认知行为管理结合叙事护理对艾滋病患者病耻感的影响  

The effect of cognitive-behavioral management combined with narrative care on stigma in AIDS patients

作　　者：陈海霞 张吉澄 王珂璐 邹磊 CHEN Haixia;ZHANG Jicheng;WANG Kelu;ZOU Lei(Yancheng Seventh People's Hospital,Yancheng 224000,China)

机构地区：[1]盐城市第七人民医院,江苏盐城224000

出　　处：《心理月刊》2025年第3期173-175,共3页

摘　　要：目的对艾滋病患者实施认知行为管理和叙事护理,探讨该护理措施对患者的临床应用效果及产生疾病羞耻感的影响。方法选取本院在2023年1月~2024年3月收治的240例符合纳排标准的患者为研究样本,样本分组方法:随机数字表法(对照组、观察组),对照组采用叙事护理,观察组在其基础上增加行为认知管理,对比其临床应用效果。结果(1)观察组患者病耻感、对疾病恐惧程度均低于对照组(P<0.05);(2)观察组心理状态优于对照组(P<0.05);(3)与对照组相比,观察组患者的服药依从性更高(P<0.05)。结论认知行为管理结合叙事护理不仅可以减轻患者的病耻感,提升其应对疾病的能力,还能促进其心理健康和服药依从性,保证整体生活质量的提升。Objective To implement cognitive-behavioral management and narrative nursing for AIDS patients,and to explore the impact of this nursing measure on the clinical application of patients and the stigma of the disease.Methods A total of 240 patients who met the inclusion criteria were randomly divided into two groups(control and observation)from January 2023 to March 2024.Results(1)The degree of stigma and fear of disease in the observation group were lower than those in the control group(P<0.05);(2)the psychological state of the observation group was better than that in the control group(P<0.05);(3)compared with the control group,the medication compliance of the patients in the observation group was higher(P<0.05).Conclusion Cognitive-behavioral management combined with narrative nursing can not only reduce patients'stigma,improve their ability to cope with diseases,but also promote their mental health and medication compliance,and ensure the improvement of overall quality of life.

关 键 词：认知行为管理 叙事护理 艾滋病 病耻感 心理状态 服药依从性 

分 类 号：R47[医药卫生—护理学]