病情告知干预对HIV感染父母社会支持和压力的影响  

Impact of disease disclosure intervention on social support and stress of HIV-positive parents

作　　者：孙美艳[1,2] 张林[1] 张锋镝[1] 孙建军[1] 张晶[1] 鲍美娟[1] 卢洪洲[1,3] 

机构地区：[1]复旦大学附属公共卫生临床中心,上海201508 [2]复旦大学护理学院 [3]复旦大学附属华山医院

出　　处：《护理学杂志》2016年第1期22-25,共4页Journal of Nursing Science

基　　金：国家科技重大专项"十二五"项目艾滋病和病毒性肝炎等重大传染病防治科技重大专项项目(2012ZX10001003)

摘　　要：目的探讨一对一病情告知干预对HIV感染父母社会支持和压力的影响。方法将40例HIV感染父母随机分为观察组和对照组各20例。对照组给予常规随访和护理干预,观察组由经过心理学培训的护士实施3次一对一的病情告知技巧干预。结果与对照组比较,干预后第4周、第12周观察组信息和情感支持增加,感知压力与病情告知压力降低(均P<0.05)。结论病情告知干预能提高HIV感染父母的社会支持,减轻其感知压力和病情告知压力。Objective To investigate the effect of one-to-one disease disclosure intervention on improvement of social support and relief of perceived stress in HIV-positive parents.Methods Forty HIV-positive parents were randomly divided into two groups of 20.The control group was given routine follow-up and nursing interventions,while the observation group additionally received nurseled one-to-one intervention concerning skills of disease disclosure 3times.Results Compared with the control group,the observation group reported higher emotional/informational support and lower perceived stress and HIV disclosure stress at 4and 12 weeks after intervention（P〈0.05 for all）.Conclusion Disease disclosure intervention can improve social support and alleviate stress in HIVpositive parents.

关 键 词：艾滋病 病情告知 社会支持 感知压力 病情告知压力 

分 类 号：R471[医药卫生—护理学] R512.91[医药卫生—临床医学]