人性照护理论在住院艾滋病患者心理干预中的应用  

Application of humanized care theory on the psychological intervention of AIDS patients in the hospital

作　　者：宋萍伟[1] 陈素珍[2] 

机构地区：[1]山东省烟台毓璜顶医院病房手术室,264000 [2]福州市传染病医院一病区,350025

出　　处：《中华现代护理杂志》2012年第10期1131-1134,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨人性化护理服务在改善住院艾滋病患者心理状况中的效果。方法采用整群抽样方法，应用自制问卷收集艾滋病患者的基本资料；采用症状自评量表（SCL-90）于入院当周对60例艾滋病住院患者进行评估。按每4个人为一个区组单位，采用区组随机的方法将病人分为实验组和对照组。对照组按传染科护理常规实施护理，实验组在此基础上以华生人性照顾理论为指导进行干预。比较两组干预效果。结果实验组与对照组干预前SCL-90各因子分差异均无统计学意义（P〉0．05）。干预后实验组强迫、人际敏感、抑郁、焦虑、敌意、恐怖、偏执和精神病性8个因子得分分别为（1．84±0．74），（1．43±0．27），（2．01±0．64），（1．49±0．52），（1．56±0．54），（1．45±0．75），（1．52±0．78），（1．56±0．42）分，与对照组各项得分[（1．97±0．63），（1．94±0．36），（2．11±0．61），（1．84±0．44），（1．98±0．67），（1．93±0．53），（1．83±0．87），（1．76±0．36）分]比较，差异均有统计学意（t值分别为2．31—2．97，P〈0．05）；躯体化、附加因子干预后比较差异无统计学意义（P〉0．05）。实验组患者的满意度高于对照组的满意度（P〈0．01）。结论应用华生人性照护理论进行护理可改善艾滋病患者的心理状况，提高护理质量，从而促进患者身心健康的恢复。Objective To explore the effects of humanized care theory for improving the psychological conditions of AIDS patients in hospital. Methods A self-designed questionnaire was used to collect the basic information of patients. Using the cluster sampling method and SCL-90, 60 AIDS patients were evaluated after admitted to hospital in first week. Patients were divided into experimental and control group by block random methods and every four cases consisted a block. The control group was treated with conventional nursing care, and the experimental group was treated with humanized care theory intervention on the basis of conventional nursing care. The effects were compared and analyzed. Results There is not significantly different between the two groups in SCL-90 （P 〉 0. 05 ）. In experimental group, compel, interpersonal sensitive, depression, anxiety, hostility, terror, crankiness and psychotic scores were （ 1.84 ± 0.74）, （ 1.43 ± 0.27 ）, （ 2.01 ± 0.64）, （ 1.49 ± 0.52）, （ 1.56 ± 0.54）, （ 1.45 ± 0.75 ）, （ 1.52 ± 0.78 ）, （ 1.56 ± 0. 42）, respectively, and those in the control group were （1.97±0.63）, （1.94±0.36）, （2.11 ±0.61）, （1.84±0.44）, （1.98± 0. 67 ）, （ 1.93 ± 0.53 ）, （ 1.83 ± 0.87 ）, （ 1.76 ± 0.36 ）, respectively, and the differences were statistically significant （t =2.31 -2.97,P 〈 0.05）. There are no statistical different in somatization, additional factor before and after intervention （ P 〉 0.05 ）. Satisfaction in the experimental group is higher than the control group （P 〈 0.01 ）. Conclusions Application of human nature care could improve the psychological condition, increase the nursing quality and promote the recovery of the psychological and body health.

关 键 词：获得性免疫缺陷综合征 人性照护理论 心理干预 

分 类 号：R473.5[医药卫生—护理学]