感染HIV孕妇的应对方式及其影响因素研究

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目的:了解感染HIV孕妇的应对方式现状,探讨其相关影响因素。方法:抽取云南省德宏州HIV感染较为集中的农村地区感染HIV孕妇作为样本,采用自编的感染HIV孕妇产妇人口学及社会心理情况调查问卷、Buffalo艾滋病相关生活事件调查表(BHLES)、医学应对问卷(MCMQ)、大五人格简易问卷、社会支持评定量表(SSRS)对目标人群进行调查。结果:感染HIV孕妇使用面对应对方式比各类病人少,更多使用回避、屈服方式。整体而言,人口学等个体基本特征与应对方式之间相关性较小。逐步回归分析表明,工作应激事件、健康应激事件、客观社会支持能分别显著地预测面对、回避、回避应对方式(β=0.404、0.422、-0.366)。结论:由于艾滋病应激事件的不可控性和不可预测性,感染HIV孕妇应对方式使用了更多的消极被动的应对方式,可以通过对应对方式适当教育干预,给予客观支持增强感染者应对困境的心理能力。 Objective: To understand the current situation of coping style of pregnant women infected with HIV and to explore the related factors. Methods: HIV-infected pregnant women in rural areas with a high concentration of HIV infection in Dehong prefecture of Yunnan province were selected as samples. The self-made questionnaire on maternal demographic and social psychology in HIV pregnant women, Buffalo AIDS-related life events questionnaire (BHLES) Responses to Questionnaires (MCMQ), Five-Person Personality Questionnaire and Social Support Rating Scale (SSRS) were used to investigate the target population. Results: Pregnant women infected with HIV face to face coping style than all kinds of patients less use more avoidance, yield way. Overall, the correlation between the basic characteristics of individuals such as demography and coping styles is small. Stepwise regression analysis showed that stressors, stressors, and objective social support could predict, avoid and avoid coping styles significantly (β = 0.404,0.422, -0.366). Conclusion: Due to the uncontrollable and unpredictable nature of AIDS-related incidents, pregnant women infected with HIV use more negative and passive coping styles. They can give appropriate support to students through appropriate coping styles and give objective support to enhance their response to the dilemma Psychological ability.
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