基于临床护理实践指南的HIV感染者/AIDS病人饮食生活行为依从性干预效果研究

Intervention effect research on dietary life behavioral compliance in HIV/AIDS patients based on clinical nursing practice guidelines

[目的]将基于《艾滋病临床护理实践指南》的相关证据应用于门诊随访的人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)病人,开展AIDS循证护理实践,探讨其对HIV感染者/AIDS病人饮食生活方式依从性的影响。[方法]将151例HIV感染者/AIDS病人按门诊就诊顺序分为对照组和干预组,对照组给予常规的门诊随访指导,干预组在常规门诊指导的基础上接受由《艾滋病临床护理实践指南》转化和应用专题培训的专职护士主导进行基于指南中相关证据的干预流程,包括治疗依从性干预,个体化的信息支持、团体干预、主动电话提醒等,在干预3个月和6个月后采用饮食生活依从性问卷评价效果。[结果]两组病人在饮食依从率方面3个月和6个月差异均有统计学意义(P<0.05),病人服药与饮食关系的认知显著提升(P<0.05)。[结论]循证护理干预措施对提高病人饮食依从率具有明显作用,可提高HIV感染者/AIDS病人对饮食与服药的认知水平。

Objective:To apply relevant evidence based on the"Guidelines for Clinical Nursing of AIDS"to outpatients with HIV-infected/AIDS patients;carry out evidence-based AIDS care practice,and explore its impact on diet-life-style compliance of HIV-infected/AIDS patients.Methods:151 HIV-infected/AIDS patients were divided into control group and intervention group according to outpatient visit order.The control group was given routine follow-up instruction,and for the intervention group,full-time nurses who accepted"Guidelines for Clinical Nursing of AIDS"transformation and application training led the process of intervention based on the relevant evidence in the guide.Treatment compliance intervention,individualized information support,group intervention,active telephone reminding,etc.were included.The effect ofdietary life compliance questionnaire was evaluated after 3 months and 6 months.Result:Two groups of patients in the 3 months and 6 months were significantly different in the food compliance rate(P<0.05),and the cognition of the relationship between medication and diet was significantly improved(P<0.05).Conclusion:Evidence-based nursing intervention had significant effect on the intervention of patients'dietary compliance rate,and could improve the cognitive level of diet and medication in HIV-infected/AIDS patients.