目的：调查HIV感染者/AIDS患者病耻感和心理韧性现况，并分析两者之间的关系。方法：采用方便抽样方法，选取248例符合纳入标准的HIV感染者/AIDS患者，采用一般资料调查表、心理韧性量表和社会影响量表为研究工具进行问卷调查。结果：248例HIV感染者/AIDS患者心理韧性得分为（25.23±8.37）分；病耻感总得分为（66.06±15.44）分，4个维度得分分别为社会排斥（23.39±6.42）分、经济无保障（8.48±2.47）分、内在羞耻感（15.26±3.26）分、社会隔离（18.93±5.10）分。心理韧性得分与病耻感总得分及各维度之间均存在负相关（r=-0.380，P<0.001）。结论：HIV感染者/AIDS患者心理韧性水平较低，病耻感较高，护理工作者应采取积极有效措施提高HIV感染者/AIDS患者的心理韧性水平，进而降低患者病耻感。

[1] RVSCH N,ANGERMEYER M C,CORRIGAN P W.Mental illness stigma:concepts,consequences,and initiatives to reduce stigma[J].Eur Psychiatry,2005,20(8):529-539.
[2] 成浩,朱靖,周瑾,等.无锡市HIV感染者及艾滋病患者SCL-90评定结果分析[J].东南大学学报(医学版),2017,36(6):929-933.
[3] CLARK K A,KEENE D E,PACHANKIS J E,et al.A qualitative analysis of multi-level barriers to HIV testing among women in Lebanon[J].Cult Health Sex,2017,19(9):996-1010.
[4] WINGLE G,BENNETT K M,NOYES J.A methodological review of resilience measurement scales[J].Health Qual Life Outcomes,2011,9(1):1-18.
[5] DUONG C,HURST C P.Reliability and validity of the Khmer version of the 10-item Connor-Davidson Resilience Scale (Kh-CD-RISC10) in Cambodian adolescents[J].BMC Res Notes,2016,9:297.
[6] 陈彩花,何燕燕,郭云萍,等.心理韧性对重症监护室转出患者创伤后成长的影响[J].中国护理管理,2016,16(1):54-57.
[7] 张慧芳,颜春英.临床实习护生心理韧性与自我效能、主观幸福感的关系[J].中国健康心理学杂志,2016,24(4):554-557.
[8] 王胜琴,宋江艳.肠造口患者心理韧性及创伤后成长与其生活质量的相关性研究[J].中国护理管理,2017,17(6):840-844.
[9] 中华医学会感染病学分会艾滋病学组.艾滋病诊疗指南(2011版)[J].中华传染病杂志,2011,29(10):629-640.
[10] FIFE B L,WRIGHT E R.The dimensionality of stigma:a comparison of its impact on the self of persons with HIV/AIDS and cancer[J].J Health Soc Behav,2000,41(1):50-67.
[11] PAN A W,CHUNG L,FIFE B L,et al.Evaluation of the psychometrics of the Social Impact Scale:a measure of stigmatization[J].Int J Rehabil Res,2007,30(3):235-238.
[12] 管晓萌,孙涛,杨华,等.社会影响量表中文版应用于尿失禁患者羞耻感的信效度测量[J].护理学杂志,2011,26(7):63-65.
[13] CAMPBELL-SILLS L,STEIN M B.Psychometric analysis and refinement of the Connor-Davidson Resilience Scale(CD-RISC):validation of a 10-item measure of resilience[J].Journal of Trauma Stress,2007,20(6):1019-1028.
[14] WANG L,SHI Z,ZHANG Y,et al.Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims[J].Psychinatry Clin Neurosci,2010,64(5):499-504.
[15] 叶增杰,阮小丽,曾珍,等.中文版10条目心理韧性量表在护生群体中的信效度分析[J].护理学报,2016,23(21):9-13.
[16] NOTARIO-PACHECO B,SOLERA-MARTÍNEZ M,SERRANO-PARRA M D,et al.Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults[J].Health Qual Life Outcomes,2011,9:63.
[17] 阎冬梅,张秀军.艾滋病病人的病耻感现状调查[J].中国艾滋病性病,2016,22(9):740-742.
[18] 张超,王爱平,景丽伟,等.胃癌患者焦虑状况与心理韧性及希望水平的相关性[J].中国医科大学学报,2016,45(8):739-741,753.
[19] CONNOR K M,DAVIDSON J R.Development of a new resilience scale:the Connor-Davidson Resilience Scale (CD-RISC)[J].Depress Anxiety,2003,18(2):76-82.
[20] 银秀春,黄艳.住院期艾滋病患者心理韧性状况及影响因素分析[J].中华现代护理杂志,2017,23(22):2864-2868.