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目的 :了解HIV感染者 AIDS病人及其家属的焦虑、抑郁状况及其相关因素 ,从而为建立HIV感染者 AIDS病人社区综合关怀支持模式、改善HIV感染者 AIDS病人及其家属的心理状况提供客观依据。方法 :选择四川省HIV感染率和AIDS患病率较高的两个县 (资中县和凉山州昭觉县 )作为目标社区 ,在目标社区内共计调查了 71名HIV感染者 AIDS病人及其 162名家属和 97名健康人群 ,选用抑郁自评量表(SDS)和焦虑自评量表 (SAS)作为调查评定工具 ,选用生活质量量表 (CQOL -74)、社会支持评定量表(SSS)收集相关资料 ,采用SPSS统计软件进行统计分析。结果 :HIV感染者 AIDS病人的SAS和SDS评分高于正常对照 (分别为t=5 3 43 ,t=5 2 72 ,P均 <0 0 0 1) ,已死亡的HIV感染者 AIDS病人家属的SAS和SDS评分高于正常对照 (分别为t=4 873 ,t =5 13 3 ,P均 <0 0 0 1) ,HIV感染者 AIDS病人的SAS和SDS评分与疾病状况、物质滥用、社会支持及生活质量存在明显相关性。结论 :焦虑和抑郁情绪在HIV感染者 AIDS病人及已死亡HIV感染者 AIDS病人家属中普遍存在 ,这些负性情绪主要与疾病状况、物质滥用、社会支持及生活质量等因素有关
OBJECTIVE: To understand the anxiety and depression status of HIV-infected AIDS patients and their families and their related factors so as to provide an objective basis for establishing a community-based care support model for AIDS patients with HIV-infected patients and improving the psychological status of AIDS patients and their families with HIV-infected persons . Methods: Two counties (Zizhong County, Zizhong County and Liangshan Prefecture) with higher prevalence of HIV infection and AIDS in Sichuan Province were selected as target communities. Totally 71 HIV-infected AIDS patients and their 162 (SDS) and Self-rating Anxiety Scale (SAS) were used as the survey evaluation tools. Quality of life scale (CQOL-74), Social Support Rating Scale (SSS) Collect relevant information, using SPSS statistical software for statistical analysis. Results: The SAS and SDS scores of HIV-infected AIDS patients were higher than those of normal controls (t = 5343, t = 5272, P <0.01 respectively). The deaths of HIV-infected AIDS patients’ families The SAS and SDS scores were higher in patients with AIDS than those in controls (t = 4 873, t = 5 13 3, P <0 0 01, respectively). SAS and SDS scores were associated with disease status, substance abuse, social support And quality of life there is a clear correlation. CONCLUSION: Anxiety and depression are common in families of AIDS patients with HIV infection and AIDS patients who have died of HIV infection. These negative emotions are mainly related to disease status, substance abuse, social support and quality of life