淮安市HIV抗体阳性男男性行为者生存质量干预效果评估
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摘要
目的评估对HIV抗体阳性的男男性行为者(MSM)生存质量干预的效果。方法在艾滋病综合防治信息系统中,选取淮安市2014年7月1日前报告为经同性途径感染HIV,且参加过2014年首轮生存质量调查的MSM,开展一般情况及生存质量访谈,并利用汉化版MOS-HIV评价生存质量。结果有不良生活习惯者占比由干预前的45.14%下降到33.33%,其中无保护性性行为占比由5.56%降为0;近1个月内出现过焦虑、恐惧、抑郁、绝望等负面情绪者构成比由干预前的61.81%下降到19.44%,差异均有统计学意义(P值均<0.05)。与干预前相比,告知率无明显上升;遇到烦恼时愿意向家人或朋友倾诉占比由干预前的51.39%上升至干预后的65.97%;遇到困难时愿意寻求或接受帮助占比由干预前的32.64%上升至干预后的82.64%,差异均有统计学意义(P值均<0.05)。干预后,生理健康总分及心理健康总分均得到了显著提高,总体感觉、社会功能、精神健康、精力/疲惫、生活质量等5个维度得分也明显提高,差异均有统计学意义(P值均<0.05)。结论心理及行为方式的干预在提高HIV抗体阳性MSM生存质量方面行之有效,可在今后的病例管理工作中继续推行。
Objective To evaluate the intervention effect on survival quality of HIV antibody positive MSM.Methods In the AIDS prevention and control information system,MSM reported to infect HIV by homosexual route before Jul 1 st,2014 in Huaian city and participated in life quality investigation in the first round of the 2014 were selected and subjected to life assessment interviews for general situation and life quality.The Chinese version of the MOS-HIV was used for evaluate life quality.Results After intervention:the ratio of MSM with bad living habits decreased from 45.14%to 33.33%,among which unprotected sexual behavior ratio deceased from 5.56%to 0;composition of MSM with negative emotions such as worry,fear,depression and despair decreased from 61.81%to 19.44%,all with statistical difference(all P<0.05);the notification rate did not increase.When they were in trouble,the proportion of MSM confided in family members or friends increased from 51.39%to 65.97%;the proportion would seek and accept help increased from 32.64%to 82.64%,all with statistical difference(all P<0.05).The total mental health scores and the physiological health scores increased significantly;the scores of 5 dimensions such as general feeling,social function,mental health,energy/exhaustion and quality of life improved significantly,all with statistical difference(all P <0.05).Conclusion Psychological and behavioral interventions are effective in improving the quality of life of HIV antibody positive MSM,which can be promoted for case management in the future.
Objective To evaluate the intervention effect on survival quality of HIV antibody positive MSM.Methods In the AIDS prevention and control information system,MSM reported to infect HIV by homosexual route before Jul 1 st,2014 in Huaian city and participated in life quality investigation in the first round of the 2014 were selected and subjected to life assessment interviews for general situation and life quality.The Chinese version of the MOS-HIV was used for evaluate life quality.Results After intervention:the ratio of MSM with bad living habits decreased from 45.14%to 33.33%,among which unprotected sexual behavior ratio deceased from 5.56%to 0;composition of MSM with negative emotions such as worry,fear,depression and despair decreased from 61.81%to 19.44%,all with statistical difference(all P<0.05);the notification rate did not increase.When they were in trouble,the proportion of MSM confided in family members or friends increased from 51.39%to 65.97%;the proportion would seek and accept help increased from 32.64%to 82.64%,all with statistical difference(all P<0.05).The total mental health scores and the physiological health scores increased significantly;the scores of 5 dimensions such as general feeling,social function,mental health,energy/exhaustion and quality of life improved significantly,all with statistical difference(all P <0.05).Conclusion Psychological and behavioral interventions are effective in improving the quality of life of HIV antibody positive MSM,which can be promoted for case management in the future.
引文
[1]张鹏,裴启星,朱林英.上海市376例HIV抗体阳性男男性行为者的生存质量及其影响因素研究[J].中国艾滋病性病,2016,22(10):803-805.
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[4]李健健,董兴齐,李惠琴,等.云南省20个HIV-1独特性重组毒株近全长基因序列特征分析[J].中国艾滋病性病,2017,23(5):377-381.
[5]燕清丽,杨鹏飞,范炜,等.淮安市男男性行为人群感染HIV-1的分子特征研究[J].中华疾病控制杂志,2016,20(12):1231-1235.
[6]周莹,徐晓琴,卢静,等.2015年江苏省HIV耐药警戒线调查[J].南京医科大学学报:自然科学版,2017,37(2):256-260.
[7]赵星,郭鹏飞,李晓松.我国MSM人群艾滋病健康教育干预效果的Meta分析[J].现代预防医学,2010,37(19):3603-3607.
[8]管纪惠,欧光忠,陆风.福建泉州社会组织参与MSM人群干预活动效果分析[J].江苏预防医学,2013,24(4):3-5.
[9]刘昆仑,吴尊友,庞琳.我国男男性行为人群中安全套使用与防治艾滋病面临的挑战[J].中国艾滋病性病,2009,15(10):546-548.
[10]刘莹,刘小敏,舒彬,等.艾滋病病毒感染者生存质量及相关因素研究[J].热带医学杂志,2013,13(3):356-358.
[11]罗淑星,周海龙,周超,等.男男性行为人群艾滋病患者心理健康状况与性行为调查分析[J].预防医学情报杂志,2017,33(5):450-453.
[12]杨旭,周明琴,吴南屏.心理护理干预对艾滋病患者生活质量的影响[J].中国现代医生,2012,50(30):98-107.
[13]黄志征,傅卓华,赵秀萍,等.苏州市HIV/AIDS患者自我羞辱与歧视的现况研究[J].江苏预防医学,2015,26(2):10-12.
[14]朱凯星,许美振,吴天石,等.艾滋病病毒感染者/艾滋病病人生存质量与社会支持的典型相关分析[J].中国艾滋病性病,2012,18(6):385-391.
[2]吴丽萍,孙修福,胡锦流.淮安市MSM中HIV感染者/AIDS患者生存质量的影响因素[J].职业与健康,2016,32(10):1388-1390.
[3]孙晓舒,王修晓.知晓HIV感染前后MSM人群不安全性行为改变研究[J].医学与哲学,2013,34(23):39-40.
[4]李健健,董兴齐,李惠琴,等.云南省20个HIV-1独特性重组毒株近全长基因序列特征分析[J].中国艾滋病性病,2017,23(5):377-381.
[5]燕清丽,杨鹏飞,范炜,等.淮安市男男性行为人群感染HIV-1的分子特征研究[J].中华疾病控制杂志,2016,20(12):1231-1235.
[6]周莹,徐晓琴,卢静,等.2015年江苏省HIV耐药警戒线调查[J].南京医科大学学报:自然科学版,2017,37(2):256-260.
[7]赵星,郭鹏飞,李晓松.我国MSM人群艾滋病健康教育干预效果的Meta分析[J].现代预防医学,2010,37(19):3603-3607.
[8]管纪惠,欧光忠,陆风.福建泉州社会组织参与MSM人群干预活动效果分析[J].江苏预防医学,2013,24(4):3-5.
[9]刘昆仑,吴尊友,庞琳.我国男男性行为人群中安全套使用与防治艾滋病面临的挑战[J].中国艾滋病性病,2009,15(10):546-548.
[10]刘莹,刘小敏,舒彬,等.艾滋病病毒感染者生存质量及相关因素研究[J].热带医学杂志,2013,13(3):356-358.
[11]罗淑星,周海龙,周超,等.男男性行为人群艾滋病患者心理健康状况与性行为调查分析[J].预防医学情报杂志,2017,33(5):450-453.
[12]杨旭,周明琴,吴南屏.心理护理干预对艾滋病患者生活质量的影响[J].中国现代医生,2012,50(30):98-107.
[13]黄志征,傅卓华,赵秀萍,等.苏州市HIV/AIDS患者自我羞辱与歧视的现况研究[J].江苏预防医学,2015,26(2):10-12.
[14]朱凯星,许美振,吴天石,等.艾滋病病毒感染者/艾滋病病人生存质量与社会支持的典型相关分析[J].中国艾滋病性病,2012,18(6):385-391.