艾滋病患者预防保健和疾病控制中健康教育的应用效果分析

Application Effect Analysis of Health Education in Prevention and Health Care of AIDS Patients and Disease Control

目的:探讨健康教育在艾滋病患者预防保健和疾病控制中的应用价值。方法:选取2018年1月—2021年2月滕州市疾病预防控制中心接收的艾滋病患者112例为观察对象,按随机数字表法分成研究组和对照组,各56例。对照组给予常规管理,研究组在对照组基础上给予健康教育。比较两组患者行为改变情况,心理状况、生活质量、医学应对、社会支持情况。结果:研究组近一年性伴侣数、近一年安全套使用、近一年吸烟、坚持抗病毒治疗方面优于对照组,差异有统计学意义(P<0.05)。研究组心理状况(抑郁的心理障碍、精神运动性障碍、精神性情感症状、抑郁严重度指数)评分低于对照组,生活质量(心理领域总分)评分高于对照组,医学应对(屈服维度、回避维度)评分低于对照组,社会支持(支持利用度、主观支持、客观支持、总分)评分高于对照组,差异有统计学意义(P<0.05)。结论:健康教育可以明显改善艾滋病患者不良行为,对其心理状况、生活质量、医学应对和社会支持有积极作用。

Objective:To explore the application value of health education in AIDS patient's prevention and health care and disease control.Methods:From January 2018 to February 2021,102 AIDS patients received by Tengzhou Center for Disease Control and Prevention were selected as the observation subjects.According to the random number table method,they were divided into study group and control group,with 56 cases in each group.The control group was given routine management.On the basis of the control group,the study group was given health education.The behavioral changes,psychological status,quality of life,medical response,and social support in two groups were compared.Results:The number of sexual partners in the past year,condom use in the past year,smoking in the past year,and adherence to antiviral therapy in the study group were better than those in the control group,and the difference was statistically significant(P<0.05).The scores of psychological conditions(psychological disorders of depression,psychomotor disorders,psychoemotional symptoms,depression severity index)in the study group were lower than those in the control group,the scores of quality of life(total score in the psychological field)in the study group were higher than those in the control group,the scores of medical response(yield dimension,avoidance dimension)in the study group were lower than those in the control group,and the scores of social support(support utilization,subjective support,objective support,total score)in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Health education can significantly improve the adverse behavior of AIDS patients,and have a positive effect on their psychological condition,quality of life,medical response and social support.