延伸护理对老年获得性免疫缺陷综合症患者抗病毒服药依从性及家庭支持的影响  

Effect of extended care on compliance of antiviral medication and family support in elderly patients with acquired immunodeficiency syndrome

作　　者：黄茶英[1] 吴爱莲 胡雪丹[1] 罗连华 肖小兰 HUANG Cha-ying;WU Ai-lian;HU Xue-dan;LUO Lian-hua;XIAO Xiao-lan(The Fifth Departmen of Internal Medicine,Jiangxi Chest Hospital,Nanchang330006,China)

机构地区：[1]江西省胸科医院内五科,江西南昌330006

出　　处：《中国当代医药》2020年第33期207-210,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20195598)。

摘　　要：目的研究延伸护理对老年获得性免疫缺陷综合症(AIDS)患者抗病毒服药依从性及家庭支持的影响。方法选取2018年6月~2019年7月江西省胸科医院收治的80例老年AIDS患者,采用随机数字表法将其分为对照组和试验组,每组各40例。对照组采用常规护理,试验组采用延伸护理,护理后6个月后比较两组的服药依从性、生活质量和家庭支持情况。结果两组护理前的依从性和社会支持评分比较,差异无统计学意义(P>0.05);护理后试验组的依从性评分为(7.05±0.41)分、社会支持评分为(23.12±3.58)分,高于对照组的(5.96±0.74)分、(14.61±3.29)分,差异均有统计学意义(P<0.05)。两组护理前的生活质量评分比较,差异无统计学意义(P>0.05);护理后试验组的生理功能、躯体疼痛、生理职能、生命力、一般健康状况、情感职能、社会功能和精神健康评分高于对照组,差异有统计学意义(P<0.05)。结论对老年AIDS患者实施延伸护理能有效提高患者抗病毒服药依从性和社会支持水平,改善生活质量。Objective To study the effect of extended care on compliance of antiviral medication and family support in elderly patients with acquired immunodeficiency syndrome(AIDS).Methods Eighty elderly AIDS patients admitted to Jiangxi Chest Hospital from June 2018 to July 2019 were selected,and they were divided into control group and test group by random number table method,40 cases in each group.The control group received routine care and the test group used extension nursing,the medication compliance,quality of life and family support of patients of the two groups at 6 months after nursing were compared.Results There were no statistically significant differences in the compliance score and social support score between two groups before nursing(P>0.05);the compliance score was(7.05±0.41)points and social support score was(23.12±3.58)points in the test group,which were high after nursing than those in the control group of(5.96±0.74)and(14.61±3.29)points,the differences were statistically significant(P<0.05).The quality of life score comparison between the groups before nursing,the difference was not statistically significant(P>0.05);nursing the post-test group′s physiological function,physical pain,physiological function,vitality,general health status,emotional function,social function and mental health scores were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The implementation of extended care for elderly AIDS patients can effectively improve their compliance with antiviral medication and social support level,and improve the quality of life.

关 键 词：延伸护理 艾滋病 依从性 生活质量 社会支持 

分 类 号：R473.5[医药卫生—护理学]