HIV/AIDS患者的心理健康状况及其影响因素

Psychological health of HIV/AIDS patients and influencing factors

目的了解106例HIV/AIDS患者的心理健康状况,并与全国正常人常模进行比较,探讨HIV/AIDS患者心理健康状况的具体影响因素,从而提出适合HIV/AIDS患者心理干预的对策。方法采用症状自评量表(SCL-90),调查可能影响心理健康状况的因素,按量表因子分进行比较分析。结果所有HIV/AIDS患者的心理健康状况在以下各项因子:躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性共9项的得分均明显高于国内正常人,差异有统计学意义(P<0.01);进一步多元线性回归分析表明,年龄、亲属是否感染和CD4+T细胞计数是影响HIV/AIDS患者因子分值的主要影响因素。结论 HIV/AIDS患者普遍存在心理问题,在艾滋病的治疗过程中对心理问题应予以积极关注,并加强干预治疗。

OBJECTIVE To understand the psychological health of 106 cases of HIV/AIDS patients by comparing with the normal norm and discuss the specific influencing factors of psychological health condition in HIV/AIDS patients and put forward the suitable psychological intervention countermeasures for HIV/AIDS patients. METHODS The specific influencing factors of psychological health condition were investigated using SCL-90,and the comparative analysis was conducted according to the scale factor score.RESULTS Compared with the national norm,the scores of all the factors in HIV/AIDS patients were significantly higher：somatization,obsessive-compulsive symptom,interpersonal sensitivity,depression,anxiety,hostility and terror,paranoid and psychotic（P 0.01）.Further multivariate regression analysis showed that the age,infection of family members,and CD4 ＋T cell count were the main influencing factors which affected the score of HIV/AIDS patients factors.CONCLUSIONThe psychological problems were very common in HIV/AIDS patients,so more attention should be paid to these problems,and the intervention treatment should be strengthened in the treatment process of AIDS patients.