【摘要】 目的分析自愿咨询检测(VCT)新发现人类免疫缺陷病毒(HIV)感染者和艾滋病(AIDS)患者(HIV/AIDS)心理健康状况,提出针对性护理对策。方法使用《症状自评量表(SCL-90)》评估2013年1月-2016年12月在保山市疾病预防控制中心进行VCT且诊断为HIV/AIDS的病例的心理健康状况。结果共调查HIV/AIDS 288例,HIV占63.19%,AIDS占36.81%,93.06%为异性传播。新发现HIV/AIDS病例SCL-90评分总分(194.83±56.76)和总均分(2.21±0.62)高于全国常模(t=5.771、5.726,P<0.05);HIV感染者的躯体化和恐怖因子得分低于AIDS患者[(1.96±0.52)vs(2.37±0.73)、(1.86±0.67)vs(2.31±0.51),t=6.630、5.603,P<0.01];HIV感染者的抑郁和焦虑因子得分高于AIDS患者[(2.54±0.63)vs(2.08±0.46)、(2.41±0.50)vs(1.90±0.47),t=5.516、6.320,P<0.01]。结论 VCT新发现的HIV/AIDS病例普遍存在比较严重的心理健康问题,HIV感染者和AIDS患者的心理问题各异,需要有针对性地进行心理护理干预。更多还原

【Abstract】 Objective To analyze the mental health status of newly discovered HIV positive people or AIDS patients in voluntary counseling and testing( VCT),and to propose targeted nursing strategies. Methods From January,2013 to December,2016,the mental health status of newly discovered HIV/AIDS cases in VCT were evaluated by Symptom Checklist 90( SCL-90).Results A total of 288 HIV/AIDS cases were investigated,in which HIV positive people accounted for 63. 19%,AIDS patients accounted for 36. 81% and 93. 10% were heterosexual transmission.The total score( 194. 83 ± 56. 76) and total average score( 2. 21 ± 0. 62) of SCL-90 of HIV/AIDS patients before nursing intervention were higher than those of national norm( t =5. 771、5. 726,P < 0. 05). The factor scores of somatization( 1. 96 ± 0. 52) and terror( 1. 86 ±0. 67) of HIV positive people were lower than those of AIDS patients( [2. 37 ± 0. 73],[2. 31 ±0. 51])( t = 6. 630,5. 603,P < 0. 01). The factor scores of depression( 2. 54 ± 0. 63) and anxiety( 2. 41 ± 0. 50) of HIV infection were higher than those of AIDS patients( [2. 08 ± 0. 46],[1. 90 ± 0. 47]),( t = 5. 516,6. 320,P < 0. 01). Conclusion Newly discovered HIV/AIDS cases in VCT have more serious mental health problems,HIV infection and AIDS patients have different psychological problems,need to focus on psychological care intervention.更多还原