压力管理方案在艾滋病患者陪伴者中的应用

The effects of stress management intervention for companions of patients with AIDS on psychological status and anti-viral treatment of patients with AIDS

目的探讨对AIDS患者陪伴者实施压力管理对陪伴者的一般健康状况和患者的生活质量及抗病毒治疗效果的影响。方法将92例AIDS患者及其陪伴者随机分为试验组和对照组,每组各46例。试验组接受4个月压力管理干预和常规护理,对照组接受常规护理,在干预前、干预完成时,采用一般健康状况问卷对两组陪伴者的心理健康状况进行评定,采用服药依从性问卷和耻辱感量表对两组AIDS患者的抗病毒治疗依从性和耻辱感进行评定。结果干预4个月后两组陪伴者一般健康状况得分比较,差异具有统计学意义;两组AIDS患者耻辱感得分、服药依从性得分及抗病毒治疗效果比较,差异具有统计学意义。结论对AIDS患者陪伴者实施压力管理干预能够显著改善陪伴者的心理健康状况,降低AIDS患者的耻辱感,提高其抗病毒治疗服药依从性及抗病毒治疗效果。

Objective To explore the effects of stress management intervention for companions of patients with AIDS on psychological status,quality of life and anti-viral treatment of patients with AIDS. Methods Totally 92 patients with AIDS and their companions were randomly divided into the experimental group and the control group,each with 46 cases. Both groups received routine nursing,the experimental group received stress management intervention for 4 months. Before and after intervention was complete,the GHQ-12 was used to assess the psycho- logical status of companions in both groups. Morisky questionnaire,SF-12 and stigma scale were used to evaluate anti-viral treatment compliance,quality of life and stigma of patients in both groups. Results The differences in general health scores of two groups after 4 months were statistically significant. There were significant differences in scores of stigma,quality of life scores,anti-viral treatment adherence and anti-viral treatment between AIDS pa- tients in two groups. Conclusion Stress management intervention for companions of patients with AIDS can signifi- candy improve psychological status of companions,reduce the stigma of AIDS patients,improve the quality of life and anti-viral treatment adherence and the effects of anti-viral treatment for patients.