农村艾滋病患者抑郁心理原因分析和疏导.docVIP

农村艾滋病患者抑郁心理原因分析和疏导 　　[摘要] 目的 分析农村艾滋病患者发生抑郁的原因,为针对性地开展心理疏导提供科学依据。方法 采用Zung抑郁自评量表(SDS)对144例艾滋病患者进行问卷调查,按1～4级评分划分出轻度、中度、重度抑郁程度,针对不同性别、年龄、学历、治疗时间等指标进行统计学分析。结果 由于受社会环境和治疗时间等因素的影响,有65.28%的艾滋病患者存在不同程度的抑郁心理。男女之间抑郁状态发生率无显著性差异(P0.05);不同年龄、不同学历间抑郁状态有显著性差异(P0.05),不同治疗时间抑郁状态有明显差异(P0.01)。结论 艾滋病患者抑郁心理与患者年龄、文化程度及接受治疗时间有关,采取及时有效的心理疏导,可以帮助患者走出心理误区,减少因抑郁导致的自杀、逆反等意外死亡,树立战胜疾病的信心,达到提高生活质量、延长生命的目的。 　　[关键词] 艾滋病;抑郁;心理分析;疏导 　　[中图分类号] R512.91[文献标识码] A [文章编号] 1673-9701(2010)06-85-02 　　 　　Analysis and Persuasion of Depression during AIDS Patients in Rural Areas 　　LU Li1HE Changyu2YANG Yonghai1 　　1.County Hospital of Tanghe,Tanghe 473400,China;2. Tanghe County Center for Disease Prevention and Control,Tanghe 473400,China 　　 　　[Abstract] Objective To investigate and analyze some related reasons of depression of AIDS cases among paid blood donors in rural areas and provide evidence for appropriate persuasion of psychology. Methods A total of 144 AIDS cases were investigated through questionnaires and convenience samplings. By SDS,all the cases were divided into slight,moderate and severe degree. All the data including sex,age,degree and treatment time were statistically analyzed by χ2 test. Results Because of social environment and treatment time,65.28% of AIDS had a certain depression. There was no statistic significances about sex(P0.05). But between,age,degree and different treatment time the rate of depression had significances. Conclusion By analysis of depression,clinical paramedics should take effective persuasions to reduce the suicides and help our patients build up their confidence,improve life qualities and fight diseases at last. 　　[Key words] HIV/AIDS;Depression;PsychologIcal analysis;Persuasion 　　艾滋病已成为全球面临的社会公共卫生问题[1],对社会经济发展影响逐步显现,目前在我国已进入快速增长期[2,3]。唐河县由于20世纪90年代中期非法采供血(浆)致使部分农村村民感染了艾滋病病毒,目前已面临发病和死亡高峰。2004年以来,我县积极落实国家“四免一关怀”政策,积极开展病人的救治帮扶工作,建立了以村级定点机构为主导的医疗救治模式,有效延缓了HIV感染者的发病和死亡。艾滋病防治工作开展以来,发现很多艾滋病患者存在着不同程度的抑郁心理,特别是初期发现的艾滋病患者存在心理问题较多,对医疗救治工作带来一定的影响。为了解艾滋病患者发生抑郁心理的原因,对20