心理护理结合同伴教育对艾滋病患者抗病毒治疗服药依从性影响.docVIP

心理护理结合同伴教育对艾滋病患者抗病毒治疗服药依从性影响 　　【摘要】 目的 ?论心理护理结合同伴教育对艾滋病患者抗病毒治疗服药依从性的影响。 　　方法 650例艾滋病患者， 根据护理的方法的不同分为实验组与对照组， 每组325例。两组患者均实行抗病毒治疗， 对照组患者采用常规护理， 实验组患者在常规护理的基础上采用心理护理结合同伴教育， 比较两组患者服药依从情况、机会性感染发生情况及相关临床指标。结果 治疗护理后， 实验组患者服药依从率为98.77%， 明显高于对照组的81.23%， 差异具有统计学意义（P0.05）。治疗护理后， 实验组患者的CD4+T淋巴细胞计数明显高于对照组， 护理3个月内的漏服次数、未按规时间的服药次数均明显少于对照组， 差异均具有统计学意义（P0.05）。治疗期间， 实验组发生机会性感染5例， 发生率为1.54%， 对照组发生机会性感染42例， 发生率为12.92%；实验组机会性感染发生率明显低于对照组， 差异具有统计学意义（χ2=31.398， P0.05）。结论 对艾滋病患者实行抗病毒治疗的同时使用心理护理结合同伴教育， 可以有效的提高患者的服药依从性， 值得推广。 　　【关键词】 心理护理；同伴教育；抗病毒治疗；艾滋病；服药依从性 　　DOI：10.14163/j.cnki.11-5547/r.2017.35.080 　　【Abstract】 Objective To discuss the effect of psychological nursing combined with peer education on medication compliance of antiretroviral therapy in acquired immune deficiency syndrome patients. Methods A total of 650 patients with acquired immune deficiency syndrome were divided by different nursing methods into experimental group and control group， with 325 cases in each group. Both groups received antiviral therapy. The control group received conventional nursing， and the experimental group received psychological nursing combined with peer education on the basis of conventional nursing. Comparison were made on medication compliance， occurrence of opportunistic infections and related clinical indicators between two groups. Results After nursing， the experimental group had obviously higher medication compliance as 98.77% than 81.23% in the control group， and the difference was statistically significant（P0.05）. After treatment and nursing， the experimental group had obviously higher CD4+T lymphocyte count than the control group， and obviously less number of missed visits and the number of irregular medication within 3 months of nursing than the control group. Their difference was statistically significant（P0.05）. During treatment， the experimental group had 5 cases with opportunistic infections， accounting for 1.54%， while the control group had 42 cases with opportunistic infections