AIDS教育课堂对PLWHA住院患者病耻感、治疗依从性和负性情绪影响  

Impact of AIDS education classroom on stigma,treatment compliance,and negative emotions in PLWHA hospitalized patients

作　　者：吴荣珍[1] 陆文娟[2] 缪平平 张柳 钱峰[2] Wu Rong-zhen;Lu Wen-juan;Miao Ping-ping;Zhang Liu;Qian Feng(Suzhou Fifth People's Hospital Nursing Department,Jiangsu Suzhou 215000,China;Suzhou Fifth People's Hospital Seven ward,Jiangsu Suzhou 215000,China)

机构地区：[1]苏州市第五人民医院护理部,江苏苏州215000 [2]苏州市第五人民医院七病区,江苏苏州215000

出　　处：《实用临床护理学电子杂志》2019年第51期3-4,共2页Electronic Journal of Practical Clinical Nursing Science

摘　　要：目的探讨艾滋病(AIDS)住院患者教育课堂对存活HIV感染者/AIDS(PLWHA)患者HIV相关知识普及率、病耻感、治疗依从性、负性心理情绪的影响结果。方法选取我院七病区2018年01月~2018年12月间收治的PLWHA患者及家属160人作为研究对象,实施主题为小“艾”止步,大爱前行的优质护理服务方案-AIDS住院患者教育课堂,课次8次。对比患者授课前后HIV相关知识普及率、治疗依从性、病耻感(BHSS)和焦虑抑郁(HAD)负性情绪评分。结果授课后,患者HIV相关知识普及率、治疗依从性和有效率明显高于授课前,患者BHSS、HAD评分明显低于授课前,差异有统计学意义(P<0.05)。结论通过8课次的住院患者课题授课学习,PLWHA患者HIV相关知识普及率得到明显提高,能自觉和主动采取预防措施,积极主动接受治疗且治疗有效性明显提高,传染源的传染性降低。Objective To explore the effect of education classes for inpatients with AIDS on the spread of HIV-related knowledge,stigma,treatment compliance,and negative psychological emotions among surviving HIV/AIDS(PLWHA)patients.Methods We selected 160 PLWHA patients and their families who were treated in the seven wards of our hospital from January 2018 to December 2018 as the research object,and implemented a high-quality care service program with the theme of“Small Ai”and great love-AIDS inpatients Educational class,8 lessons.The prevalence of HIV-related knowledge,treatment compliance,stigma(BHSS),and anxiety and depression(HAD)negative emotion scores were compared before and after teaching.Results After teaching,the compliance rate and effective rate of treatment of HIV-related knowledge penetration rate were significantly higher than before teaching.The BHSS and HAD scores of patients were significantly lower than before teaching,and the differences were statistically significant(P<0.05).Conclusion Through 7 courses of in-patient teaching,the rate of HIV-related knowledge of PLWHA patients has been significantly improved,preventive measures can be taken consciously and proactively,treatment has been proactively received and treatment effectiveness has been significantly improved,and the infectivity of the source of infection has decreased.

关 键 词：AIDS 课堂教育 HIV知识 病耻感 依从性 负性情绪 

分 类 号：R47[医药卫生—护理学]