/AIDS患者的焦虑、抑郁情绪,提高其生活质量,为建立健全完善的心理干预模式提供参考。

Objective To explore the effect of the intervention on depression,anxiety and quality of life in HIV/AIDS patients.Methods By cluster sampling methods,we conducted the investigation on HIV/AIDS patients from three areas in Anhui province to have a self-administered questionnaire.The survey included the mental health and quality of life and develop health promotion and implement a comprehensive,psychological intervention measures.Results The detection rate of depression and anxiety in HIV/AIDS patients were 74.02% and 68.50% respectively,the quality of life was not optimistic,yet the rates were down through the effective means of psychological intervention and the quality of life have been improved obviously（P0.05）.Conclusions The anxiety and depression rate of the HIV/AIDS patients,would be lower,and the quality of life would be improved if effective psychological support and humanistic care for HIV/AIDS patients were given at the same time on clinical drug therapy.