健康教育路径在首诊HIV/AIDS患者抗病毒治疗中的应用  

Application of health education pathway in anti-retroviral treatment for HIV/AIDS patients at first visit

作　　者：顾美萍[1] 朱婷敏 沈娟[1] GU Meiping, ZHU Tingmin, SHEN Juan(Department of Outpatient, Nantong No. 3 People＇s Hospital, Nantong, Jiangsu, 226006)

机构地区：[1]江苏省南通市第三人民医院门诊部,江苏南通226006

出　　处：《中西医结合护理（中英文）》2018年第8期35-37,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨在首诊艾滋病病毒感染和艾滋病(HIV/AIDS)患者抗病毒治疗中使用健康教育标准路径的效果。方法选择首诊为HIV/AIDS后接受抗病毒药物治疗的患者172例,其中2017年1月—6月86例首诊病例设为对照组,2017年7月—11月86例首诊病例设为研究组。对照组仅实施服药指导,研究组根据制订的健康教育路径实施健康教育。比较2组患者服药依从性和规范复诊率。结果研究组规范服药、定期门诊随访依从率高于对照组(P <0. 01),研究组漏服≥1次患者比例低于对照组(P <0. 01)。结论实施系统的健康教育路径能有效提高首诊HIV/AIDS患者服药依从性,规范复诊,减少治疗中断、脱失。Objective To investigate the effect of health education pathway in anti-retroviral treatment for Human Immunodeficiency Virus infection/Acquired Immune Deficiency Syndrome （HIV/AIDS） patients at first visit. Methods Totally 172 HIV/AIDS patients at first visit were given anti-retroviral treatment. Patients with first visit date between January, 2017 and June, 2017 were included as the control group, and those with first visit date between July, 2017 and Decem- ber, 2017 were recruited as the study group. Patients in the control group received routine medica- tion guide, and those in the study group were given health education pathway. The compliance of medication and return visits of patients were observed and compared between two groups. Results The compliance rates of medication and return visits were higher in the study group than those in the control group （P 〈0.01 ）. There were fewer patients in the study group missed at least 1 dose than those in the control group （P 〈 0.01 ）. Conclusion The health education pathway is effec- tive to improve the compliance of anti-retroviral medication and return visits in HIV/AIDS patients at first visit, also reduce the treatment discontinuation and lost

关 键 词：健康教育路径 艾滋病 首诊 服药依从性 复诊 

分 类 号：R512.91[医药卫生—内科学]