个案管理模式对AIDS患者自我管理及社会生活的影响  

Influence of Case Management Model on Self-management and Social Life in AIDS Patients

作　　者：张利漫[1] ZHANG Liman(Nanjing Second Hospital,Nanjing 210003,China)

机构地区：[1]南京市第二医院,江苏南京210003

出　　处：《中外医学研究》2024年第16期81-85,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨个案管理模式对获得性免疫缺陷综合征(acquired immune deficiency syndrome,AIDS)患者自我管理及社会生活的影响。方法:选取2023年1—9月南京市第二医院感染科门诊收治的102例AIDS患者作为研究对象,随机分成对照组(51例)和观察组(51例),对照组采用常规模式护理,观察组在此基础上采用个案管理模式进行护理,比较两组干预前后自我管理行为、心理社会适应能力和社会支持评分。结果:干预前,两组自我管理行为、心理社会适应能力和社会支持得分比较,差异无统计学意义(P>0.05)。干预后,观察组自我管理行为得分、主观支持、客观支持及社会支持总分均高于对照组,心理社会适应评分低于对照组,差异有统计学意义(P<0.05)。两组干预后对支持的利用度评分比较,差异无统计学意义(P>0.05)。结论:个案管理模式可以缓解AIDS患者焦虑、抑郁的情绪,增强其战胜疾病的正性行为,提高自我管理能力和社会适应能力,提高社会支持。Objective:To explore the influence of case management model on self-management and social life in patients with acquired immune deficiency syndrome(AIDS).Method:A total of 102 AIDS patients admitted to the Outpatient Department of Infection Department of Nanjing Second Hospital from January to September 2023 were selected as the study objects,and randomly divided into control group(51 cases)and observation group(51 cases).The control group was treated with routine nursing mode,and the observation group was treated with case management model.Self-management behavior,psychosocial adaptability and social support scores were compared between the two groups before and after intervention.Result:Before intervention,there were no significant differences in self-management behavior,psychosocial adaptability and social support scores between the two groups(P>0.05).After intervention,the scores of self-management behavior,subjective support,objective support and total scores of social support in the observation group were higher than those in the control group,and the scores of psychosocial adaptation were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in support utilization scores between the two groups after intervention(P>0.05).Conclusion:The case management model can relieve the anxiety and depression of AIDS patients,enhance their positive behavior of combating the disease,improve self-management ability,social adaptability and social support.

关 键 词：个案管理 自我管理能力 心理社会适应能力 社会支持 

分 类 号：R473.5[医药卫生—护理学]