基于SCL-90量表的心理干预对艾滋病患者依从性及负性情绪的影响

Effect of psychological intervention based on SCL-90 on compliance and negative emotion of AIDS patients

目的 分析基于心理状态症状自评量表(SCL-90)的心理干预在艾滋病患者中的应用价值。方法 收集2017年2月—2020年6月本院收治的68例艾滋病患者临床资料,按随机数字表法分为研究组(n=34)与常规组(n=34),常规组采用常规护理干预,研究组在常规组基础上采用基于SCL-90量表的心理干预。对比两组依从性、护理工作满意度和干预前后负性情绪量表[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分。结果 研究组依从率为97.06%(33/34),高于常规组的76.47%(26/34)(χ^(2)=4.610,P<0.05);干预前,观察组HAMA、HAMD评分与常规组的差异无统计学意义(t=0.557、0.645,P>0.05);干预后,研究组HAMA、HAMD评分分别为(8.46±1.08)分、(7.56±1.02)分,低于常规组的(11.37±1.29)分、(10.25±1.16)分,(t=10.086、10.155,P均<0.05);研究组护理工作满意度为97.06%(33/34),高于常规组的76.47%(26/34)(χ^(2)=4.610,P<0.05)。结论 基于SCL-90量表的心理干预应用于艾滋病患者,可缓解其负性情绪,提高依从性,并具有较高护理工作满意度。

Objective To analyze the application value of psychological intervention based on Symptom CheckList-90(SCL-90) in AIDS patients.MethodsThe clinical data of 68 patients with AIDS treated in our hospital from Febru-ary 2017 to June 2020 were collected and randomly divided into a study group(n = 34) and a routine group(n = 34).The rou-tine group received the routine nursing intervention,and the study group received the psychological intervention based onSCL-90 on the basis of the routine group.The scores of compliance rate,nursing job satisfaction,and negative emotion scale[Hamilton Anxiety Scale(HAMA),and Hamilton Depression Scale(HAMD)] were compared between the two groups beforeand after the intervention.ResultsThe compliance rate of the study group was 97.06%(33/34),which was higher than 76.47%(26/34) of the routine group(χ^(2)= 4.610,P 0.05);after the intervention,the HAMA andHAMD scores of the study group were (8.46 ± 1.08) and (7.56 ± 1.02),respectively,lower than those of the routine group:(11.37 ± 1.29) and(10.25 ± 1.16),(t = 10.086,10.155,both P < 0.05).The nursing job satisfaction of the study group was 97.06%(33/34),which was higher than that of the routine group:(76.47%,26/34)(χ^(2)= 4.610,P < 0.05).ConclusionTheapplication of psychological intervention based on the SCL-90 scale in AIDS patients can alleviate their negative emotions,improve compliance,and have high nursing job satisfaction.