华生人性照护理论改善艾滋病患者心理状态效果评价.docVIP

华生人性照护理论改善艾滋病患者心理状态效果评价 　　摘要：目的 探讨华生人性照护理论运用于改善艾滋病患者心理状态的效果。方法 纳入79例入住传染科的艾滋病患者，按照运用数字随机表法随机分为对照组（39例）和实验组（40例）。对照组患者采用常规的护理方法，试验组患者采用基于华生人性照护理论的护理。运用汉密尔顿焦虑评分和抑郁评分法在入院、1个月和3个月时的患者焦虑和抑郁的状态进行评分，比较两组患者的评分差异。 结果 1个月时，两组患者的HAMA、HAMD评分均低于入院时的评分（P0.05），但实验组较对照组更低（P0.05）。3个月时，实验组患者的焦虑和抑郁评分均低于1个月时评分（P0.05），且低于对照组（P0.05）。结论 运用华生人性照护理论指导护理实践有利于改善艾滋病患者的焦虑、抑郁心理，值得在临床推广。 　　关键词：艾滋病；华生人性照护理论；焦虑；抑郁；心理健康 　　Evaluation of the Effect of Wahsons Theory of Human Nursing in Improving the Psychological State of AIDS Patients 　　HE Rong-fang，ZHONG Qi-yan，GU Qing-yan，LIU Min-yong 　　（Infectious Disease Department，The First Affiliated Hospital of Southwest Medical University，Luzhou 646000，Sichuan，China） 　　Abstract：Objective To explore the effects of Jean Wastons humanized care theory for improving the psychological conditions about anxiety and depression of AIDS patients in hospital. Methods We select seventy-nine AIDS patients， who were randomly divided into two groups， control group （n=39） and experimental group （n=40）. The control group was receiving conventional nursing care， and the experimental group was receiving nursing care based on Jean Wastons humanized care theory. Hamilton Anxiety （HAMA） and Hamilton Depression （HAMD） were utilized to evaluate patients psychical conditions at first-in， 1st month and 3rd month. Results At the end of 1st month， both groups HAMA and HAMD scores are lower than their first-in （P0.05）， while the experimental group is statistically lower than the control group （P0.05）. At the end of 3rd month， both HAMA score and HAMD score of experimental group are lower than the 1st month， as well as the control group. Conclusion Put the nursing care based on Jean Wastons humanized care theory into practice could improve AIDS patients anxiety and depression conditions， which is worth a wide application. 　　Key words：AIDS， Jean Wastons humanized care theory；Anxiety；Depression；Psychological health 　　获得性免疫系统缺陷综合征，又称艾滋病，是由人免疫缺陷病毒（HIV）所引起的致命性慢性传染病。据统计，截至2013年底全球约有3500