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预防医学  2022, Vol. 34 Issue (2): 166-170,175    DOI: 10.19485/j.cnki.issn2096-5087.2022.02.012
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艾滋病住院患者焦虑和抑郁情况调查
何丁玲, 冯世平, 赵霞, 郭利华, 吕春容, 李虹霞, 郭慧, 黄蕾
成都市公共卫生临床医疗中心感染二科,四川 成都 610000
Prevalence of anxiety and depression among inpatients with AIDS
HE Dingling, FENG Shiping, ZHAO Xia, GUO Lihua, LÜ Chunrong, LI Hongxia, GUO Hui, HUANG Lei
Second Department of Infection, Chengdu Public Health Clinical Medical Center, Chengdu, Sichuan 610000, China
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摘要 目的 了解艾滋病住院患者焦虑和抑郁状况,并分析其影响因素,为改善艾滋病住院患者心理健康状况提供依据。方法 采用便利抽样法抽取成都市某传染病医院的艾滋病住院患者,采用一般情况调查问卷、焦虑自评量表(SAS)和抑郁自评量表(SDS)收集患者的人口学信息、焦虑和抑郁情况。采用多重线性回归模型分析焦虑和抑郁的影响因素。结果 纳入228例艾滋病住院患者,男性186例,占81.58%;女性42例,占18.42%。年龄为(48.04±16.03)岁。CD4+T淋巴细胞(CD4细胞)计数≤200个/μL 113例,占49.56%。SAS和SDS标准得分分别为(35.87±8.01)分和(42.07±11.08)分,均高于正常人群(P<0.05);焦虑和抑郁检出率分别为5.26%和16.23%,焦虑和抑郁共病检出率为4.82%。多重线性回归分析结果显示,失业是艾滋病住院患者发生焦虑的危险因素(β'=0.168,P<0.05),CD4细胞计数是艾滋病住院患者发生焦虑和抑郁的危险因素(β'=-0.151和-0.238,均P<0.05)。结论 艾滋病住院患者存在一定程度的焦虑和抑郁,失业和CD4细胞计数较低增加艾滋病住院患者发生焦虑和抑郁的风险。
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关键词 艾滋病住院患者焦虑抑郁    
AbstractObjective To investigate the prevalence of anxiety and depression among inpatients with AIDS and its influencing factors, so as to provide the evidence for improving the psychological health among inpatients with AIDS. Methods The inpatients with AIDS that were hospitalized in an infectious disease hospital in Chengdu City were recruited using the convenient sampling method. The demographic features, depression and anxiety were collected using a self-designed questionnaire, Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale ( SDS ), respectively, and factors affecting the development of depression and anxiety were identified using a multivariable linear regression model among inpatients with AIDS. Results The 228 AIDS inpatients included 186 men (81.58%) and 42 women ( 18.42% ), and had a mean age of ( 48.04±16.03 ) years. There were 113 inpatients ( 49.56% ) with a CD4+T cell count of ≤200 cells/μL, and the mean SAS and SDS standardized scores were 35.87±8.01 and 42.07±11.08 among AIDS inpatients, which were both significantly greater than in normal populations ( P<0.05 ). The prevalence rates of anxiety, depression, and comorbid anxiety and depression were 5.26%, 16.23% and 4.82% among the participants, respectively. Multivariable linear regression analysis identified unemployment as a risk factor of anxiety ( β'=0.168, P<0.05 ), and CD4+T cell count as a risk factor of anxiety ( β'=-0.151, P<0.05 ) and depression ( β'=-0.238, P<0.05 ) among inpatients with AIDS. Conclusions Anxiety and depression are prevalent among inpatients with AIDS. Unemployment and a low CD4+T cell count may cause a rise in the risk of developing anxiety and depression among inpatients with AIDS.
Key wordsAIDS    inpatient    anxiety    depression
收稿日期: 2021-09-22      修回日期: 2021-11-12      出版日期: 2022-02-10
中图分类号:  R512.91  
基金资助:四川省卫健委科研课题(19PJ023,20PJ220,20PJ221)
作者简介: 何丁玲,本科,主管护师,主要从事感染科病房临床护理工作
通信作者: 赵霞,E-mail:1140256731@qq.com   
引用本文:   
何丁玲, 冯世平, 赵霞, 郭利华, 吕春容, 李虹霞, 郭慧, 黄蕾. 艾滋病住院患者焦虑和抑郁情况调查[J]. 预防医学, 2022, 34(2): 166-170,175.
HE Dingling, FENG Shiping, ZHAO Xia, GUO Lihua, LÜ Chunrong, LI Hongxia, GUO Hui, HUANG Lei. Prevalence of anxiety and depression among inpatients with AIDS. Preventive Medicine, 2022, 34(2): 166-170,175.
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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.02.012      或      https://www.zjyfyxzz.com/CN/Y2022/V34/I2/166
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