基于行为改变轮理论的随访管理用于初治HIV感染者的效果

目的 探讨基于行为改变轮理论的随访管理用于门诊初治HIV感染者的效果。方法 将73例门诊就诊的初治HIV感染者随机分为对照组36例和观察组37例。对照组实施常规随访管理，观察组在此基础上实施基于行为改变轮理论的随访管理。结果 干预1年后，观察组自我护理能力量表总分及各维度评分显著高于对照组,服药依从性量表评分显著高于对照组,CD4＋T淋巴细胞计数显著高于对照组（均P＜0.05）。结论 基于行为改变轮理论的随访管理有利于提高初治HIV感染者的自我护理能力及服药依从性，增强治疗效果。

Effects of follow-up management based on the Behavior Change Wheel theory for newly treated HIV-infected patients

Objective To explore the effect of follow-up management based on the Behavior Change Wheel theory for newly treated HIV-infected outpatients. Methods A total of 73 newly treated HIV-infected outpatients were randomized into a control group (n=36) and an intervention group (n=37). The control group was given routine follow-up management, while the intervention group additionally received the follow-up management based on the Behavior Change Wheel theory. Results One year after the intervention, the total score and each subscale score of the Exercise of Self-Care Agency of the intervention group were significantly higher than those of the control group, its score of the 8-item Morisky Medication Adherence Scale was significantly higher than that of the control group, and its CD4+ T lymphocyte count was significantly higher than that of the control group (all P<0.05). Conclusion The follow-up management based on the Behavioral Change Wheel theory is conducive to improving self-care ability and medication adherence in newly treated HIV-infected patients,and enhancing their treatment effect.