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目的了解艾滋病(AIDS)病人的病耻感状况,为临床开展艾滋病的心理疏导,提高AIDS病人的生活质量以及采取合理的社会支持提供理论依据。方法采用社会影响量表,对来自唐山市传染病医院、唐山市和迁安市疾病预防控制中心的98名AIDS病人进行问卷调查。结果 AIDS病人在社会排斥(t=3.232,P<0.01)和社会隔离(t=5.501,P<0.01)方面的得分明显高于国外常模,而在经济无保障(t=-3.176,P<0.01)方面的得分低于国外常模。不同性别、有无并发症和不同年龄的AIDS病人之间在病耻感上差异无统计学意义;不同婚姻状况的AIDS病人之间在内心羞辱(t=2.511,P<0.05)和社会隔离(t=2.329,P<0.05)方面差异有统计学意义。结论 AIDS病人存在较严重的病耻感,并且受婚姻状况影响。
Objective To understand the status of stigma in AIDS patients and provide the theoretical basis for clinical psychological counseling of AIDS and AIDS patients to improve the quality of life and to take reasonable social support. Methods A total of 98 AIDS patients from Tangshan Infectious Disease Hospital, Tangshan City and Qian’an Municipal Center for Disease Control and Prevention were surveyed by using social influence scale. Results The scores of AIDS patients in social exclusion (t = 3.232, P <0.01) and social isolation (t = 5.501, P <0.01) were significantly higher than those in other countries. 0.01) scored lower than the norm in foreign countries. There was no significant difference in the stigma of AIDS patients with different genders, with or without complications and with different ages. Among the AIDS patients with different marital status, there was no significant difference in the internal stigma (t = 2.511, P <0.05) and social isolation t = 2.329, P <0.05), the difference was statistically significant. Conclusion AIDS patients have more serious stigma and are affected by marital status.