CAJ | 학술논문

目的：总结HIV感染者进行阳性告知的情绪反应及危机干预的经验。方法对2011年1月-2012年12月告知的HIV阳性感染者进行回顾性分析，记录告知过程中患者的临床表现及情绪反应，同时给予患者护理干预并观察效果。结果292例感染者被告知HIV阳性时，情绪稳定者36例（12．4％），情绪波动者256例（87．6％）；在情绪波动患者中，恐惧者178例，焦虑者146例，否认者33例，哭泣者31例，愤怒、行为无法自控15例，有自杀倾向3例。通过专业医护人员心理支持后228例（89．1％）患者接受 HIV 的感染事实；22例（8．6％）患者转介北京红丝带之家进行同伴教育；6例（2．3％）患者转介心理门诊接受进一步治疗。结论 HIV阳性结果告知过程中可能出现严重甚至过激的情绪应激反应，给予专业的心理危机干预，减缓情绪反应所产生的身体及心理问题，可以提高AIDS的防治效果。
목적：총결HIV감염자진행양성고지적정서반응급위궤간예적경험。방법대2011년1월-2012년12월고지적HIV양성감염자진행회고성분석，기록고지과정중환자적림상표현급정서반응，동시급여환자호리간예병관찰효과。결과292례감염자피고지HIV양성시，정서은정자36례（12．4％），정서파동자256례（87．6％）；재정서파동환자중，공구자178례，초필자146례，부인자33례，곡읍자31례，분노、행위무법자공15례，유자살경향3례。통과전업의호인원심리지지후228례（89．1％）환자접수 HIV 적감염사실；22례（8．6％）환자전개북경홍사대지가진행동반교육；6례（2．3％）환자전개심리문진접수진일보치료。결론 HIV양성결과고지과정중가능출현엄중심지과격적정서응격반응，급여전업적심리위궤간예，감완정서반응소산생적신체급심리문제，가이제고AIDS적방치효과。
Objective To summarize the experience of positive-results inform and crisis intervention for HIV-infected patients .Methods Records of positive-results inform for HIV-infected patients in STD clinic of Beijing Ditan Hospital were retrospectively analyzed from January 2011 to December 2012 .The process of clinical performance , especially the psychological aspects of the symptoms ,at the same time crisis interventions and follow-up were given and the effects were observed .Results There were 292 patients were involved in this study:36 cases (12.4%) were emotional stability with no symptoms of crisis , and 256 cases (87.6%) had fear (178 cases),anxiety(146 cases), denial(33 cases), crying(31cases).And 15 cases appeared angry and behavior cannot be controlled , 3 cases had suicidal tendencies .After informed by the professional psychological support, 228 cases (89.1%) accepted the fact of HIV infection , 22 cases (8.6%) referralled to Home of Beijing Red Ribbon for peer education , and 6 cases ( 2.3%) referralled psychological clinic for treatment . Conclusions In the process of HIV-positive results inform , the patients may appear severe even overreact psychological stress response , so the professional psychological crisis intervention should be given to the patients.