120例梅毒感染者病耻感现状及影响因素分析

目的 调查梅毒感染者的病耻感现状,分析其影响因素。方法 采用便利抽样的方法,选取2017年4月—2018年4月在四川省某三级甲等医院传染科门诊就诊的梅毒患者作为研究对象。采用一般资料调查表、社会影响量表、自尊量表及抑郁自评量表对其进行问卷调查,采用Logistic回归分析梅毒感染者病耻感的影响因素。结果 梅毒感染者病耻感总分为（60.23±13.00）分;Logistic回归分析结果显示,有无职业、病程是梅毒感染者病耻感的危险因素,文化程度是梅毒感染者病耻感的保护性因素（P<0.05）。结论 梅毒感染者的病耻感得分处于中等偏上水平,门诊医护人员应特别关注有职业、文化程度低和病程长的梅毒感染者,了解其病情的特殊方面,并选择有针对性的干预措施来降低其病耻感,帮助梅毒感染者提高自我认同感。

Current Status of Stigma of 120 Syphilis Infection Patients and Its Influence Factors

Objective To investigate the status of stigma in syphilis infection patients and analyze its influence factors. Methods With convenient sampling method, the syphilis infection patients were selected from April 2017 to April 2018 in the outpatient department of the infectious disease department of a tertiary grade A hospital in Sichuan province and they were investigated by using general information questionnaire, Social Impact Scale, Self-esteem Scale and Self-rating Depression Scale. Logistic regression analysis was conducted for the analysis of the influence factors of the stigma of syphilis infection patients. Results The total score of the stigma of syphilis infection patients was 60.23±13.00. Logistic regression analysis showed that being employed or not, and course of disease were the risk factors and education background was the protective factor of the stigma of syphilis infection patients (P<0.05). Conclusion The stigma of patients with syphilis infection is at the mediate or above level. Medical staff in outpatient should pay special attention to the syphilis infection patients with jobs, those with low educational level and those with long course of disease, understand the individualized aspects of the disease, and choose targeted intervention measures to reduce the stigma of the disease and maximize the self recognition of the syphilis infection patients.