广州市184例新治疗的HIV阳性者焦虑和抑郁状况及影响因素分析

发布时间：2018-02-20 03:19

  本文关键词： HIV 获得性免疫缺陷综合征 抗病毒药 焦虑 抑郁　出处：《中华疾病控制杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的了解广州市新治疗的艾滋病病毒(human immunodeficiency virus,HIV)阳性者焦虑、抑郁状况及影响因素,为促进其身心健康提供依据。方法通过方便抽样,于2016年5~8月,采用自行设计的调查问卷及特定的量表对广州市第八人民医院新治疗的HIV阳性者进行调查。对结果进行描述性分析,并采用Logistic回归对调查对象的焦虑、抑郁状况及影响因素进行分析。结果共调查184例新治疗的HIV阳性者。焦虑症状检出率为51.6%,广泛性焦虑量表(generalized anxiety disorder scale-7,GAD-7)平均得分为(5.04±4.25)分;抑郁症状检出率为66.3%,病人健康状况问卷中抑郁评估部分(the patient health questionnaire-9,PHQ-9)平均得分为(7.01±4.92)分。多因素Logistic分析结果显示HIV诊断时间≥6个月(OR=0.344,95%CI:0.170~0.695,P=0.003)、较高水平的自我效能(OR=0.814,95%CI:0.682~0.973,P=0.024)、较高水平的社会支持(OR=0.955,95%CI:0.930~0.982,P=0.001)是焦虑症状出现的保护因素;较高水平的自我效能(OR=0.790,95%CI:0.646~0.966,P=0.022)、较高水平的社会支持(OR=0.955,95%CI:0.928~0.983,P=0.002)是抑郁症状出现的保护因素;有艾滋病相关临床表现(OR=3.168,95%CI:1.570~6.394,P=0.001)是抑郁症状出现的危险因素。结论受多重因素影响,广州市新治疗的HIV阳性者焦虑、抑郁状况较为严重且普遍存在。
[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 卤4.25; The average score of the patient health questionnaire-9 PHQ-9 was 7.01 卤4.92). The multivariate Logistic analysis showed that the diagnostic time of HIV was 0.344 卤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.
【作者单位】： 中山大学公共卫生学院医学统计与流行病学系;广州市疾病预防控制中心艾滋病防制科;广州市第八人民医院感染科;
【基金】：中山大学青年教师重点培育项目(51000-31620002) 广州市科学(技术)研究专项(201607010368)
【分类号】：R181.3;R512.91
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本文编号：1518638