| 引用本文: | 何梅,张玲,鄢利福,陆昶谋,蒋春雷,宋妍,范喜英.HIV/AIDS患者医学应对方式及其影响因素调查分析[J].中国临床新医学,0,():-. |
| he mei,zhangling.HIV/AIDS患者医学应对方式及其影响因素调查分析[J].中国临床新医学,0,():-. |
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| 摘要: |
| 目的 通过调查HIV/AIDS患者（people living with HIV/AIDS，PLWHA）的医学应对方式状况，探索PLWHA应对方式的影响因素，以便今后对PLWHA进行针对性的指导提供理论依据，提高治疗依从性及改善心理健康状况。方法 采用横断面研究，对221名PLWHA采用医学应对方式问卷(Medical Coping Modes Questionnaire, MCMQ)评估医学应对策略。结果MCMQ结果显示，面对因子分低于常模，而回避、屈服应对方式的得分高于常模,经济情况、性别、文化程度对PLWHA医学应对方式存在显著性差异；在回避因子上：男性得分高于女性，达到显著性差异（p=0.038）；在屈服因子上：不同文化程度的PLWHA存在显著性水平差异，文盲与小学文化程度的PLWHA存在显著性差异（p=0.03）,与高中或中专的PLWHA差异达到显著性水平（p=0.014）。结论 PLWHA的医学应对方式与中国常模存在显著性差异，PLWHA倾向于采用回避、屈服而不是面对的应对方式，经济情况、性别、文化程度对PLWHA的医学应对方式有影响。 |
| 关键词: HIV/AIDS患者（PLWHA） 医学应对方式 影响因素 |
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| 基金项目:南宁市科学研究与技术开发计划项目(20143140) |
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| Investigation and analysis of medical coping style and its influencing factors in patients with HIV /AIDS |
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he mei1,2,3, zhangling
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1.Nanning Fifth People'2.'3.s Hospital
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| Abstract: |
| Objective By investigating the situation of patients' medical coping styles and exploring the influencing factors of patients' coping styles, this paper provides theoretical basis for further improving the mental health status of PLWHA and improving the quality of life. To explore personality characteristics and medical coping style in patients with HIV/AIDS and their relationship. Methods by using cross-sectional study, 239 PLWHA in the Fourth People's Hospital of Nanning participated in the study. 239 questionnaires were distributed, with 221 valid collections. All subjects were assessed with Medical coping modes questionnaire (MCMQ). Results MCMQ results showed that, the score of Confrontation was lower than normal mode(P=0.00), the scores of Avoidance and Acceptance-resignation were higher than normal mode(P=0.00)，All the factors were P=0.00.In the Confrontation of factors: the difference between different economic conditions reached a significant level, the PLWHA with good economic conditions and the PLWHA with poor economic conditions (p = 0.019) and the PLWHA with poor economic conditions (p = 0.041) reached a significant level, and the PLWHA with general economic conditions and the PLWHA with poor economic conditions also had a significant difference (p = 0.006). On the avoidance factor: men scored higher than women, achieving a significant difference (p=0.038).On the submission factor: PLWHA of different educational level has significant difference, and there is significant difference between illiterate and primary school educational level (p = 0.03), and there is significant difference between PLWHA of high school or technical secondary school (p = 0.014).Conclusions There was a significant difference between PLWHA and the Chinese norm on the medical coping styles. PLWHA tended to avoid and submit rather than face coping styles. The economic situation, gender and educational level had an impact on the medical coping styles of PLWHA. |
| Key words: People living with HIV/AIDS (PLWHA) Medical coping modes influence factor |
