摘要
目的探讨行为分阶段转变理论护理对艾滋病(AIDS)患者自我管理效能、遵医行为及生活质量的影响。方法选取2019年1月至2020年12月南通大学附属南通第三医院诊治的90例AIDS患者作为研究对象。应用随机数字表法将患者分为观察组(n=45)和对照组(n=45),两组均接受人类免疫缺陷病毒(HIV)抗病毒治疗。对照组治疗期间行常规护理指导,观察组在对照组基础上应用行为分阶段转变理论对患者实施护理。比较两组干预前后心理困扰、自我管理效能、遵医行为及生活质量改善情况。结果干预后观察组遵医行为总评分、自我效能总评分及生活质量总评分明显高于对照组,而心理困扰总评分明显低于对照组,差异具有统计学意义(P<0.05)。结论行为分阶段转变理论护理能有效减轻AIDS患者心理困扰,提高患者自我管理效能及遵医行为,进而改善患者生活质量。
Objective To explore the effect of behavioral stage change theory nursing on self-management efficacy, compliance behavior and quality of life of AIDS patients. Methods 90 cases of AIDS patients treated in Nantong Third Hospital Affiliated to Nantong University from January 2019 to December 2020 were selected and divided into observation group(n=45) and control group(n=45) by random number table. Both groups received HIV antiviral therapy. The control group received routine nursing guidance during treatment, while the observation group was nursed according to the behavioral stage change theory. Psychological distress, self-management efficacy, compliance behavior and improvement of life quality were compared between the two groups before and after intervention. Results After intervention, the scores of self-management efficacy, compliance behavior and quality of life scale in the observation group were significantly improved compared with the control group(P<0.05), while the psychological distress scores in the observation group were significantly decreased compared with the control group(P<0.05). Conclusions Behavioral stage change theory nursing can effectively alleviate the psychological distress, improve the self-management efficiency and compliance behavior of AIDS patients, thereby improving the quality of life of patients.
作者
吴珍珍
李雪梅
刘锦峰
袁佳洋
WU Zhenzhen;LI Xuemei;LIU Jinfeng;YUAN Jiayang(Second Department of Infection,Nantong Third Hospital Affiliated to Nantong University,Nantong 226006,Jiangsu,China)
出处
《中国性科学》
2021年第11期145-148,共4页
Chinese Journal of Human Sexuality
基金
南通市市级科技计划(指导性)项目(MSZ18070)
南通市市级科技计划(指令性)项目(MS12019006,MS12019010)。
关键词
行为分阶段转变理论护理
艾滋病
自我管理效能
遵医行为
生活质量
Behavioral stage change theory nursing
AIDS
Self-management efficacy
Compliance behavior
Quality of life
