本文關(guān)鍵詞： HIV 獲得性免疫缺陷綜合征 抗病毒藥 焦慮 抑郁　出處：《中華疾病控制雜志》2017年08期 　論文類型：期刊論文

【摘要】：目的了解廣州市新治療的艾滋病病毒(human immunodeficiency virus,HIV)陽性者焦慮、抑郁狀況及影響因素,為促進(jìn)其身心健康提供依據(jù)。方法通過方便抽樣,于2016年5~8月,采用自行設(shè)計(jì)的調(diào)查問卷及特定的量表對(duì)廣州市第八人民醫(yī)院新治療的HIV陽性者進(jìn)行調(diào)查。對(duì)結(jié)果進(jìn)行描述性分析,并采用Logistic回歸對(duì)調(diào)查對(duì)象的焦慮、抑郁狀況及影響因素進(jìn)行分析。結(jié)果共調(diào)查184例新治療的HIV陽性者。焦慮癥狀檢出率為51.6%,廣泛性焦慮量表(generalized anxiety disorder scale-7,GAD-7)平均得分為(5.04±4.25)分;抑郁癥狀檢出率為66.3%,病人健康狀況問卷中抑郁評(píng)估部分(the patient health questionnaire-9,PHQ-9)平均得分為(7.01±4.92)分。多因素Logistic分析結(jié)果顯示HIV診斷時(shí)間≥6個(gè)月(OR=0.344,95%CI:0.170~0.695,P=0.003)、較高水平的自我效能(OR=0.814,95%CI:0.682~0.973,P=0.024)、較高水平的社會(huì)支持(OR=0.955,95%CI:0.930~0.982,P=0.001)是焦慮癥狀出現(xiàn)的保護(hù)因素;較高水平的自我效能(OR=0.790,95%CI:0.646~0.966,P=0.022)、較高水平的社會(huì)支持(OR=0.955,95%CI:0.928~0.983,P=0.002)是抑郁癥狀出現(xiàn)的保護(hù)因素;有艾滋病相關(guān)臨床表現(xiàn)(OR=3.168,95%CI:1.570~6.394,P=0.001)是抑郁癥狀出現(xiàn)的危險(xiǎn)因素。結(jié)論受多重因素影響,廣州市新治療的HIV陽性者焦慮、抑郁狀況較為嚴(yán)重且普遍存在。
[Abstract]:Objective to investigate the anxiety, depression and influencing factors of the newly treated immunodeficiency immunodeficiency virus positive patients in Guangzhou, so as to provide the basis for promoting their physical and mental health. Methods from 2016 to August, a convenient sampling was used. A self-designed questionnaire and a specific scale were used to investigate the newly treated HIV positive patients in Guangzhou 8th people's Hospital. The results were analyzed in a descriptive way, and the anxiety of the investigated subjects was analyzed by Logistic regression. Results the prevalence rate of anxiety was 51.6, and the average score of generalized anxiety disorder scale-7 GAD-7 was 5.04 鹵4.25; The average score of the patient health questionnaire-9 PHQ-9 was 7.01 鹵4.92). The multivariate Logistic analysis showed that the diagnostic time of HIV was 0.344 鹵95CIW 0.170 0.695P0.003, and the higher level of self-efficacy was 0.6820.973p = 0.6820.973p = 0.024. The social support was 0.955 / 95 CI: 0.930 / 0.982P0. 001) was the protective factor of anxiety symptoms. The higher level of self-efficacy is the protective factor of depression symptoms, the higher level of social support is 0.95595 CI: 0.928 0.983P0.002) and the risk factor of depression symptoms is OR3.16895CI1.5706.394P0.001). Anxiety and depression are more serious and common in HIV positive patients in Guangzhou.
【作者單位】： 中山大學(xué)公共衛(wèi)生學(xué)院醫(yī)學(xué)統(tǒng)計(jì)與流行病學(xué)系;廣州市疾病預(yù)防控制中心艾滋病防制科;廣州市第八人民醫(yī)院感染科;
【基金】：中山大學(xué)青年教師重點(diǎn)培育項(xiàng)目(51000-31620002) 廣州市科學(xué)(技術(shù))研究專項(xiàng)(201607010368)
【分類號(hào)】：R181.3;R512.91
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本文編號(hào)：1518638