心理护理干预对男男性接触者的效果研究

Study on the effect of mental nursing among men who have sex with men

目的:探讨将心理护理应用于男男性接触者干预的效果。方法:以46名男男性接触者作为研究对象,由公开招募并经过培训的护理人员及该人群中核心人员,应用心理护理技术对其抑郁、焦虑、冲动及男男性接触等行为进行干预,通过安全套使用率、性伴数、主动咨询率等指标评价干预效果。结果:干预3个月和6个月后,最近一次性行为安全套使用率分别为73.91%和84.78%,均高于干预前的45.65%(P<0.05);干预6个月后仅1名性伴侣者占比69.56%,低于干预前的45.65%(P<0.05);干预6个月后主动心理咨询率为63.04%,高于干预3个月后的34.78%(P<0.05)。结论:心理护理应用于男男性接触者干预可显著提高安全套使用率,减少性伴侣数量,增加主动咨询率,具有较好的干预效果。

Objective： To study the effect of mental nursing intervention on men who have sex with men（ MSM）. Methods： A total of 46 MSM were investigated. The open recruitment of paramedics and the volunteers of them conducted mental nursing intervention on depression,anxiety,implution and male sexual behaviour,and then estimated the effect of mental nursing intervention through the indexes of condom use rate,the number of sex partners,active consultation rate. Results： Condom use during the last sex behavior increased at 3 months and 6 months（ P〈0. 05）. 69. 56% of MSM had regular sex partners after 6months of intervention,which was higher than before（ P〈0. 05）. The active consultation rate was 34. 8% after 3 months of intervention and was 63. 04%after 6 months（ P〈0. 05）. Conclusion： The mental nursing intervention can help to increase the rate of condom use and active consultation rate,which also helps to reduce the number of sex partners.