艾滋病患者治疗依从性和生存质量干预分析

目的 了解综合护理干预对艾滋病病人治疗依从性和生存质量的影响。方法 于2010-2012年收集240例艾滋病患者随机分成对照组(n=120)、干预组(n=120),2组均给予常规护理措施,干预组患者除常规护理外,根据需求制定措施并实施护理干预,收集和分析患者的基线资料和10个月后的资料。结果 干预组患者依从性漏服次数、超过规定时间服药次数、错服药次数、未按规定药量服药次数4个主要指标均低于基线数据(P<0.01),在对照组中4个主要指标均无明显变化;干预组患者在生理、心理、独立性、社会关系、环境、精神支柱、整体生存质量等生存质量6个方面得分上均有明显提高(P<0.01),对照组患者在上述指标上并无明显变化。结论 护理干预能明显提高艾滋病患者的治疗依从性和生存质量。

Impact of nursing intervention on treatment compliance and survival quality among AIDS patients

Objective To explore the impact of comprehensive nursing intervention on treatment compliance and survival quality among AIDS patients.Methods Totally 240 AIDS patients were randomly divided into an intervention group(n=120)and a control group(n=120).Both groups were given normal nursing management and the intervention group were given additional specific intervention measures.The baseline data and the data 10 months after the intervention were collected among all the patients and analyzed.Results The number of missed dose,taking medicine at late time,taking wrong drug,and incorrect drug dose were significantly decreased after the intervention among the patients of intervention group (all P<0.01).The domain scores of survival quality for physical condition,psychological status,independence,social relationship,environment,spiritual support,and overall quality of life were also significantly increased after the intervention among the patients of intervention group (all P<0.01).Conclusion The implementation of the nursing intervention can obviously improve medication compliance and survival quality among AIDS patients.