艾滋病自愿咨询检测门诊求诊者心理健康影响因素分析

发布时间：2018-11-03 11:58

【摘要】：目的探讨艾滋病自愿咨询检测(VCT)门诊求诊者心理健康的影响因素。方法采用症状自评量表SCL-90、艾森克人格问卷(EPQ)和社会支持评定量表等,对北京市某疾病预防控制中心VCT门诊2012年9月至2013年6月期间的全部求诊者进行测评。采用SPSS 19.0,以SCL-90总分160、各因子分2为心理症状阳性进行单因素和多因素Logistic回归分析。结果共调查求诊者161人。73人心理症状检出阳性,检出率为45.3%。HIV抗体阳性率9.4%(15/160)。SCL-90总分多元Logistic回归分析显示,影响求诊者心理健康的因素是神经质(N)[比值比(OR)=1.10,95%可信区间(CI):1.06~1.13]和客观支持(OR=0.86,95%CI:0.76~0.98),回归方程的预测准确率达72.7%,未发现艾滋病相关因素对求诊者心理健康的影响。各因子多元Logistic回归分析发现,神经质(N)进入了SCL-90所有心理因子回归方程,精神质(P)与敌对和偏持有关,客观支持与躯体化和抑郁有关。各因子回归方程的预测准确率在70.2%~93.8%之间。结论 VCT门诊求诊者中,具有神经质倾向的人较易出现心理问题,能够获得社会支持有助于减少心理症状。要不断提高VCT门诊咨询能力和心理干预水平,以满足求诊者心理健康的需要。
[Abstract]:Objective to explore the influencing factors of mental health of (VCT) outpatients with HIV voluntary counseling. Methods symptom Checklist (SCL-90,) Eysenck Personality questionnaire (EPQ) and Social support rating scale (EPQ) were used to evaluate all the patients in VCT outpatient clinic of a disease prevention and control center in Beijing from September 2012 to June 2013. Univariate and multivariate Logistic regression analysis was carried out with SPSS 19.0, SCL-90 score 160 and factor 2 positive for psychological symptoms. Results the positive rate of 45.3%.HIV antibody was 9.4% (15 / 160). The total score of SCL-90 was multivariate Logistic regression analysis. The factors affecting the mental health of the patients were neurotic (N) [ratio of (OR) = 1.1095% confidence interval (CI): 1.061.13] and objective support (OR=0.86,95%CI:0.76~0.98). The prediction accuracy of regression equation was 72.7, and no influence of AIDS-related factors on mental health was found. Multivariate Logistic regression analysis showed that neurotic (N) entered the regression equation of all psychological factors of SCL-90. Psychotic (P) was related to hostility and bias, objective support was related to somatization and depression. The prediction accuracy of the regression equation was between 70.2% and 93.8%. Conclusion the patients with neuroticism tend to have psychological problems in VCT outpatient clinic, and social support can help to reduce psychological symptoms. The ability of consultation and psychological intervention should be improved in VCT outpatient clinic to meet the needs of mental health.
【作者单位】：中国疾病预防控制中心病毒病所;北京市昌平区疾病预防控制中心;
【基金】：国家传染病重大专项传染病实验室检测核心技术和技术体系研究(2012ZX10004215)~~
【分类号】：R512.91

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