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首页> 外文期刊>AIDS care. >Proactive coping and spirituality among patients who left or remained in antiretroviral treatment in St Petersburg, Russian Federation
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Proactive coping and spirituality among patients who left or remained in antiretroviral treatment in St Petersburg, Russian Federation

机译：在俄罗斯联邦圣彼得堡离开或继续接受抗逆转录病毒治疗的患者中的积极应对和灵性

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Positive Psychology, the study of "positive" factors or strengths and evidence-based interventions to increase them, is a rapidly developing field that is beginning to be applied to HIV care. Proactive coping and spirituality are two positive characteristics that have been examined in multiple chronic serious health conditions. In the present study, lost-to-care (LTCs; did not attend treatment for >= 12 months; n = 120) and engaged-in-care HIV clinic patients (EICs; attended treatment for >= 12 months and adherent with antiretrovirals; n = 120) in Leningrad Oblast, Russian Federation were compared on the Proactive Coping Inventory and View of God Scale. EICs had higher scores in proactive coping [t(229) = 3.69; p = .001] and instrumental [t(232) = 2.17; p = .03] and emotional [t(233) = 2.33; p = .02] support, indicating that they engage in autonomous goal setting and self-regulate their thoughts and behaviors; obtain advice and support from their social network; and cope with emotional distress by turning to others. LTCs had higher scores in avoidance coping [t(236) = -2.31; p = .02]. More EICs were spiritual, religious, or both [ chi(2)(1, N = 239) = 7.49, p = .006]. EICs were more likely to believe in God/Higher Power [chi(2)(1, N = 239 = 8.89, p = .002] and an afterlife [ chi(2)(1, N = 236) = 5.11, p = .024]; have a relationship with God/Higher Power [ chi(2)(1, N = 237) = 12.76, p = .000]; and call on God/Higher Power for help, healing, or protection [ chi(2)(1, N = 239) = 9.61]. EICs had more positive [t(238) = 2.78; p = .006] and less negative [t(236) = -2.38; p = .002] views of God. Similar proportions, but slightly more EICs than LTCs were members of a faith community; members of a12-step group; or attended religious or spiritual services, meetings, or activities. More EICs than LTCs engaged in private spiritual or religious activities, such as prayer or meditation [ chi(2)(1, N = 239) = 9.226, p = .002].
机译：积极心理学是对“积极”因素或优势的研究，以及以证据为基础的干预措施，旨在增强他们的积极性，是一个迅速发展的领域，已开始应用于HIV护理。积极应对和灵性是在多种慢性严重健康状况下已被检查的两个积极特征。在本研究中，失去护理（LTC;未参加治疗≥12个月; n = 120）和从事护理的HIV诊所患者（EIC;参加治疗≥12个月且坚持抗逆转录病毒药物治疗） ; n = 120）在俄罗斯联邦的列宁格勒州进行了主动应对量表和“上帝观”量表的比较。 EIC在主动应对方面得分更高[t（229）= 3.69; p = .001]和工具[t（232）= 2.17; p = .03]和情感[t（233）= 2.33; [p = .02]支持，表明他们参与自主目标设定并自我调节自己的思想和行为;从他们的社交网络获得建议和支持;并通过求助于他人来应对情绪困扰。 LTC在回避应对方面得分更高[t（236）= -2.31; p = .02]。更多的EIC是精神的，宗教的或两者兼具的[chi（2）（1，N = 239）= 7.49，p = .006]。 EIC更可能相信神/更高的力量[chi（2）（1，N = 239 = 8.89，p = .002]和来世[chi（2）（1，N = 236）= 5.11，p = .024];与上帝/更高的力量有关系[chi（2）（1，N = 237）= 12.76，p = .000];并呼吁上帝/更高的力量寻求帮助，治愈或保护[chi（ 2）（1，N = 239）= 9.61]。EIC对上帝的看法更积极[t（238）= 2.78; p = .006]而负面则更少[t（236）= -2.38; p = .002] 。信仰社区的成员，十二步团体的成员或参加宗教或精神服务，会议或活动的比例相似，但EIC比LTC略多。从事私人精神或宗教活动（例如，祈祷或冥想[chi（2）（1，N = 239）= 9.226，p = .002]。

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