论文部分内容阅读
目的探讨自我管理小组模式对HIV感染者/AIDS患者生活质量的影响。方法在艾滋病综合防治信息管理系统中随机选择2014年3月31日前报告的200例年龄≥18岁的HIV感染者/AIDS患者随机分为研究组和对照组,对照组采用常规健康教育,研究组采用为期6个月的自我管理教育,在干预实施前后分别对两组患者进行自我管理能力和生活质量评价。结果实施健康教育之前,两组患者的自我管理能力(总分、各维度得分)之间差异无统计学意义(P>0.05);而实施干预后,自我管理教育组患者的自我管理能力明显提升,也明显高于对照组的普通健康教育患者(P<0.01)。实施健康教育之前,两组患者的生理状况、心理状况、独立性、社会关系、环境、精神支持与个人信仰及总体健康状况和生存质量评分比较,差异均无统计学意义(P>0.05);实施干预后,自我管理教育组患者的生理状况、心理状况、社会关系及总体健康状况和生存质量评分明显高于对照组的普通健康教育患者(P<0.05),而独立性、环境领域和精神支柱与个人信仰得分在两组患者间差异无统计学意义(P>0.05)。结论自我管理教育能提高HIV感染者/AIDS患者的自我管理能力,改善患者的生活质量。
Objective To explore the impact of self-management group on the quality of life of HIV / AIDS patients. Methods A total of 200 HIV / AIDS patients aged 18 years and older who reported before March 31, 2014 were randomly divided into study group and control group in the AIDS integrated information management system. The control group received routine health education, and the study group A 6-month self-management education was used to evaluate the self-management ability and quality of life of the two groups before and after the intervention. Results Before the implementation of health education, there was no significant difference between the two groups in self-management ability (score, score of each dimension) (P> 0.05); after self-management intervention, self-management ability of patients in self-management education group increased significantly , Also significantly higher than the control group of general health education patients (P <0.01). Before the implementation of health education, there was no significant difference in the physiological status, psychological status, independence, social relations, environment, spiritual support and personal beliefs and overall health status and quality of life between the two groups (P> 0.05). After intervention, the scores of physical status, psychological status, social relations and overall health status and quality of life in self-management education group were significantly higher than those in control group (P <0.05), but independence, environment field and spirit There was no significant difference in pillars and personal belief scores between the two groups (P> 0.05). Conclusion Self-management education can improve the self-management ability of HIV / AIDS patients and improve their quality of life.