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目的探讨心理干预对艾滋病与肺结核双重感染患者生活质量的改善作用。方法选取2014年1月到2016年1月在贵州省医科大学第三附属医院就诊的80例艾滋病与肺结核双重感染的患者作为研究的对象,随机分为对照组和观察组,各40例。对照组患者采取常规的护理方式,观察组给以心理护理方式,均干预3个月,采用生活质量量表(SQOL-46)记录两组患者干预前后的生活质量评分,主要包括身体状态、心理状态、社会状态和一般性感受,并比较两组患者干预后的生活质量评分变化情况。采用SPSS16.0统计软件进行统计分析,计量资料用均数±标准差(±s)表示,采用t检验,计数资料用率(%)表示,采用χ~2检验,P<0.05表示差异有统计学意义。结果干预前,两组生活质量量表评分比较,差异无统计学意义(P>0.05)。干预后,观察组患者的身体状态(50.84±7.20)分、心理状态(38.4±8.76)分、社会状态(32.47±7.8)分和一般性感受评分(28.6±5.4)分与对照组[(33.22±4.06)、(29.80±4.10)、(21.40±3.54)、(15.60±4.20)、(101.8±9.36)分]比较差异有统计学意义(P<0.05)。观察组患者的总体生活质量评分(148.7±18.69)分显著优于对照组(101.8±9.36)分,差异有统计学意义(P<0.05)。结论心理护理干预能够有效改善艾滋病与肺结核双重感染患者的生活质量。
Objective To explore the effect of psychological intervention on quality of life in patients with dual infection of HIV and tuberculosis. Methods From January 2014 to January 2016, 80 patients with AIDS and tuberculosis double infection in the Third Affiliated Hospital of Guizhou Medical University were enrolled and randomly divided into control group and observation group, 40 cases in each group. The patients in the control group were given routine nursing care, and the observation group were given psychological care. All patients in the observation group were intervened for 3 months. The quality of life scores before and after intervention were recorded by SQOL-46, including body state, psychology Status, social status and general feeling, and compared the changes of quality of life scores after intervention in two groups. Statistical analysis was carried out by using SPSS16.0 statistical software. The measurement data were expressed as mean ± standard deviation (± s), t test was used, the data rate (%) was used as the count data, andχ ~ 2 test was used. Statistical significance. Results Before intervention, there was no significant difference between the two groups in quality of life scale scores (P> 0.05). After intervention, the physical status (50.84 ± 7.20), mental status (38.4 ± 8.76), social status (32.47 ± 7.8) and general sensory score (28.6 ± 5.4) in the observation group were significantly lower than those in the control group [(33.22 ± 4.06), (29.80 ± 4.10), (21.40 ± 3.54), (15.60 ± 4.20) and (101.8 ± 9.36) points respectively. There was significant difference between the two groups (P <0.05). The overall quality of life score of the observation group (148.7 ± 18.69) was significantly better than that of the control group (101.8 ± 9.36), the difference was statistically significant (P <0.05). Conclusion Psychological nursing intervention can effectively improve the quality of life of patients with dual infection of AIDS and tuberculosis.