河南某县农村HIV感染者／AIDS患者人群心理状况调查分析

Survey of mental health of rural individuals with HIV/AIDS in a county of Henan Province

目的了解农村HIV感染者/AIDS患者(people living with HIVand AIDS,PLWHA)的心理健康状况。方法采用一般情况调查表和症状自评量表(SCL-90)对192例HIV/AIDS人员进行调查。结果192例PLWHA人员SCL-90总分、阳性项目数和各因子分均高于中国常模(各项P<0.05);心理问题阳性检出率83.9%;AIDS患者总分、阳性因子数、各因子分均显著高于HIV感染者(P<0.01);不同文化程度分组之间SCL-90各个因子的比较,除抑郁因子外,其他因子均有显著差异(P<0.05);不同经济收入之间有显著差异,接受政府救济才能维持基本开支组显著高于不需救济组(P<0.01)。性别、年龄、感染方式之间均无显著差异。结论被调查的HIV/AIDS人群存在突出的心理健康问题,应建立便捷有效的心理帮助机制,在实施心理帮助时应更加重视AIDS患者、低学历和低收入人群。

Objective To investigate the psychological condition of the rural residents with HIV/AIDS. Methods Totally 192 subjects with HIV/AIDS residing in countryside of Henan Province （China） were investigated with questionaire and Symptom Check list 90 （SCL-90）. Results SCL-90 total score, the number of positive items and the score of each factor for the 192 subjects with HIV/AIDS were higher than those of Chinese normal （P〈0.05）. The positive rate of psychological problems in the subjects with HIV/AIDS reached 83.9%. SCL-90 total score, the number of positive items and the score of each factor in 145 subjects with AIDS were higher than those of 47 infected with HIV （P 〈0.01）. The scores of each item in SCL-90, except depression, were of significant difference between those with different education background （P〈0.05） , so did between those with different income, those receiving alms higher than those that can support themselves. No significant difference in the total number of positive items in SCL-90 and the score of each factor was found between sex, age, or infection way. Conclusion Prominent mental problems exist in the rural residents with HIV/AIDS. More attention should be paid to the AIDS patients and the individuals of low education background and low income when providing psychological help.