HIV/AIDS患者社会支持心理弹性与生活质量间的关系

Relationship between social support,resilience and quality of life among patients with HIV infection

目的探讨HIV/AIDS患者生活质量现状及其与社会支持、心理弹性的关系,分析心理弹性的中介作用。方法于2019年1月至2021年12月,采用一般资料问卷、医疗社会支持量表(MOS-SSS-C)、心理弹性量表(CDRISC)、世界卫生组织艾滋病生活质量量表简表(WHOQOL-HIV-BREF)对220例HIV/AIDS患者进行问卷调查。采用SPSS 21.0进行统计分析,经描述统计、单样本t检验或单因素方差分析、Pearson相关分析,使用SPSS PROCESS进行中介效应检验。结果220例HIV/AIDS患者中最终回收有效问卷200份。HIV/AIDS患者社会支持总分为(73.96±7.57)分,心理弹性总分为(66.44±10.17)分,生活质量总分为(73.75±2.86)分。HIV/AIDS患者的社会支持与心理弹性、生活质量呈正相关(r=0.313、0.212,P均<0.05);心理弹性与生活质量呈正相关(r=0.243,P<0.05)。心理弹性在医疗社会支持与生活质量中起到部分中介作用,中介效应占总效应的比例为12.51%。结论HIV/AIDS患者生活质量与其心理弹性、医疗社会支持水平密切相关,应采取有效干预措施,提高HIV/AIDS患者的心理弹性和医疗社会支持,将有助于提高患者的生活质量。

Objective To explore the status quo of quality of life of patients with HIV,the relationship between quality of life and social support and resilience and to analyze the mediating role of resilience.Methods From January 2019 to December 2021,220 patients with HIV infection were investigated by general information questionnaire,Medical Social Support Scale(MOS-SSS-C),Mental Resilience Scale(CD-RISC)and World Health Organization HIV infection Quality of Life Scale(WHOQOL-HIV-BREF).SPSS 21.0 was used for statistical analysis.Descriptive statistics,onesample T-test or one-way ANOVA and Pearson correlation analysis was used for the intermediary effect test.Results 220HIV-infected patients received 200 questionnaires.The total scores of social support,psychological resilience and quality of life in patients with HIV infection were(73.96±7.57),(66.44±10.17)and(73.75±2.86)respectively.Social support for patients with HIV infection was positively correlated with resilience and quality of life(r=0.313,0.212,all P<0.05).Resilience was positively correlated with quality of life(r=0.243,P<0.05).Resilience played a partial intermediary role in medical social support and quality of life and the intermediary effect accounts for 12.51%of the total effect.Conclusions The quality of life of patients with HIV infection was closely related to their mental resilience and medical social support level.Therefore,effective intervention measures should be taken to improve the mental resilience and medical social support of patients with HIV infection,which would help to improve the quality of life of patients with HIV infection.