MRIT疗法对AIDS病人HAART中心理状态的影响

Effects of MRIT therapy on psychological state of AIDS patients receiving HAART

目的观察和分析音乐放松想象训练(MRIT)疗法,对艾滋病(AIDS)病人高效抗反转录病毒治疗(HAART)过程中心理状态的影响。方法选取200例接受HAART的AIDS病人作为研究对象,将其随机分为观察组和对照组(每组各100例),观察组病人在HAART后第1周开始给予MRIT治疗,连续治疗2周。对两组病人治疗前、后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及治疗后的焦虑、抑郁发生率和程度进行观察和比较。结果治疗后,观察组和对照组病人的SAS评分和SDS评分分别为(59.3±7.5)分VS(40.2±8.6)分和(64.1±7.2)分VS(46.3±7.7)分;对照组病人的SAS、SDS评分显著上升,观察组病人的SAS、SDS评分显著下降,而且观察组病人的SAS、SDS评分显著低于对照组,差异均有统计学意义(t=-2.845、10.698、16.739、-2.662、8.963、16.885,P<0.05);观察组和对照组病人的焦虑发生率和抑郁发生率分别为63%VS 43%和66%VS 44%,观察组治疗后的焦虑、抑郁发生率及程度均低于对照组,两组之间的差异均有统计学意义(Z=2.154、3.488,χ2=8.029、9.778,P<0.05)。结论 MRIT治疗能够改善AIDS病人在HAART过程中的焦虑、抑郁等负性心理状态,对于提高病人对HAART的依从性和生活质量具有积极的作用,可作为HAART的辅助疗法。

Objective To observe and analyze the effects of music relaxation and imagery training （MRIT） therapy on the psychological state of AIDS patients receiving highly active anti-retroviral therapy （HAART） . Methods 200 cases of AIDS patients treated with HAART were selected as the research objects and randomly divided into two groups as one for observation and another for control with 100 cases each. The patients in the observation group were treated with combined MRIT for 2 weeks in the 1^st week after HAART started. Comparison and analysis were based on the self-rating anxiety scale （SAS） score, self-rating depression scale （SDS） score before and after MRIT, the incidences and degrees of anxiety and depression of the two groups. Results After MRIT therapy, the SAS and SDS scores of the patients in the observation group and the control group were （59.3±7.5） vs （40.2±8.6） and （64.1±7.2） vs （46.3±7.7） respectively. The patients in the observation group had signifi- cantly lower scores than those in the control group, with the differences statistically significant （t=-2. 845, 10. 698, 16. 739, -2. 662, 8. 963, 16. 885,P〈0.05）. The incidences of anxiety and depression of the patients in the observation group and the control group were 63%vs43 % and 66% vs44% respectively with the differences statistically significant （Z=2. 154,3. 488, χ^2 =8. 029, 9. 778, P〈0.05）. Conclusion MRIT therapy can relieve the negative psychological states of AIDS patients in HAART, and plays a positive role in improving compliance and quality of life, which can be used as an adjuvant therapy in HAART treatment.