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尼日利亚中北部一州艾滋病毒诊所就诊患者的应对策略。

Coping strategies among patients attending HIV clinics in a North-central State of Nigeria.

机构信息

Department of Community Medicine and Primary Care, Federal Medical Centre, Abeokuta, Nigeria.

Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.

出版信息

Niger J Clin Pract. 2021 Jan;24(1):104-109. doi: 10.4103/njcp.njcp_380_20.

DOI:10.4103/njcp.njcp_380_20
PMID:33473034
Abstract

BACKGROUND

Nigeria ranks third among the countries with the highest HIV/AIDS burden in the world, next only to India and South Africa. The North-Central zone which Kwara State belongs to has the highest concentration of HIV prevalence rate of 7.5%, while the North-Western zone recorded the lowest prevalence of 2.1%; Kwara state has a prevalence rate of 2.2%.

AIMS

The study assessed the coping strategies adopted by patients attending HIV clinics in a North-central city of Nigeria.

METHODS

The study design was descriptive cross-sectional involving 384 HIV-positive patients who were systematically recruited at 5 public service delivery sites in Ilorin- a North-central city, Nigeria was used for the study. Coping strategies were measured using the Brief COPE scale. Data were analyzed using SPSS software version 20.0. Level of significance was pre-determined at P value <0.05 at a confidence level of 95%.

RESULTS

Female respondents constituted 222 (58.0%) while males were 162 (42.0%). Respondents experienced varying proportion of coping strategies of which Self-distraction 288 (75.0%), active coping 249 (64.8%), emotional support 228 (59.4%), among others were the major strategies adopted by respondents.

CONCLUSION

HIV is a chronic disease with heavy burden on both patients and health facility rendering services for the care of these patients. A good proportion of respondents interviewed adopted varying coping strategies. Sustained social and psychological support will improve further the coping strategies of living with HIV.

摘要

背景

尼日利亚是世界上艾滋病负担第三高的国家,仅次于印度和南非。属于中央地带的夸拉州拥有最高的艾滋病毒流行率,为 7.5%,而西北地带的流行率最低,为 2.1%;夸拉州的流行率为 2.2%。

目的

本研究评估了在尼日利亚一个中北部城市的艾滋病毒诊所就诊的患者所采用的应对策略。

方法

本研究设计为描述性横断面研究,涉及 384 名艾滋病毒阳性患者,他们是在尼日利亚中北部城市伊洛林的 5 个公共服务提供点系统招募的。采用Brief COPE 量表测量应对策略。使用 SPSS 软件版本 20.0 分析数据。显著性水平预先确定为 P 值<0.05,置信水平为 95%。

结果

女性受访者占 222 人(58.0%),男性占 162 人(42.0%)。受访者经历了不同比例的应对策略,其中自我分心 288 人(75.0%)、积极应对 249 人(64.8%)、情感支持 228 人(59.4%)等是受访者采用的主要策略。

结论

艾滋病毒是一种慢性病,对患者和为这些患者提供护理服务的卫生机构都有沉重的负担。接受采访的相当一部分受访者采用了不同的应对策略。持续的社会和心理支持将进一步改善应对艾滋病毒的策略。

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