人性化护理在艾滋病患者中的应用效果

Application effect of humanized nursing in acquired immune deficiecy syndrome patients

目的探讨人性化护理在艾滋病(AIDS)患者中的应用效果。方法选取2019年1月至2020年12月萍乡市第二人民医院感染科的100例AIDS患者作为研究对象,采用随机数字表法分为对照组(50例)和观察组(50例)。对照组采用常规护理,观察组采用人性化护理。比较两组患者的36项健康调查简表(SF-36)评分、医学应对方式测量表(MCMQ)评分、心理健康程度、匹兹堡睡眠质量指数(PSQI)、治疗相关指标[人类免疫缺陷病毒(HIV)病毒载量、T淋巴细胞(CD4+)]及依从程度。结果护理后,两组患者的情感职能(RE)、社会功能(SF)、生理机能(PF)评分高于护理前,且观察组RE、SF、PF评分高于对照组,差异有统计学意义(P<0.05)。护理后,两组患者的屈服、回避评分低于护理前,面对评分高于护理前,且观察组屈服、回避评分低于对照组,面对评分高于对照组,差异有统计学意义(P<0.05)。护理后,两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)、PSQI评分低于护理前,且观察组SAS、SDS、PSQI评分低于对照组,差异有统计学意义(P<0.05)。护理后,两组患者的HIV病毒载量低于护理前,CD4+高于护理前,且观察组HIV病毒载量低于对照组,CD4+高于对照组,差异有统计学意义(P<0.05)。观察组患者的总依从率高于对照组,差异有统计学意义(P<0.05)。结论对AIDS患者实施人性化护理,能够提高疾病应对方式、心理健康程度、依从程度、睡眠质量、CD4+水平,降低HIV病毒载量,改善生活质量,值得推广。

Objective To explore application effect of humanized nursing in acquired immune deficiecy syndrome(AIDS)patients.Methods A total of 100 AIDS patients from the Department of Infection,Pingxiang NO.2 People′s Hospital from January 2019 to December 2020 were selected as the research objects and divided into control group(50 cases)and observation group(50 cases)by random number table method.The control group received routine nursing,while the observation group received humanized nursing.The 36-item short form health survey(SF-36)score,medical coping style inventory(MCMQ)score,mental health degree,Pittsburgh sleep quality index(PSQI),treatment-related indicators(human immunodeficiency virus[HIV]viral load,T lymphocyte cells(CD4+)])and compliance degree were compared between the two groups.Results After nursing,the scores of emotional function(RE),social function(SF)and physiological function(PF)of the two groups were higher than those before nursing,and the scores of RE,SF and PF of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the yield and avoidance scores of the two groups were lower than those before nursing,and the face score was higher than that before nursing,and the yield and avoidance scores of the observation group were lower than those of the control group,and the face score was higher than that of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and PSQI in the two groups were lower than those before nursing,and the scores of SAS,SDS and PSQI in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the HIV viral load of the two groups was lower than that before nursing,and the CD4+was higher than that before nursing,and the HIV viral load of the observation group was lower than that of the control group,and the CD4+was higher than that of the control group,and the differences were statistically significant(P<0.05).The total compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Implementing humanized nursing for AIDS patients can improve disease coping style,mental health,compliance,sleep quality,CD4+level,reduce HIV viral load,and improve quality of life,which is worthy of promotion.