A Survey On Psychological States And Coping Styles In HTV/AIDS During The Antiretroviral Therapy In Three Hospitals In Yunnan Province

ObjectiveTo study their psychological state and the coping style they had taken face in the course of antiviral treatment by a investigation on Psychological state and coping style in HIV/AIDS in three hospitals in Yunnan province.Discussing on the influencing factors of psychological state and the coping styles in HIV/AIDS,To improve psychological problems on the special groups and increase their ability of coping with the disease, It can provide some basis and countermeasures for relevant departments。MethodThis research combined with quantitation and qualitation. The first part is quantitative research stage.Designling questionnaire by myself and using the Hospital Anxiety and Depression Scale, medical coping modes questionnaire, Perceived Social Support Scale, etc. So took a investigation on HIV/AIDS who have taken into antiretrorival therapy using convenience sampling by"one on one" survey in People’s hospital,in Wenshan, Kaiyuan and in the first people’s hospital in Yuxi in Yunnan. from May2012to January2013. We surveyed375HIV/AIDS by questionnaire,356questionnaires are eligible.The second part is the qualitative research phase, designed the interview outline after preliminary data analysis including common psychological behavior, social support, coping style who faced the disease, the plans of patient in the future, functioning psychological counseling agencies and other relief agencies,etc.lnterviewed with fourteen HIV/AIDS, sixteen families of patients and six doctors, that they had a significant impact on the research from March2013to May2013.Results The youngest is18years old and the maximum is71years old in HIV/AIDS, mean age (38.05±8.34); Mainly dominated by Han (69.1%), most dominated by Junior high or high school education (64%), the most is married (62.9%), Most unemployed (65.4%),no income is most (47.8%), in gender, age, ethnicity, employment status, job properties, monthly income.there is no statistically significant difference in three hospitals.Laboratory test results:CD4+T is200-350in one microliter in46.1%of the study subjects; HIV is in200C in every microliter; liver and renal function will been harmed in some HIV/AIDS. Infection rate of Hepatitis C is24.2%in study subjects.Some important information on HIV/AIDS in the course of antiretroviral therapy:325HIV/AIDS had accepted VCT (91.3%),31HIV/AIDS did not receive VCT (8.7%), Receiving antiretroviral therapy treatment time mostly focus on more than1year or2years, accounted respectively, for26.7%and43.8%of the total population, it was found42%of HIV/AIDS thought that the reason of antivirals poor compliance is too busy to easily forget.25%of HIV/AIDS thought the reason is a side effect after investing356subjects,12%of people thought the reason was no way to take medication every day because the time is changing,9%of people thought the sleep missed taking medication,7%of people thought that taking medication was a burden, Only5%of people thought it was too far to go home when they wanted to take some medication, It surveyed with356subjects in which way to remind them of regular medication that found:286HIV/AIDS use the alarm clock (80.3%),11HIV/AIDS use different kit or reminding of doctors and nurses (3.1%),4HIV/AIDS were going to take medication relying on reminder of companion (1.1%),The other reason is19%.The results of psychological anxiety:during antiretroviral therapy HIV/AIDS, it was no significant differences in Gender,age group, Education level, national, professional attributes in anxiety (P>0.05).but it was some difference in Marital status, occupational status, monthly income (P<0.05).HIV/AIDS exhibited psychological anxiety by using multivariate analysis in the course of antiviral therapy, there are risk factors for psychological anxiety,such as gender, medication affect living conditions, If there is a depression. This is to protect the psychological anxiety factors, such as average monthly income.the time of antiviral treatment and social support. The study results of the psychological depression:it was no significant differences in Gender,age group, national, Marital status,professional attributes in anxiety (P>0.05).but it was some difference in Education level, occupational status, monthly income (P<0.05). The study found that anxiety is a psychological risk factors of anxiety; nevertheless cultural degree and VCT is the protection factor in mental depression by the multiple factors analysis.The results of medical coping modes:It found the medical coping styles of HIV/AIDS was different with normal model in the face of the response, withdrawal, the response,norm groups are more likely to be positive to face HIV/AIDS(P<0.05). However, HIV/AIDS more liked to avoid dealing with AIDS and yield response to the disease, the junior and higher education groups in HIV/AIDS acqired score than the primary and lower cultural group in HIV/AIDS in the face (P<0.05), Educational level in patients were more positive response to the disease.Single, married, married in HIV/AIDS were more evasive response to AIDS than divorced in HIV/AIDS (P<0.017). HIV/AIDS without professional were more yield response to the disease than HIV/AIDS with working (P=0.007).2500yuan in monthly income group of HIV/AIDS are more positive to face the disease than non-income groups and lower than HIV2500yuan in monthly income(P=0.013). there are some affection in Mental anxiety, depression, social support, social discrimination, education and other aspects to the copying style in HIV/AIDS.Social support:Most people think that social support is in a high state that it accounted for65.7%; the constitutes of male HIV/AIDS is lower than female HIV/AIDS in low support state and intermediate state support, however the male in HIV/AIDS is higher than the female in HIV/AIDS in High support for state(P=0.008); the male are better on support state than the female in society (P=0.009). Multiple linear regression analysis of factors affecting social support displayed that High levels of education and told the infection in patients considered themselves getting higher social support.Social discrimination:55.9%of people think that many people are afraid of HIV-infected persons in the study,32.3%of people agree with the attitude that many people feel that HIV is caused by themselves:36.2%of HIV/AIDS do not agree with the attitude that many people believe that HIV infection is a result of doing wrong something to fine.41.3%of people agree with the attitude that they will feel uncomfortable to Contact with HIV.ConclusionMost of HIV/AIDS can insist on taking antiviral drugs during antiviral therapy, They learn some knowledge of HIV/AIDS and they basically accept VCT;The treatment on HIV/AIDS is related to psychological states, coping style, social support, social discrimination, compliance, etc. There are many psychological problems with HIV/AIDS, Such as anxiety, depression, guilt, anger. The influence factors of anxiety are gender, average monthly income, the time of antiviral therapy, whether the drugs will affect their live, depression, social support,etc. The influence factors of depression are Education level, service in VCT, anxiety,etc.it is related between the copying style and the anxiety,the depression, social support, Education leve. Social support for HIV/AIDS is increased than before, but it is only some change on form in some places. Social policy can t meet the requirements of HIV/AIDS at present. HIV/AIDS had not yet fully integrated into the minimum coverage.the doctors working in the antiviral treatment must emphasize advantages and disadvantages of drugs to HIV/AIDS so that they know drugs may lead to some series of reactions, HIV/AIDS took timely corresponding method when related symptoms appeared, and is responsible for the treatment of doctors adopt scientific measures together, It can avoid Stopping to take medicine and Taking antiviral treatment measures can be implemented into practice. Increasing income and providing material support for HIV/AIDS,It may help them cope with worries; taking some implementation on HIV/AIDS by identifying various cause which lead to anxiety and depression, the soceity should strengthen the related propaganda and education to low degree of culture of HIV/AIDS,it may increase their comprehension on the modle of KABP. It needs to promote the implementation of service on VCT and increase the propaganda on AIDS. The society should understand AIDS may be prevented the same as other disease, but it is not a demon.