Study On Psychological Intervention In Paid Blood Donors Infected With HIV

Objective To design the measures and plans, carry out the plans and evaluate the effect by investigating the psychological state and influential factors among paid blood donors infected with HIV, to provide reference for implementing psychological intervention in these people in rural areas. Methods Ninety five individuals responded to the questionnaires in which general condition questionnaire, self-rating anxiety scale and self-rating depression scale were adopted and some of the patients, their family members, community people, government officials and medical staff were visited. Sixty patients having anxiety or depression were randomly and equally assigned to two groups. The intervention group was given psychological intervention of single measure. Before and after intervention, the intervention group and the control group were assessed for their self-rating anxiety scale and self-rating depression scale. The control group as the postponed intervention group was given psychological intervention of comprehensive measures and assessed for their self-rating anxiety scale, self-rating depression scale and social support scale before and after intervention. Results (1) Of the 95 patients, 61 persons (64.2%) had anxiety and 80 persons (84.2%) had depression. The analysis on influential factors of anxiety and depression by logistic regression showed that gender, help available when needed, relations with neighbors, being discriminated and enjoying leisure walk were related to anxiety level and that gender, satisfaction with the help and addiction to playing cards were related to depression level. (2) The patients'psychological stress mainly caused by their financial embarrassment in life, children's education or marriage, bodily symptoms and discrimination from others. (3) The levels of anxiety and depression in the intervention group were significantly decreased after the psychological intervention compared with the control group (t=3.882,P<0.01;t=3.018,P<0.05). (4) The levels of anxiety and depression in the postponed intervention group were also dramatically decreased after the psychological intervention. The scores and the correct response rates to AIDS related knowledge were significantly enhanced after the patients, their family members and community people were educated. Trained people scored higher in psychology knowledge after training. Conclusion The psychological intervention measures, such as the intervention staffs providing psychological support to the patients, training people associated with patients to enhance their psychological knowledge and techniques, educating the public about AIDS related knowledge, increasing patients'social support, establishing community organizations to serve the patients, are suitable for paid blood donors infected with HIV in rural areas and will help their anxiety and depression.