摘要
目的探讨艾滋病病毒(HIV)感染者症状管理未满足需求的现状及影响因素。方法2017年4-9月,采用便利抽样,选取上海市公共卫生临床中心艾滋病自愿咨询检测门诊和病房HIV感染者,采用自行设计的症状负担、症状管理需求和日常感知歧视问卷进行调查。结果共调查367例HIV感染者,195例(53.1%)HIV感染者报道在过去4周内至少有一项症状管理需求未得到满足,疲乏管理需求发生率最高(14.7%)。症状负担(r=0.451,P<0.01)、日常感知歧视(r=-0.251,P<0.01)、疾病自我管理能力(r=0.302,P<0.01)与症状管理未满足需求相关。线性回归分析结果显示,症状负担、日常感知歧视、疾病自我管理能力、目前未工作是症状管理未满足需求的独立影响因素(P<0.05)。结论部分HIV感染者症状管理需求未得到满足,生活在严重的症状负担中而没有良好的管理策略。临床医护人员应帮助感染者提高自我管理能力,制订有效的减轻症状负担的干预方法。
Objective To investigate the unmet needs for symptom management of HIV-positive population and influencing factors.Methods From April to September 2017,study participants were recruited from the outpatient and inpatient HIV/AIDS wards in Shanghai Public Health Clinical Center.Self-administered questionnaires were implemented and medical charts were reviewed.Results A total of 367 participants were recruited,53.1%(195 of 367)of participants presented at least one unmet need for symptom management in the past 4 weeks,with the highest incidence of fatigue management need(14.7%).Symptom burden(r=0.451,P<.01),perceived stigma(r=-0.251,P<.01),and reduced selfmanagement capacity(r=0.302,P<.01)were associated with unmet needs for symptom management.Conclusion The findings indicate that there is room for improvement in symptom management for HIV-positive population.Culturally appropriate interventions focusing on improving symptom burden,decreasing HIV perceived stigma,and enhancing selfmanagement capacity can enhance symptom management in this population.
作者
董宁
鲍美娟
卢洪洲
朱政
胡雁
DONG Ning;BAO Meijuan;LU Hongzhou;ZHU Zheng;HU Yan(Shanghai Public Health Clinical Center,Shanghai 201508,China;Nursing College of Hehai University,Shanghai 200032)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2021年第1期50-54,共5页
Chinese Journal of Aids & STD
基金
国家自然科学基金面上项目(71673057)
上海市护理学会科研项目(2019SD-B01)。
关键词
艾滋病
症状管理
症状负担
需求
HIV/AIDS
symptom management
symptom burden
needs
