286例青年男男性行为HIV/AIDS患者恐惧疾病进展现状及影响因素分析

目的 调查青年男男性行为者HIV/AIDS患者恐惧疾病进展现状,分析其影响因素。方法 采取便利抽样法,于2021年7—12月选取在南方医科大学南方医院艾滋病门诊进行随访的286例青年男男性行为者人群HIV/AIDS患者为研究对象,采用一般资料问卷、恐惧疾病进展恐惧量表、医学应对方式量表、社会支持量表、艾滋病内在歧视量表对其进行调查。采用多重线性回归分析青年男男性行为者人群HIV/AIDS患者恐惧疾病进展的影响因素。结果 本组青年男男性行为者人群HIV/AIDS患者恐惧疾病进展总分为（29.26±10.08）分,多重线性回归分析结果示,既往有无艾滋病相关疾病/症状、面对、回避、屈服、社会支持、内在歧视进入回归方程（P<0.05）,共解释总变异的45.3%。结论 本组青年男男性行为者人群HIV/AIDS患者恐惧疾病进展处于中等偏下水平,既往有无艾滋病相关疾病/症状、不同医学应对方式、社会支持、内在歧视是青年男男性行为者人群HIV/AIDS患者恐惧疾病进展的主要影响因素。医务人员应采取各种方式加强艾滋病知识宣传、激发患者潜在的积极心理、减少内在歧视,进而降低其恐惧疾病进展水平。

Status of Fear of Progression in HIV/AIDS Young Men Who Have Sex with Men and Its Influencing Factors : A 286- case Study

Objective To investigate the status of and factors associated with fear of progression in HIV/AIDS young men who have sex with men. Methods With convenience sampling, from July to December in 2021, 286 HIV/AIDS young men who have sex with men were selected from HIV outpatient clinic of Nanfang Hospital. General information questionnaire, Fear of Progression Questionnaire-Short Form, Medical Coping Modes Questionnaire, Social Support Rating Scale and Internalized HIV Stigma Scale were used to conduct the investigation. Multiple linear regression analysis was used to explore the influencing factors of fear of progression in HIV/AIDS young men who have sex with men. Results The total score of fear of progression of HIV/AIDS young men who have sex with men was 29.26±10.08. Multivariate linear regression analysis showed that whether with a history of AIDS-related diseases/symptoms or not, different medical coping styles, social support and internalized stigma entered the regression equation (P<0.05), which explained 45.3% of the total variation. Conclusion Fear of progression of HIV/AIDS young men who have sex with men is at a medium or lower level, which is affected by whether with a history of AIDS-related diseases/symptoms or not, different medical coping styles, social support and internalized stigma. Various ways of health education on AIDS knowledge, potential positive psychology of the patients, and less internalized stigma are conducive to reducing fear of disease progression in HIV/AIDS young men who have sex with men.