全程个案管理模式对HIV感染者/AIDS患者服药依从性和自我效能的影响
The effect of whole-course case management model on medication compliance and self-efficacy of HIV-infected /AIDS patients
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| DOI |
10.12208/j.ijnr.20240327 |
| 刊名 |
International Journal of Nursing Research
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| 年,卷(期) |
2024, 6(10) |
| 作者 |
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| 作者单位 |
南方医科大学南方医院 广东广州 ;
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| 摘要 |
全程个案管理对HIV/ AIDS患者自我效能及服药依从性的影响。方法 采用整群抽样法,选取2023年1月至2023年12月在本院感染科门诊就诊的首诊HIV/ AIDS患者104例,随机将患者分为观察组及对照组,每组各52例。对照组行常规健康教育,观察组采用全程个案管理模式,比较干预前、干预后两组自我效能、服药依从性、健康信念及生活质量改善情况。结果 观察组干预后自我效能评分、服药依从性评分、健康信念评分及生活质量评分较对照组显著提高(P<0.05),而观察组HIV病毒载量抑制率高于对照组(P<0.05)。结论 全程个案管理模式可提高HIV/ AIDS患者自我效能及健康信念,从而提高患者服用依从性,有利于患者病情控制,改善患者生活质量。
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| Abstract |
Objective To investigate the impact of multicultural health education based on feedback theory on self-efficacy and medication adherence of HIV/AIDS patients. Methods A cluster sampling method was used to select 104 first-time HIV/AIDS patients who visited the infectious disease clinic of our hospital from January 2023 to December 2023. The patients were randomly divided into an observation group and a control group, with 52 patients in each group. The control group received routine health education, while the observation group adopted a whole process case management model. The self-efficacy, medication adherence, health beliefs, and improvement in quality of life were compared between the two groups before and after intervention. Results After intervention, the self-efficacy score, medication adherence score, health belief score, and quality of life score in the observation group were significantly improved compared to the control group (P<0.05), while the HIV viral load inhibition rate in the observation group was higher than that in the control group (P<0.05). Conclusion The whole process case management model can improve the self-efficacy and health beliefs of HIV/AIDS patients, thereby enhancing their medication compliance, facilitating disease control, and improving their quality of life.
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| 关键词 |
全程个案管理;HIV/ AIDS;自我效能;服药依从性
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| KeyWord |
Whole process case management; HIV/ AIDS; Self-efficacy; Medication compliance
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| 基金项目 |
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| 页码 |
57-63 |
李冰,谢红燕*.
全程个案管理模式对HIV感染者/AIDS患者服药依从性和自我效能的影响 [J].
国际护理学研究.
2024; 6; (10).
57 - 63.