以家庭为中心的延续性随访护理模式对HIV母婴阻断效果的影响  

Effects of family-centered continuous follow-up nursing on preventing HIV mother-to-child transmission

作　　者：张志云[1] 白静 谢美莲 Zhang Zhiyun;Bai Jing;Xie Meilian(Nursing Department,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China;Department of Pediatrics,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China)

机构地区：[1]首都医科大学附属北京地坛医院护理部,100015 [2]首都医科大学附属北京地坛医院儿科,100015

出　　处：《中华现代护理杂志》2020年第17期2336-2341,共6页Chinese Journal of Modern Nursing

基　　金：首都医科大学附属北京地坛医院基金项目(京地伦科字〔2017〕第(017)-01号)。

摘　　要：目的探讨针对艾滋病(AIDS)家庭分娩新生儿开展以家庭为中心的延续性随访护理模式的效果。方法本研究采取历史对照临床试验设计,随机选取在2015年1月—2017年12月于首都医科大学附属北京地坛医院儿科病房住院且进行HIV母婴阻断并符合纳入和排除标准的60例新生儿为研究对象,将2015年1月—2016年6月收入的30例新生儿作为对照组,2016年7月—2017年12月收入的30例新生儿作为观察组。对照组予以门诊随访常规护理干预,观察组予以家庭为中心的延续性随访护理模式。比较两组母婴阻断成功率、母婴阻断依从性、发育营养指标及营养不良发生率等相关指标。结果观察组婴幼儿在18月龄时的头围、身长、上臂围指标优于对照组,差异有统计学意义(P<0.05),而体重差异无统计学意义(P>0.05)。两组研究对象母婴阻断成功率均为100%,然而其母婴阻断依从性方面却存在差异,观察组婴幼儿母婴阻断依从性高于对照组,差异有统计学意义(P<0.05);观察组复诊失约率、再住院率低于对照组,差异有统计学意义(P<0.05);观察组监护人对阻断治疗知识掌握程度优于对照组(P<0.05)。结论以家庭为中心的延续性随访护理能够有效提高婴幼儿母婴阻断的依从性,降低其复诊失约率,减少再住院率,促进婴幼儿生长发育及营养水平的健康正常发展。Objective To explore the effects of family-centered continuous follow-up nursing in neonate delivery among acquired immune deficiency syndrome(AIDS)families.Methods This study adopted the historical control clinical trial design,and randomly selected 60 neonate with preventing human immunodeficiency virus(HIV)mother-to-child transmission and met the inclusion and exclusion criteria in Department of Pediatrics of Beijing Ditan Hospital affiliated to Capital Medical University as subjects from January 2015 to December 2017.A total of 30 neonate from January 2015 to June 2016 were in control group,and 30 neonate from July 2016 to December 2017 were in observation group.Control group carried out the routine outpatient follow-up nursing,while observation group implemented the family-centered follow-up nursing.This study compared the success rate and compliance of preventing mother-to-child transmission,nutritional indicators as well as incidence of malnutrition between two groups.Results The head circumference,height and arm circumference of infants aged 18 months in observation group were better than those in control group with statistical differences(P<0.05);but there was no statistical difference in the weight(P>0.05).The success rates of preventing mother-to-child transmission between two groups were all 100%.The compliance with preventing mother-to-child transmission of observation group was higher than that of control group with a statistical difference(P<0.05);rates of missed further consultation and readmission of observation group was lower than those of control group with statistical differences(P<0.05).The block therapy knowledge of guardians of observation group was better than those of control group with statistical difference(P<0.05).Conclusions Family-centered continuous follow-up nursing can effectively improve the compliance with preventing mother-to-child transmission of infants,reduce rates of missed further consultation and readmission,promote the growth of infants and healthy development of nutrit

关 键 词：获得性免疫缺陷综合征 母婴阻断 以家庭为中心 随访 延续护理 

分 类 号：R473.72[医药卫生—护理学]