摘要
[目的]探讨基于艾滋病临床护理实践指南相关证据的循证护理实践对人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)病人生存质量的影响。[方法]将151例HIV感染者/AIDS病人按门诊就诊顺序分为两组,对照组给予常规门诊随访指导,干预组在常规门诊指导的基础上由专职护士主导进行基于艾滋病临床护理实践指南中相关证据的循证护理干预,包括治疗依从性干预、症状评估和处理、心理支持、个体化的信息支持、团体干预、主动电话提醒等,采用简体中文版MOS-HIV生活质量量表进行干预前及干预3个月、6个月效果测评。[结果]经重复测量方差分析,健康感受分组效应(P=0.089),时间效应(P=0.000),交互作用(P=0.177);情绪功能分组效应(P=0.514),时间效应(P=0.029),交互作用(P=0.025);总体生活质量分组效应(P=0.226),时间效应(P=0.000),交互作用(P=0.031);干预组评分变化的趋势优于对照组。[结论]早期引入基于艾滋病临床护理实践指南证据的循证护理实践对于改善病人健康感受、情绪功能,提高生存质量具有重要作用。
Objective： To explore the effect of evidence- based nursing practice based on AIDS clinical nursing practice guidelines related evidence on the quality of life of human immunodeficiency virus （HIV）infected pa- tients/AIDS patients. Methods： 151 cases of HIV infection patients/AIDS patients were divided into two groups according to the order of outpatient visits. The control group was given routine outpatient follow -up guidance , on the basis of routine outpatient guidance, the intervention group was led by a full -time nurse to carry out evi- dence - based nursing intervention based on the relevant evidence in the AIDS clinical nursing practice guide,in- cluding treatment compliance intervention, symptom assessment and treatment, psychological support,individu- alized information support,group intervention,active telephone reminding,and so on. A simplified Chinese ver- sion of the MOS - HIV quality of life scale was used to evaluate the effect before intervention and after interven- tion for 3 months and 6 months. Results： After the repeated measurement of variance analysis, group effect of healthy feeling（P=0. 089） ,time effect（P=0. 000）, interaction（P^0. 177） ;the group effect of emotional func- tion （ P = 0.514 ）, time effect （P = 0. 029）, interaction （P = 0.025 ） ; The overall quality of life group effect （P = 0. 226 ）, time effect（P=0. 000）,interaction（P= 0. 031）;the trend of score change in the intervention group was better than that of the control group. Conclusion ： Early introduction of evidence - based nursing practice based on AIDS clinical nursing practice guide evidence played an important role in improving the patient＇s healthy feeling, emo- tional function and improving the quality of life.
出处
《护理研究》
北大核心
2018年第4期556-559,共4页
Chinese Nursing Research
基金
2013年度复旦大学护理科研基金立项项目,编号：FNF201304.
关键词
人类免疫缺陷病毒
艾滋病
临床护理实践指南
循证护理实践
抗病毒治疗
生存质量
human immunodeficiency virus
AIDS
clinical nursing practice guidelines
evidence-based nursing practice
antiviral therapy
quality of life
