动机访谈在男男性行为人群高危性行为干预中的应用研究

发布时间：2018-03-10 17:11

本文选题：男男性行为人群　切入点：动机访谈　出处：《中南大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的探讨动机访谈(Motivational Interviewing)干预模式在男男性行为人群(men who have sex with men, MSM)高危性行为干预应用中的可行性和适用性；评价动机访谈对提高MSM人群HIV相关知识、改变HIV相关态度、提高安全套使用率及主动进行HIV检测率的效果。方法采用随机对照实验性研究,选取最近3个月有过高危性行为的MSM80例,随机分为对照组和干预组,每组各40例,对照组只接受同志社区的常规健康促进措施和同伴教育员的社区外展干预；干预组在此基础上接受由访谈员开展的动机访谈,3个月内完成3次访谈,每次访谈时间40～90分钟左右。在干预前后对2组研究对象HIV相关知识态度、安全套使用频率、HIV相关检测率进行评价。资料收集采用问卷调查法,工具包括一般情况问卷、HIV基本知识认知问卷、性行为问卷及HIV相关检测问卷。结果干预后65人完成随访,对照组29人,干预组36人,随访期间失访15人。 (1)干预后对照组平均知晓率提高(x2=3.507,P=0.042),干预组平均知晓率也提高(x2=3.429,P=0.044),但组间比较无明显差异(x2=0.011,P=0.918),2组在对“感染了HIV可以像慢性病人一样生活”(x2=3.753,P=0.047)和“感染了HIV就意味着死亡”(x2=3.837,P=0.048)2项的态度上有差异； (2)干预后干预组肛交安全套使用频率显著高于对照组(Z=-3.436,P=0.001)；组内比较,干预组干预后使用频率增加明显(Z=-2.253,P=0.024)。 (3)干预后2组口交安全套使用频率无明显差异(Z=-0.881,P=0.379),组内比较,对照组干预前后使用频率无明显差异(Z=-1.491,P=0.136),干预组亦无明显差异(Z=-1.132,P=0.257)； (4)干预后2组“知晓本人检测结果率”均提高(对照组：x2=3.725,P=0.047,干预组：x2=7.784,P=0.005)但无明显差异(x2=1.342,P=0.218)；干预后2组“主动检测率”无明显差异(x2=2.495,P=0.121)。结论(1)动机访谈干预可改善MSM人群对于HIV相关的认知与态度。 (2)动机访谈干预可提高MSM人群发生同性行为时肛交安全套的使用率。 (3)动机访谈干预可提高MSM人群对自身感染HIV状态的关注。 (4)动机访谈干预模式在男男性行为人群高危性行为干预中具有可行性。
[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.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R512.91

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