心理干预对女性性工作者心理服务需求及心理健康影响.docVIP

心理干预对女性性工作者心理服务需求及心理健康影响[摘要] 目的：初步探索对FSW实施心理干预的效果，为进一步开展FSW的相关干预工作提供客观依据。方法：在红河州某县女性性工作者（FSW）中抽取74名进行睡眠障碍、情绪障碍、压力与应对方式、自卑问题及其他心理问题干预。结果：干预前女性性工作者认为自己有心理问题，干预前后心理问题检出率差异不明显，干预前后心理服务需求变化不明显。结论：FSW干预前对心理医生及服务场所知晓率偏低，短期心理干预对FSW心理健康影响不明显。 [关键词] FSW；心理服务；心理健康；干预 [中图分类号] R512.91[文献标识码]C [文章编号]1673-7210（2011）03（b）-136-02 Impact on psychological intervention to demand for psychological services and psychological health of female sex workers ZHANG Ying, YANG Zhenyu, LU Zixiang, HUANG Gaogui, HE Yuefei The Second People’s Hospital of Yunnan Province Red River Prefecture, Yunnan Province, Red River 654300, China [Abstract] Objective: To explore the effect of psychological intervention role to female sex workers (FSW), and provided the objective basis to further carry out interventions of FSW. Methods: 74 cases of female sex workers from red river prefecture, they were investigated by intervention such as sleep disorders, moods disorder, pressure and coping style, low self-esteem problems and others psychological problems. Results: FSW had psychological problems before intervention, there was significant differences in the rate of detection psychological problems before and after intervention, there was no significant difference in the change of demand for psychological services before and after intervention. Conclusion: FSW have less knowledge of psychology doctors and theirs workplace before intervention, there is no affect on psychological intervention role to the mental health of FSW in short-term. [Key words] FSW; Psychological services; Mental health; Intervention 女性性工作者（female sex workers，FSW）是感染艾滋病高危人群及向一般人群扩散的“中间桥梁”，做好对FSW预防艾滋病工作，是延缓和阻断HIV向一般人群扩散的有效策略。目前中国的艾滋病疫情上升幅度减缓，艾滋病综合防治效果开始显现；但FSW心理服务需求状况及心理干预对心理服务需求影响缺乏深入研究，因此，为深入开展FSW的相关干预工作提供客观依据，对FSW进行调查及干预，现将结果报道如下： 1 资料与方法 1.1 一般资料 随机抽取一家妇女健康中心为研究场所，以该场所2005年底对FSW统计数为基础，抽取74名FSW作为研究对象。年龄17～42岁，平均（24.98±6.07）岁；未婚46人（62.16%），已婚12人（16.22%），离婚16人（21.62%）；教育年限为（7.21±2.63）年。入选标准（至少符合下列1条）：①承认自己正在从事