告知方式对门诊HIV感染者/AIDS患者复诊的影响

The Effect of Disclosure Skills on the Countercheck of HIV/AIDS Outpatients

目的探讨不同时间段和不同告知方式对门诊艾滋病病毒感染者/艾滋病患者治疗复诊及时率的影响。方法对2015年7月—2016年12月就诊于艾滋病门诊的284例门诊艾滋病病毒感染者/艾滋病患者使用随机数字表分成三组,其中12人因各种原因终止治疗,研究实际272例,对三组患者分别在不同时间段采用不同方式告知,观察比较三组患者的领药准时率、采血准时率。结果 A、B、 C三组患者按时领药率分别为91.01%(81/89)、93.26%(83/89)、98.94%(93/94),静脉采血检验CD4细胞计数准时率分别为87.64%(78/89)、91.01%(81/89)、97.87%(92/94),差异具有统计学意义(P <0.05)。结论针对门诊HIV感染者/AIDS患者利用艾宾浩斯遗忘规律提前2天电话提醒及随后20 min、24 h短信提醒模式,使患者有充分的时间准备,也有利于记忆,提高复诊的配合程度。选择适宜时间段和反复告知提醒门诊HIV感染者/AIDS患者复诊对提高患者配合程度具有重要意义。

Objective To explore the effects of different disclosure skills on the timely countercheck of outpatients with HIV/AIDS.Methods A total of 284 outpatients with HIV/AIDS were investigated from July 2015 to December 2016,they were randomly divided into 3 groups,12 cases of them were terminated for various reasons,and 272 cases were actually studied.The three groups were informed by different methods at different time,and the rate of countercheck was observed and compared.Results In group A,B and C,the timely drug-taking rates were 91.01%(81/89),93.26%(83/89)and 98.94%(93/94),respectively.The punctual rates of CD4 cell count in venous blood collection were 87.64%(78/89),91.01%(81/89)and 97.87%(92/94),respectively.The difference was statistically significant(P<0.05).Conclusion For the HIV/AIDS outpatients,Ebbinghaus forgetting law is used.Phoned them 2 days ahead of the countercheck time and sent SMS to remind 20 min also 24 h later the phone time;so that patients had sufficient time to prepare,which was also improved an effective method.A appropriate disclosure skills is good to improving the countercheck rate of HIV/AIDS outpatients.