内科理论与实践2026，Vol.21Issue(1)：39-45,7.DOI:10.16138/j.1673-6087.2026.01.05
育龄期女性人类免疫缺陷病毒感染者乐观水平现状及影响因素分析
Status and influencing factors of optimism among reproductive-aged women with HIV
摘要
Abstract
Objective To investigate the status and influencing factors of optimism among reproductive-aged women with human immunodeficiency virus(HIV),aiming to provide a reference for promoting the comprehensive management of female HIV patients.Methods The convenience sampling method was used to select reproductive-aged women with HIV who attended the infectious disease outpatient clinic of a designated hospital in Guangzhou from December 2023 to June 2024.General information questionnaire,Revised Life Orientation Test(LOT-R),and Medical Coping Modes Questionnaire(MCMQ)were used for the survey.Non-parametric tests and multiple linear regression analysis were conducted using SPSS 26.0 software.Results A total of 185 reproductive-aged women with HIV were included.The total LOT-R score was 22.00(19.00,25.00)points,with the optimism dimension score being 13.00(11.00,15.00)points and the pessimism dimension score being 9.00(7.00,11.00)points.Multiple linear regression analysis results showed that being an only child(β=−0.151)and having changed fertility intentions due to HIV infection(β=−0.141)were negatively correlated with LOT-R scores,while place of residence(β=0.165)and having a history of childbirth(β=0.171)were positively correlated with LOT-R scores.All correlations exhibited statistical significance(P<0.05).Conclusions The level of optimism among reproductive-aged women with HIV is moderate.Attention should be given to patients who are the only children,reside in rural areas,or have no history of childbirth.It is recommended to use family system intervention as a key entry point to alleviate the role pressure of only daughters;utilize digital tools to expand remote support to narrow the geographical and information gap for rural patients;and provide integrated psychological and medical decision-making counselling for those with fertility-related concerns,thereby comprehensively enhancing the mental health and fertility confidence of this population.关键词
人类免疫缺陷病毒/育龄期/乐观/影响因素/心理健康Key words
human immunodeficiency virus/reproductive age/optimism/influencing factors/mental health分类
医药卫生引用本文复制引用
陈丽娟,罗灿伟,刘琳珊,李佳佳,黄少兰,李凌华,刘聪..育龄期女性人类免疫缺陷病毒感染者乐观水平现状及影响因素分析[J].内科理论与实践,2026,21(1):39-45,7.基金项目
广州市科技计划项目(2025A03J3911) （2025A03J3911）
广州护理学会科研课题(L2025003) （L2025003）
广州市医学重点学科(2025-2027) （2025-2027）
新发突发与重大传染病防控国家科技重大专项(2025ZD01904404) （2025ZD01904404）
