HIV感染者和艾滋病患者“关爱-支持”健康管理模式实践

HIV感染者和艾滋病患者“关爱-支持”健康管理模式实践

袁晓青福燕段义北方高美霞孙盈红陈艳霞李冬梅邹孟烜李星明

首都医科大学附属北京佑安医院护理部

出版日期:2015-11-25 发布日期:2015-11-25
基金资助:
2013 年度首都护理学研究专项课题（13HL02）

A study of "social care-support" health management model for people living with HIV/AIDS

Online:2015-11-25 Published:2015-11-25

摘要/Abstract

摘要： 目的：了解艾滋病病毒感染者和患者（PLWHA）“关爱- 支持”模式实践效果，为其护理管理提供参考。方法：采用方便抽样方法，于2013 年9-12 月招募到497 例PLWHA 为研究对象，由护理人员、感染者志愿者组成“关爱- 支持”小组并提供相应干预措施，并对PLWHA 的社会支持、用药依从性和健康管理需求与满意度进行评价。结果：干预后PLWHA的客观支持得分和支持利用度得分较干预前具有统计学差异（P =0.02），干预后的服药依从性明显高于干预前（P <0.001）；健康管理中的药物相关知识、生理知识、心理知识中的如何受人尊重、家人理解和支持，社会交往知识中的获得社会帮助和结交朋友的满意度与需求度之间的差值有统计学差异（P <0.05）。结论：PLWHA“支持- 关爱”健康管理模式可提高PLWHA 服药依从性，并能基本满足PLWHA 对治疗及基本生活知识、社会交往需求。

Abstract: Objective: To explore "social care-support" health management model for the patients living with HIV/AIDS(PLWHA), and to provide reference for their nursing management. Methods: A social support and care group consisting of nursing staff and peer-patients provided intervention for PLWHA, and an evaluation was adopted to assess their social support,medication compliance and health management needs and satisfaction. Results: The scores of the objective support and usage for social support after intervention were significantly higher than those before intervention among PLWHA (P=0.02), and the score of medication compliance after intervention was significantly higher than that before intervention (P<0.001). Health management related knowledge, physiological knowledge, family understanding and support, social interaction knowledge and making friends satisfaction and demand also had significantly difference before and after intervention (P<0.05). Conclusion: PLWHA social support-care health management model could improve the medication compliance of PLWHA, and could basically meet the needs of PLWHA for treatment and basic life knowledge, social interaction knowledge.

袁晓青福燕段义北方高美霞孙盈红陈艳霞李冬梅邹孟烜李星明. HIV感染者和艾滋病患者“关爱-支持”健康管理模式实践[J]. , 2015, 15(11): 1334-1338.