11例HIV/AIDS患者HAART治疗中发生免疫重建炎性综合征的护理体会  

Nursing experience on immune reconstitution inflammatory syndrome among 11 HIV/AIDS patients during HAART

作　　者：冯怡 陈莉贞 

机构地区：[1]浙江省青春医院浙江省监狱中心医院综合病区,杭州310016 [2]浙江省青春医院浙江省监狱中心医院医教科,杭州310016

出　　处：《中华现代护理杂志》2017年第28期3654-3657,共4页Chinese Journal of Modern Nursing

基　　金：杭州市卫生科技计划（一般）项目（2016B64）

摘　　要：目的 总结11例HIV/AIDS患者HAART治疗中发生免疫重建炎性综合征时的病情变化和护理干预经验.方法 选取2012年2月—2017年3月在浙江省青春医院诊断并治疗的HIV/AIDS患者共11例,加强HIV/AIDS患者HAART治疗中早期病情观察,做好对患者的心理、行为护理干预,注重病情宣教,提高治疗依从性,注重药物护理,做好基础护理,预防护理并发症,避免职业暴露.结果 11例患者中10例免疫重建炎性综合征患者经过激素冲击、HAART治疗以及积极的心理、认知、行为等护理干预措施,患者治疗依从性提高,治疗获得满意效果,1例因肺部感染未能控制,出现成人呼吸窘迫综合征、急性肾功能衰竭、难以纠正的酸中毒死亡.结论 在HIV/AIDS患者HAART治疗中发生免疫重建炎性综合征当中,护理工作起到了至关重要的作用,在临床上值得广泛应用.Objective To summarize the changes of conditions and nursing experience on immune reconstitution inflammatory syndrome （IRIS） among 11 HIV/AIDS patients during highly active antiretroviral therapy （HAART）.Methods A total of 11 HIV/AIDS patients diagnosed and treated at Zhejiang Youth Hospital were selected from February 2012 to March 2017. This nursing care included enhancing the condition observation among patients in the early HAART, carrying out mental and behavior nursing well, paying attention to condition education, improving treatment compliance, emphasizing medication nursing, completing basic nursing well, preventing the nursing related complications and avoiding occupational exposure.Results The treatment compliance of 10 in 11 patients with IRIS improved along with satisfactory treatment effect after receiving hormone plus, HAART, psychological-cognitive-behavioral nursing and so on. There was one patient who died along with adults respiratory distress syndrome, acute renal failure and incorrigible acidosis because pulmonary infection could not be controlled.Conclusions Nursing care play an important role in IRIS among HIV/AIDS patients with HAART. It is worth to be used widely in clinical application.

关 键 词：护理 获得性免疫缺陷综合征 HAART治疗 免疫重建炎性综合征 

分 类 号：R473.5[医药卫生—护理学]