外化叙事护理在艾滋病患者中的应用效果  

Application effects of externalized narrative nursing in AIDS patients

作　　者：王静文 张传艺 王伟彬 WANG Jingwen;ZHANG Chuanyi;WANG Weibin(Department of Infectious Disease of Hui’an County Hospital,Quanzhou 362100 Fujian,China)

机构地区：[1]惠安县医院感染性疾病科,福建泉州362100

出　　处：《中国民康医学》2025年第4期178-180,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察外化叙事护理在艾滋病患者中的应用效果。方法:选取2019年11月至2021年11月于该院门诊随访的233例艾滋病患者进行前瞻性研究,按随机数字表法将其分为对照组116例和观察组117例。对照组采取常规护理,观察组在对照组基础上采用外化叙事护理。比较两组护理前后服药依从性(Morisky服药依从性量表)、病耻感[社会影响量表(SIS)]和生存质量[艾滋病患者生存质量量表(MOS-HIV)]评分。结果:护理后,两组Morisky服药依从性量表评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组社会排斥、社会隔离、内在羞耻、经济保障等SIS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组生理、心理领域等MOS-HIV评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用外化叙事护理可提高艾滋病患者服药依从性和生存质量评分,以及降低病耻感评分的效果优于单纯常规护理。Objective:To observe application effects of externalized narrative nursing in AIDS patients.Methods:A prospective study was conducted on 233 AIDS patients who were followed up in the outpatient department of the hospital from November 2019 to November 2021.According to the random number table methods,they were divided into control group(116 cases)and observation group(117 cases).The control group received routine nursing,while the observation group received the externalized narrative nursing on the basis of that of the control group.The scores of medication compliance(Morisky medication adherence scale-8),stigma[social impact scale(SIS)]and quality of life[quality of life scale for AIDS patients(MOS-HIV)]were compared between the two groups before and after the nursing.Results:After the nursing,the Morisky medication adherence scale-8 scores of the two groups were higher than those of before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SIS scores of social exclusion,social isolation,internal shame and economic security in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the MOS-HIV scores of physiological and psychological fields in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the externalized narrative nursing can improve the medication compliance scores and the quality of life scores of the AIDS patients,and reduce the stigma scores.Moreover,it is superior to simple routine nursing.

关 键 词：艾滋病 外化叙事护理 服药依从性 病耻感 生存质量 

分 类 号：R512.91[医药卫生—内科学]