家庭支持性延伸管理在人类免疫缺陷病毒母婴阻断中的应用研究  

Application of Family Supportive Extended Management in Mother-to-child Block of Human Immunodeficiency Virus

作　　者：何嘉健 李伟婷 文梓珊 周翠玲 He Jiajian;Li Weiting;Wen Zishan;Zhou Cuiling(Department of Neonatology,the Eighth Affiliated Hospital of Guangzhou Medical University,Guangzhou 510440,Guangdong Province,China)

机构地区：[1]广州医科大学附属市八医院新生儿科,广东广州510440

出　　处：《中外医药研究》2024年第36期109-111,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：2022年度广东省医学科研基金立项项目(编号:A2022409);广州市科技局2023年市校(院)企联合资助项目(编号:2023A03J0627)。

摘　　要：目的:探究家庭支持性延伸管理对人类免疫缺陷病毒(HIV)母婴阻断产妇及其婴儿的影响。方法:选取广州医科大学附属市八医院2020年1月—2022年9月就诊的30例HIV母婴阻断产妇纳入对照组(实施常规护理模式),2022年10月—2023年12月就诊的30例HIV母婴阻断产妇纳入观察组(在对照组基础上实施新生儿家庭支持性延伸管理)。比较两组护理干预结局及产妇认知水平、心理状态。结果:干预3个月后,观察组新生儿营养正常率、复诊依从率均高于对照组(P<0.05);干预后,两组自我、机构、身体、传染、绝症评分及汉密尔顿抑郁量表评分低于干预前,观察组低于对照组(P<0.05)。结论:家庭支持性延伸管理护理模式能够增强经母婴阻断治疗的HIV感染产妇的心理弹性及认知水平,提高母婴阻断婴儿的营养水平及复诊依从性。Objective:To explore the effect of family supportive extended management on mothers and their child with mother-to-child block with human immunodeficiency virus(HIV).Methods:Thirty pregnant women with HIV mother-to-child block treatment from January 2020 to September 2022 in the Eighth Affiliated Hospital of Guangzhou Medical University were included in the control group(routine nursing mode was implemented).From October 2022 to December 2023,thirty cases of mothers with HIV mother-to-child block treatment were included in the observation group(on the basis of the control group,newborn family supportive extended management was implemented).The outcomes of nursing intervention,maternal cognitive level and mental state were compared between the two groups.Results:After 3 months of intervention,the normal rate of newborn nutrition and the rate of follow-up compliance in the observation group were higher than those in the control group(P<0.05);after intervention,the scores of self,institution,body,infection,terminal illness and Hamilton depression scale in two groups were lower than before intervention,and the observation group was lower than the control group(P<0.05).Conclusion:The family supportive extended management nursing model can enhance the mental resilience and cognitive level of HIV pregnant women who have been treated by mother-to-child block,improve the nutritional level of infants who have been treated by mother-to-child block,and improve the compliance of follow-up visits.

关 键 词：人类免疫缺陷病毒 母婴阻断 家庭 延伸管理 

分 类 号：R446.5[医药卫生—诊断学]