摘要
目的探讨整合性支持性心理治疗对人免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)患者心理症状及健康行为方式的影响。方法选择2017年7月—2019年7月江苏省淮安市第四人民医院收治的HIV/AIDS患者85例,根据住院诊治时间分为观察组(2018年8月—2019年7月)43例、对照组(2017年7月—2018年7月)42例。对照组给予常规护理干预,观察组联合应用整合性支持性心理治疗。随访6个月,比较两组心理状态、健康行为、满意度等指标。结果两组患者心理症状评分均明显低于同组干预前(P<0.05),观察组HIV/AIDS患者强迫症状、人际关怀敏感、抑郁、焦虑、敌对、恐怖、偏执评分低于对照组,差异有统计学意义(P<0.05);两组患者健康行为明显高于同组干预前(P<0.05),观察组抗病毒治疗依从性、固定性伴侣、安全套经常及每次使用明显高于对照组,差异有统计学意义(P<0.05);观察组满意情况明显优于对照组,差异有统计学意义(P<0.05)。结论整合性支持性心理治疗有助于改善HIV/AIDS患者心理状态,促进健康行为方式的养成,提高患者满意度。
Objective To investigate the effect of integrated supportive psychotherapy on the psychological symptoms and healthy behaviors of patients with human immunodeficiency virus(HIV)/acquired immune deficiency syndrome(AIDS).Methods From July 2017 to July 2019,85 HIV/AIDS patients admitted to the Huai’an No 4 People’s Hospital were selected.According to the duration of hospitalization,they were divided into 43 cases in the treatment group(August 2018 to July 2019)and 42 cases in the control group(July 2017 to July 2018).The control group was given routine nursing intervention,and the treatment group was given integrated supportive psychotherapy.After 6 months of follow-up,the mental state,healthy behavior,satisfaction and other indicators of the two groups were compared.Results The psychological symptoms scores of the two groups were significantly lower than those before the intervention in the same group(P<0.05).Obsessive-compulsive symptoms,interpersonal care sensitivity,depression,anxiety,hostility,phobia,and paranoia scores of the treatment group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05);the health behavior of the two groups was significantly higher than that before the intervention in the same group(P<0.05).The treatment group’s antiviral treatment compliance,regular sex partners,and frequent and every use of condoms were significantly higher than those of the control group,the differences were statistically significant(P<0.05).The satisfaction of the treatment group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Integrated supportive psychotherapy can help improve the psychological state of HIV/AIDS patients,promote the development of healthy behaviors,and improve patient satisfaction.
作者
杨芳
解满霞
李艳
YANG Fang;XIE Manxia;LI Yan(Department of Respiratory Medicine,Huai’an No 4 People’s Hospital,Jiangsu Province,Huai’an223002,China;Department of Infection,Huai’an No 4 People’s Hospital,Jiangsu Province,Huai’an223002,China)
出处
《中国医药导报》
CAS
2020年第35期165-168,共4页
China Medical Herald
基金
江苏省卫生厅预防医学科研课题(Y201004)。
关键词
人免疫缺陷病毒/获得性免疫缺陷综合征患者
支持性心理治疗
心理症状
健康行为
Human immunodeficiency virus/acquired immune deficiency syndrome patients
Supportive psychotherapy
Psychological symptoms
Healthy behavior
作者简介
通讯作者:解满霞。
