分次病情告知干预患者家属对HIV感染患者的社会支持、压力及满意度的影响

Effects of separated disease disclosure intervention on the social support, stress and satisfaction of HIV carriers

目的探讨分次病情告知干预患者家属对人类免疫缺陷病毒（humanimmunodeficiencyvirus，HIV）感染患者的社会支持、压力及满意度的影响。方法收集我院2015年11月—2016年5月收治的行常规随访护理的HIV感染患者68例作为对照组；另收集我院2016年6月—2016年11月收治的行分次病情告知干预的HIV感染患者68例作为观察组。对比2组护理前后患者社会支持、压力及满意度情况。结果护理后观察组社会支持水平高于对照组，差异有统计学意义（P〈0．05）；观察组告知及感知压力均小于对照组，差异有统计学意义（P〈0．05）；观察组患者满意度高于对照组，差异有统计学意义（P〈0．05）。结论对HIV感染患者家属应用分次病情告知干预有利于提高HIV感染患者社会支持水平，缓解告知及感知压力，提升患者满意度，值得推广。

Objective To investigate the influence of separated disease disclosure intervention on the social sup- port, stress and satisfaction of patients infected with human immunodeficiency virus （HIV）. Methods A total of 68 pa- tients infected with HIV who were admitted into our hospital from November 2015 to May 2016 underwent routine follow - up nursing and set as a control group. Meanwhile, another 68 patients with HIV infection who were admitted into our hos- pital from June 2016 to November 2016 were provided with separated disease disclosure intervention and set as an obser- vation group. Both groups were compared for social support, stress and satisfaction before and after nursing. Results After nursing, the observation group showed remarkably improved social support （ P 〈 0.05 ）, less perceived and infor- ming pressure （ P 〈 0.05 ）, and better satisfaction （ P 〈 0.05 ）, compared with the control. Conclusions Separated dis- ease disclosure intervention to the family members of HIV carriers is helpful to improve social support towards patients with HIV infection, relieve perceived and informing pressure, and promote satisfaction.