感知歧視干預對艾滋病抗病毒治療患者的影響

陸春燕++石素潔++陳金麗++黃艷++翁藝

（廣西壯族自治區疾病預防控制中心艾滋病抗病毒治療門診，南寧 530028）

【摘要】目的探討感知歧視干預對艾滋病抗病毒治療患者相關的羞辱和歧視感知、生存質量的影響。方法將80例門診艾滋病抗病毒治療患者隨機分為對照組和干預組各40例，對照組按照門診艾滋病抗病毒治療常規進行治療和宣教，干預組給予感知歧視干預，觀察比較干預前后兩組患者艾滋病相關的羞辱和歧視感知水平、干預后生存質量變化。結果干預前兩組艾滋病相關的羞辱和歧視總分比較差異無統計學意義（P>0.05），干預1年后干預組艾滋病相關的羞辱和歧視總分顯著降低（P<0.01），并且顯著低于對照組（P<0.05），干預前后對照組艾滋病相關的羞辱和歧視總分無顯著變化（P>0.05）。干預1年后，干預組患者艾滋病生存質量測量簡表中的生理、心理、環境、精神領域和獨立程度、社會關系6個領域，以及總健康狀況和總生存質量評分均優于對照組，兩組比較差異有統計學意義（P<0.01）。結論感知干預能降低艾滋病患者艾滋病相關的羞辱和歧視水平，提升其生存質量。

【關鍵詞】艾滋病；抗病毒治療；感知歧視；生存質量

中圖分類號：R512.91 文獻標識碼：ADOI：10.3969/j.issn.10031383.2015.06.021

Influence of perceived discrimination intervention on AIDS

patients with antiretroviral treatment

LU Chunyan，SHI Sujie，CHEN Jinli，HUANG Yan，WENG Yi

（AIDS Antiviral Treatment Clinic，Guangxi Center for Disease Control and Prevention，Nanning 530028，Guangxi，China）

【Abstract】ObjectiveTo investigate influence of perceived discrimination intervention on shame and discrimination awareness as well as quality of life related to AIDS patients with antiretroviral treatment.Methods80 AIDS patients who accepted antiretroviral treatment in clinic were randomly divided into control group and intervention group with 40 cases in each group.Treatment and instruction were given to the control group according to antiretroviral treatment routine in clinic.And the intervention group were given perceived discrimination intervention.Then，changes of shame and discrimination awareness before and after intervention as well as quality of life after intervention in AIDS patients were observed and compared.Results Before intervention，difference of total humiliation and discrimination scores related to AIDS of both groups was not statistically significant（P>0.05）.After 1 year of intervention，total humiliation and discrimination scores related to AIDS of the intervention group significantly reduced（P<0.01），and significantly lower than those of the control group（P<005）.No significant change was found in total humiliation and discrimination scores related to AIDS of the control group before and after intervention（P>0.05）.After 1 year of intervention，6 realms included physiology，psychology，environment，realm of spirit，independent degree and social relations in AIDS survival quality measurement scale as well as total health conditions and total score of quality in life of the intervention group were all better than those of the control group，difference was statistically significant（P<0.01）.ConclusionPerceived intervention can reduce humiliation and discrimination levels related to AIDS patients，and improve their quality of life.endprint