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目的了解艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病人)中男男性行为人群(MSM)的心理状态与需求。方法 2013年5-12月采用SCL-90问卷工具,对HIV/AIDS病人中的76例MSM进行问卷调查。结果 76例总分均值为147.97,标准差为58.28。总症状指数中,无症状、轻度、中度、重度分别占57.89%、28.95%、9.21%、3.95%;抑郁、焦虑、精神病性、躯体化、强迫症状、恐惧各项因子得分与全国常模比较差异均有统计学意义;各因子评分异常轻度所占比例较大,中度与重度较少。阳性项目数的单因素分析中,治疗与否有统计学意义(P<0.05);需求方面认为能否传染给亲属、能否保密、如何增强体质非常重要,且在年龄、文化程度、婚姻状况、户籍和治疗方面差异有统计学意义。结论 HIV/AIDS病人中MSM的心理健康存在不同程度、不同因素的问题,有着不同的需求,需要针对不同需求采取相应措施改善心理状态。
Objective To understand the psychological status and needs of men who have sex with men (MSM) in HIV-infected and AIDS patients (referred to as HIV / AIDS patients). Methods From May to December in 2013, SCL-90 questionnaire was used to survey 76 HIV / AIDS MSM patients. Results The mean score of 76 patients was 147.97 with a standard deviation of 58.28. Asymptomatic, mild, moderate and severe accounted for 57.89%, 28.95%, 9.21% and 3.95% respectively in the total symptom index. Depression, anxiety, psychosis, somatization, obsessive compulsive symptoms, There were significant differences between the two groups. The scores of abnormal scores of each factor were higher than those of mild ones, and moderate and severe ones were less. The number of positive items in the single-factor analysis, the treatment or not statistically significant (P <0.05); demand that can be passed on to relatives, whether confidentiality, how to enhance physical fitness is very important, and in terms of age, education level, marital status There were significant differences in household registration and treatment. Conclusion The mental health of MSM in HIV / AIDS patients has different degrees and different factors, which have different needs and need to take appropriate measures to improve the psychological status according to different needs.