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目的分析HPV阳性患者的心理应激特点及其与情绪体验和社会支持的关系。方法采用正负性情绪量表(positive and negative affect scale,PANAS)、心理应激自评问卷(psychological stress self-evaluation test,PSET)和领悟社会支持量表(perceived social support scale,PSSS)对101名HPV阳性患者进行调查。结果 (1)HPV阳性患者应激水平低于50分者52人(占51.49%),轻度应激(50~60分)30人(占29.70%),中度应激(>60~69分)16人(占15.84%),重度应激(>69分)3人(占2.97%);(2)HPV阳性患者的心理应激症状主要表现在睡眠不好(89.1%)、紧张烦躁(90.1%)、易惊跳(53.5%)、警觉性增加(87.1%)、身心疲惫(75.2%)、易激惹(76.5%)、过度兴奋(57.4%)、灾难场景闪回(64.4%)等;(3)HPV阳性患者心理应激水平与其积极情绪呈负相关(r=-0.464,P<0.01),与消极情绪呈正相关(r=0.560,P<0.01);且与领悟社会支持程度呈负相关(r=-0.225,P<0.05);(4)逐步回归分析的结果提示:负性情绪、正性情绪可以有效预测心理应激水平,总解释率为39.5%。结论近一半的HPV阳性患者均有不同程度的心理应激反应,且心理应激水平与其积极情绪、消极情绪和领悟社会支持程度具有相关性。
Objective To analyze the characteristics of psychological stress in patients with HPV positive and its relationship with emotional experience and social support. Methods The positive and negative affect scale (PANAS), psychological stress self-evaluation test (PSET) and perceived social support scale (PSSS) HPV-positive patients were investigated. Results (1) In HPV-positive patients, there were 52 people (51.49%) with stress level below 50 points, 30 people (29.70%) with mild stress (50-60 points), moderate stress 16 patients (15.84%), severe stress (> 69 points), 3 people (2.97%); (2) Psychological stress symptoms of HPV-positive patients mainly manifested in poor sleep (89.1%), nervous irritability (90.1%), easy to jump (53.5%), alertness (87.1%), mental and physical exhaustion (75.2%), irritability (76.5%), overdrive (57.4% ); (3) There was a negative correlation between the level of psychological stress and the positive emotion in patients with HPV positive (r = -0.464, P <0.01), positive correlation with negative emotion (r = 0.560, P <0.01) (R = -0.225, P <0.05). (4) The results of stepwise regression analysis showed that negative emotions and positive emotions could effectively predict the level of psychological stress, with a total interpretation rate of 39.5%. Conclusions Nearly half of HPV-positive patients have different degrees of psychological stress response, and the level of psychological stress has positive correlation with their positive emotions, negative emotions and perceived social support.