本文選題：男男性行為人群　切入點(diǎn)：動(dòng)機(jī)訪談　出處：《中南大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探討動(dòng)機(jī)訪談(Motivational Interviewing)干預(yù)模式在男男性行為人群(men who have sex with men, MSM)高危性行為干預(yù)應(yīng)用中的可行性和適用性；評(píng)價(jià)動(dòng)機(jī)訪談對提高M(jìn)SM人群HIV相關(guān)知識(shí)、改變HIV相關(guān)態(tài)度、提高安全套使用率及主動(dòng)進(jìn)行HIV檢測率的效果。 方法采用隨機(jī)對照實(shí)驗(yàn)性研究,選取最近3個(gè)月有過高危性行為的MSM80例,隨機(jī)分為對照組和干預(yù)組,每組各40例,對照組只接受同志社區(qū)的常規(guī)健康促進(jìn)措施和同伴教育員的社區(qū)外展干預(yù)；干預(yù)組在此基礎(chǔ)上接受由訪談員開展的動(dòng)機(jī)訪談,3個(gè)月內(nèi)完成3次訪談,每次訪談時(shí)間40～90分鐘左右。在干預(yù)前后對2組研究對象HIV相關(guān)知識(shí)態(tài)度、安全套使用頻率、HIV相關(guān)檢測率進(jìn)行評(píng)價(jià)。資料收集采用問卷調(diào)查法,工具包括一般情況問卷、HIV基本知識(shí)認(rèn)知問卷、性行為問卷及HIV相關(guān)檢測問卷。 結(jié)果干預(yù)后65人完成隨訪,對照組29人,干預(yù)組36人,隨訪期間失訪15人。 (1)干預(yù)后對照組平均知曉率提高(x2=3.507,P=0.042),干預(yù)組平均知曉率也提高(x2=3.429,P=0.044),但組間比較無明顯差異(x2=0.011,P=0.918),2組在對“感染了HIV可以像慢性病人一樣生活”(x2=3.753,P=0.047)和“感染了HIV就意味著死亡”(x2=3.837,P=0.048)2項(xiàng)的態(tài)度上有差異； (2)干預(yù)后干預(yù)組肛交安全套使用頻率顯著高于對照組(Z=-3.436,P=0.001)；組內(nèi)比較,干預(yù)組干預(yù)后使用頻率增加明顯(Z=-2.253,P=0.024)。 (3)干預(yù)后2組口交安全套使用頻率無明顯差異(Z=-0.881,P=0.379),組內(nèi)比較,對照組干預(yù)前后使用頻率無明顯差異(Z=-1.491,P=0.136),干預(yù)組亦無明顯差異(Z=-1.132,P=0.257)； (4)干預(yù)后2組“知曉本人檢測結(jié)果率”均提高(對照組：x2=3.725,P=0.047,干預(yù)組：x2=7.784,P=0.005)但無明顯差異(x2=1.342,P=0.218)；干預(yù)后2組“主動(dòng)檢測率”無明顯差異(x2=2.495,P=0.121)。 結(jié)論(1)動(dòng)機(jī)訪談干預(yù)可改善MSM人群對于HIV相關(guān)的認(rèn)知與態(tài)度。 (2)動(dòng)機(jī)訪談干預(yù)可提高M(jìn)SM人群發(fā)生同性行為時(shí)肛交安全套的使用率。 (3)動(dòng)機(jī)訪談干預(yù)可提高M(jìn)SM人群對自身感染HIV狀態(tài)的關(guān)注。 (4)動(dòng)機(jī)訪談干預(yù)模式在男男性行為人群高危性行為干預(yù)中具有可行性。
[Abstract]:Objective to explore the feasibility and applicability of motivational interviewing-based intervention model in the use of high risk sexual behavior intervention in men who have sex with (MSMM), and to evaluate the effect of motivation interview on improving HIV knowledge and changing HIV related attitude in MSM population. The effect of increasing condom use rate and active HIV detection rate. Methods A randomized controlled experimental study was conducted to select MSM80 patients who had had high-risk sexual behaviors in the last 3 months and were randomly divided into control group and intervention group with 40 cases in each group. The control group received only routine health promotion measures from gay communities and community outreach interventions of peer educators, and the intervention group received motivational interviews conducted by interviewees on this basis, and completed 3 interviews within 3 months. The time of each interview was 40 minutes or 90 minutes. Before and after the intervention, the knowledge attitude, condom use frequency and HIV-related testing rate of the two groups were evaluated. The data were collected by questionnaire. The tools include the general information questionnaire, the sexual behavior questionnaire and the HIV related questionnaire. Results 65 cases were followed up after intervention, 29 cases in control group, 36 cases in intervention group, and 15 cases lost visit during follow-up. 1) the average awareness rate of the control group was increased after intervention, and the average awareness rate of the intervention group was also increased, and the average awareness rate of the intervention group was also increased, but there was no significant difference between the two groups, but there was no significant difference between the two groups in terms of "infected HIV can live like a person with chronic diseases" and "infection with HIV means death." There were differences in attitude between 3.837 and 0.048. 2) the frequency of condom use in the intervention group was significantly higher than that in the control group. 3) there was no significant difference in the frequency of condom use between the two groups after intervention. There was no significant difference in the frequency of condom use between the two groups before and after intervention. There was no significant difference between the control group and the control group before and after intervention. There was no significant difference in the frequency of condom use between the two groups before and after intervention, and there was no significant difference between the intervention group and the intervention group. (4) after intervention, the rate of "knowing the test result" in the two groups was increased (control group: x2x2x3.725mPn 0.047, the intervention group: x2x2784, P0. 005), but there was no significant difference between the two groups in the rate of "active detection" (x22.495Pu 0.121) after the intervention, but there was no significant difference between the two groups in the rate of "active detection" (x22.495P0. 121g) after the intervention, there was no significant difference in the rate of "positive detection" between the two groups. Conclusion 1) the intervention of motivation interview can improve the cognition and attitude about HIV in MSM population. 2) the intervention of motivation interview can increase the use rate of anal sex condom in MSM population. 3) the intervention of motivation interview can increase the attention of MSM population to the status of HIV infection. 4) the intervention model of motivational interview is feasible in the intervention of high risk sexual behavior of MSM.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R512.91

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