HIV阳转人群危险行为分析及患者神经症性障碍发生情况的影响因素分析

Risk Behavior Analysis of HIV-positive Population and Influencing factors of the Occurrence of Neurotic Disorders in Patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(2)
作者
作者单位

河南省濮阳市油田总医院皮肤科 ;

摘要
【摘要】研究HIV阳转人群危险行为分析及患者神经症性障碍发生情况。方法 选择2015年1月至2018年1月间于我院进行诊断或治疗的HIV阳转患者共537例作为研究对象,通过自制问卷调查HIV阳转人群的危险行为,使用惊恐障碍严重度量表 (PDSS)、Liebowitz社交焦虑量表(LSAS)、汉密尔顿焦虑量表(HAMA)和Yales-Brown量表分别评价HIV阳转人群的急性焦虑障碍、恐惧症、广泛性焦虑以及强迫障碍情况。 填写对可能影响患者神经症性障碍的因素问卷,包括工作或学习受挫、人际交往受挫、家庭关系、亲人亡故、暴力倾向、网络成瘾、睡眠质量、药物依赖。 结果 本次研究共收集有效问卷486例,回收率为90.50%。异性传播是导致HIV阳转的最主要因素,占85.60%。在同性传播中,男性、城市以及不知晓艾滋病知识是导致HIV阳转的最主要因素。在注射吸毒传播中,男性、农村、学历低于小学、不知晓艾滋病知识以及收入低于1000是HIV阳转的最主要因素。486例患者中共有144例存在神经症性障碍,发生率为29.63%。发病率前两位的神经症性障碍为急性焦虑障碍和广泛性焦虑障碍,分别占66.67%和42.36%。HIV患者患者神经症性障碍的发生于性别、年龄、工作或学习受挫、人际交往受挫、家庭关系、亲人亡故、暴力倾向、网络成瘾、睡眠质量、药物依赖均有关系。Logistic回归分析提示女性、工作或学习受挫、网络成瘾、失眠是导致HIV阳转患者患有神经症性障碍的高危因素。 结论 异性性行为是导致HIV阳转的最主要因素,男性、低收入、低学历和不知晓艾滋病知识是导致HIV阳转的主要因素。HIV阳转患者有29.63%存在神经症性障碍。女性、工作或学习受挫、网络成瘾、失眠是影响HIV阳转患有神经症性障碍的影响因素。
Abstract
[Abstract] Objective To study risk behaviors of HIV positive people and the occurrence of neurotic disorders. Method A total of 537 HIV-positive patients diagnosed or treated in our hospital between January 2015 and January 2018 were selected as the study subjects, and self-made questionnaires were used to investigate the risk behavior of HIV-positive people and use the panic disorder severity scale (PDSS). The Liebowitz Social Anxiety Scale (LSAS), the Hamilton Anxiety Scale (HAMA), and the Yales-Brown Scale each evaluated acute anxiety disorder, phobia, generalized anxiety, and obsessive-compulsive disorder in HIV-positive people. Questionnaires on factors that may affect patients with neurotic disorders, including frustration at work or study, frustration in interpersonal relationships, family relationships, death of a loved one, violence, Internet addiction, sleep quality, and drug dependence were filled out. Results A total of 486 valid questionnaires were collected in this study, and the recovery rate was 90.50%. Heterosexual transmission is the most important factor leading to HIV positive conversion, accounting for 85.60%. In same-sex sexual transmission, men, cities, and lack of knowledge about AIDS are the most important factors leading to HIV AIDS. In injecting drug use, men, rural areas, and academic qualifications that are lower than those of primary schools, lack of awareness of AIDS knowledge, and incomes below 1,000 are the most important factors for the HIV positive transition. There were 144 neurological disorders in 486 patients, and the incidence was 29.63%. The first two neurological disorders were acute anxiety disorder and generalized anxiety disorder, accounting for 66.67% and 42.36%, respectively. Neurotic disorders in patients with HIV are associated with gender, age, frustration at work or study, frustration with interpersonal relationships, family relationships, death of a loved one, violence, Internet addiction, sleep quality, and drug dependence. Logistic regression analysis suggests that women, frustration at work or study, internet addiction, and insomnia are high risk factors for neurosis disorders in HIV positive patients. Conclusion Heterosexual sex is the main factor leading to the HIV positive transformation. Men, low income, low education and lack of knowledge about AIDS are the main factors leading to the HIV positive transition. There were 29.63% neurological disorders in HIV positive patients. Women, working or learning frustration, internet addiction, and insomnia are the influencing factors affecting the neurotransmitter disorder of HIV positive transition.
关键词
【关键词】艾滋病;人免疫缺陷病毒;危险行为;神经症性障碍
KeyWord
[Key words] AIDS; Human Immunodeficiency Virus; Risky Behavior; Neurotic Disorders
基金项目
页码 337-340
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李奇俊*. HIV阳转人群危险行为分析及患者神经症性障碍发生情况的影响因素分析 [J]. 国际精神病学杂志. 2019; 46; (2). 337 - 340.

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