病情告知干预对HIV感染父母社会支持和压力的影响

Impact of disease disclosure intervention on social support and stress of HIV-positive parents

目的探讨一对一病情告知干预对HIV感染父母社会支持和压力的影响。方法将40例HIV感染父母随机分为观察组和对照组各20例。对照组给予常规随访和护理干预,观察组由经过心理学培训的护士实施3次一对一的病情告知技巧干预。结果与对照组比较,干预后第4周、第12周观察组信息和情感支持增加,感知压力与病情告知压力降低(均P<0.05)。结论病情告知干预能提高HIV感染父母的社会支持,减轻其感知压力和病情告知压力。

Objective To investigate the effect of one-to-one disease disclosure intervention on improvement of social support and relief of perceived stress in HIV-positive parents.Methods Forty HIV-positive parents were randomly divided into two groups of 20.The control group was given routine follow-up and nursing interventions,while the observation group additionally received nurseled one-to-one intervention concerning skills of disease disclosure 3times.Results Compared with the control group,the observation group reported higher emotional/informational support and lower perceived stress and HIV disclosure stress at 4and 12 weeks after intervention（P〈0.05 for all）.Conclusion Disease disclosure intervention can improve social support and alleviate stress in HIVpositive parents.