摘要:
目的 调查住院期艾滋病患者心理韧性状况及影响因素.方法 2016年1月—2017年1月采用一般情况调查表、心理韧性量表(CD-RISC)、领悟社会支持量表(PSSS)、自尊量表(SES)和一般自我效能感量表(GSES)对四川大学华西医院传染科住院的120例艾滋病患者进行横断面调查.结果 住院期艾滋病患者心理韧性总均分为(52.11±13.84)分,处于中等水平;艾滋病患者社会支持、自尊、自我效能感总均分分别为(51.87±15.20)、(21.89±5.63)、(2.71±0.47)分.不同性别、年龄分组、艾滋病分期、未来信念及医护服务比较差异均有统计学意义(t值分别为2.588、3.595、7.409、14.293、3.172;P<0.05).多元线性回归分析显示,艾滋病分期、未来信念、医护服务、自尊、社会支持及自我效能感对患者心理韧性总分有影响.结论 艾滋病患者的心理韧性普遍不足,积极改善院内医护服务质量、努力调整患者不良态度、有效调动社会支持对患者心理韧性的发展有重要意义.%Objective To explore the psychological resilience of patients with AIDS and influencing factors during hospitalization period.Methods From January 2016 to January 2017, a cross-sectional study was carried out to 120 AIDS patients hospitalized in Department of Infectious Disease in West China School of Medicine/West China Hospital, Sichuan University, who were surveyed by a questionnaire on general information, Connor-Davidson resilience scale (CD-RISC), Perceived social support scale (PSSS), Self-esteem scale (SES) and General self-efficacy scale (GSES).Results Total average scores of AIDS patients in psychological resilience were (52.11±13.84) points, in a medium level; total average scores in social support, self-esteem and self-efficacy were (51.87±15.20), (21.89±5.63) and (2.71±0.47). There were significant differences in gender, age group, HIV stage, future beliefs and health care services (t=2.588, 3.595, 7.409, 14.293, 3.172;P<0.05). It was shown in multiple linear regression analysis that HIV stages, beliefs about the future, health care, self-esteem, social support and self-efficacy had an impact on total score of the patients' resilience.Conclusions Resilience of AIDS patients is generally inadequate. To develop the patients' resilience, it is of great importance to improve actively hospital medical service quality, to adjust unhealthy attitude of the patients, and to mobilize effectively social support.