新发艾滋病病人应激反应变化轨迹及影响因素OA
Change trajectory and influencing factors of stress response in newly diagnosed AIDS patients
目的:探讨新发艾滋病病人应激反应的纵向变化轨迹并分析其影响因素.方法:采用便利抽样法,选取广西壮族自治区某三级甲等医院116例新发艾滋病病人为研究对象,采用一般资料调查表、斯坦福急性应激反应量表对其进行调查,通过潜变量增长混合模型识别其应激反应变化轨迹,采用二元Logistic回归分析其影响因素.结果:新发艾滋病病人的应激反应变化轨迹可分为整体低应激缓慢下降组(27.6%)和整体高应激快速下降组(72.4%).Logistic回归分析结果显示,医疗费用支付方式、宗教信仰和心理弹性为新发艾滋病病人应激反应变化潜在类别的影响因素(P<0.05).结论:新发艾滋病病人应激反应变化轨迹存在群体异质性,应基于病人应激反应变化进行个性化评估和干预.
Objective:To explore the longitudinal change trajectory of stress response of newly diagnosed AIDS patients and to analyze its influencing factors.Methods:Using convenience sampling method,a total of 116 newly diagnosed AIDS patients in a tertiary grade A hospital in Guangxi Zhuang autonomous region were selected as the research objects.The General Information Questionnaire and Stanford Acute Stress Reaction Scale were used to investigate.Latent growth mixture models were utilized to delineate the trajectory of stress response changes,while binary Logistic regression analysis was employed to identify its influencing factors.Results:The change trajectory of stress response of newly diagnosed AIDS patients were divided into overall low stress slow decline group(27.6%)and overall high stress rapid decline group(72.4%).Logistic regression analysis showed that payment mode for medical expenses,religious belief and resilience were the influencing factors of latent categories stress reaction change trajectory of newly diagnosed AIDS patients(P<0.05).Conclusions:There was group heterogeneity in the change trajectory of stress response of newly diagnosed AIDS patients.Personalized assessment and intervention should be carried out based on the change trajectory of stress response of patients.
黄文婷;何华梅;莫小云;覃晓婕;黄爱丽;王芳
广西卫生职业技术学院护理学院,广西 530000广西卫生职业技术学院护理学院,广西 530000广西卫生职业技术学院护理学院,广西 530000来宾市人民医院来宾市人民医院来宾市人民医院
艾滋病人类免疫缺陷病毒应激反应变化轨迹影响因素潜在类别分析增长混合模型
AIDShuman immunodeficiency virusstress responsechange trajectoryinfluencing factorslatent class analysisgrowth mixture model
《护理研究》 2026 (3)
377-382,6
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