摘要
目的探讨HIV nPEP首次就诊者疾病进展恐惧现状及其影响因素。方法采用一般资料调查问卷、恐惧疾病进展简化量表、抑郁-焦虑-压力量表简体中文版、简易应对方式问卷对nPEP首次就诊者进行调查。结果共105例nPEP首次就诊者纳入本研究,暴露对方确定HIV阳性占12.4%(13例),不确定HIV感染情况占87.6%(92例)。nPEP首次就诊者疾病进展恐惧得分为43.00(37.50,47.50)分。多元线性回归分析显示,性别(β=8.232,P=0.014)、暴露对方感染HIV情况(β=-7.540,P=0.002)、负性情绪中压力状况(β=0.278,P=0.016)是其疾病进展恐惧的影响因素(P均<0.05)。结论nPEP首次就诊者疾病进展恐惧水平处于中等偏上,需重点关注女性、暴露对方为HIV阳性、压力较大的nPEP首次就诊者,并及时采取个性化的干预措施降低其恐惧水平。
Objective To explore the status of fear and influencing factors of disease progression among first-time clinic attendees with HIV non-occupational post-exposure prophylaxis(nPEP).Methods A General Information Questionnaire,the Fear of Progression Questionnaire-Short Form,the Depression Anxiety Stress Scale-21,and the Simplified Coping Style Questionnaire were used to investigate first-time clinic attendees with nPEP.Results A total of 105 nPEP first-time attendees were enrolled,12.4%(13)of which were confirmed had HIV-positive partner while 87.6%(92)were not.The first-time attendees with nPEP scored 43.00(37.50,47.50)as per disease progression fear.Multiple linear regression analysis showed that gender(β=8.232,P=0.014),partners with HIV infected or not(β=-7.540,P=0.002)and stress status in negative emotions(β=0.278,P=0.016)were influencing factors of the disease progression fear(all P<0.05).Conclusions The fear level of disease progression among first-time attendees with nPEP is above average,and it is necessary to focus on women attendees,those who are exposed to HIV-positive partners and stressful attendees.Timely and personalized interventions should be implemented to reduce the fear level.
作者
石敏
贾晓锋
王慧群
徐兴莲
汤婕
任静霞
SHI Min;JIA Xiaofeng;WANG Huiqun;XU Xinglian;TANG Jie;REN Jingxia(School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu,China;Nanjing Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210003,Jiangsu,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2023年第9期1019-1023,共5页
Chinese Journal of Aids & STD
基金
江苏省研究生培养创新工程研究生科研与实践创新计划(SJCX23_0838)
南京市卫生科技发展专项资金项目(YKK21123)。
关键词
艾滋病病毒
非职业暴露后预防
恐惧
负性情绪
应对方式
HIV
non-occupational post-exposure prophylaxis(nPEP)
fear
negative emotions
coping styles
