自愿咨询检测新发现HIV/AIDS病例心理健康状况分析及护理对策

[摘要] Abstract：Objective To analyze the mental health status of newly discovered HIV positive people or AIDS patients in voluntary counseling and testing(VCT), and to propose targeted nursing strategies. Methods 〓From January, 2013 to December, 2016, the mental health status of newly discovered HIV/AIDS cases in VCT were evaluated by Symptom Checklist 90(SCL-90). Results 〓A total of 288 HIV/AIDS cases were investigated, in which HIV positive people accounted for 63.19%, AIDS patients accounted for 36.81% and 93.10% were heterosexual transmission. The total score(194.83±56.76)and total average score(2.21±0.62)of SCL-90 of HIV/AIDS patients before nursing intervention were higher than those of national norm(t=5.771、5.726,P<0.05). The factor scores of somatization(1.96±0.52)and terror(1.86±0.67)of HIV positive people were lower than those of AIDS patients(［2.37±0.73］, ［2.31±0.51］)(t=6.630, 5.603, P<0.01). The factor scores of depression(2.54±0.63)and anxiety(2.41±0.50)of HIV infection were higher than those of AIDS patients(［2.08±0.46］,［1.90±0.47］),(t=5.516, 6.320, P<0.01). Conclusion 〓Newly discovered HIV/AIDS cases in VCT have more serious mental health problems, HIV infection and AIDS patients have different psychological problems, need to focus on psychological care intervention.

[学科分类] 护理学

[关键词] 人类免疫缺陷病毒;艾滋病;自愿咨询检测;心理健康;SCL-90;心理护理