摘要
目的评价基于知信行理论的信息支持螺旋循环干预在住院人类免疫缺陷病毒感染者和艾滋病患者(PLWHA)生命质量中的应用效果,以期为提升其生命质量干预策略的制订提供科学依据。方法采用随机对照试验,方便抽样法选取2021年10月至2023年11月在西安市第八医院感染科住院的PLWHA,以随机数字表法分为干预组和对照组。对干预组进行12周的信息支持螺旋循环干预,对照组进行常规护理干预。在干预前,干预第4、12周收集2组患者的生命质量数据。使用χ^(2)检验、t检验、广义估计方程进行数据分析,对干预效果进行评价。结果共纳入PLWHA 50例,对照组和干预组各25例。对照组男22例,女3例,年龄17~60岁。干预组男23例,女2例,年龄21~60岁。广义估计方程结果显示,干预12周后,干预组在生理健康总分及心理健康、健康压力、生命质量、认知功能、疼痛、角色功能、总体健康感受和健康转移8个维度得分分别为(49.45±1.45)、(64.99±3.25)、(69.29±4.13)、(61.71±2.63)、(76.46±3.85)、(81.54±3.80)、(82.05±5.68)、(55.80±3.52)、(64.15±3.28)分,对照组得分分别为(45.39±1.17)、(52.74±2.19)、(54.08±4.15)、(51.03±3.07)、(65.14±3.36)、(71.41±3.39)、(60.84±6.15)、(44.57±2.40)、(51.43±3.08)分,2组比较差异均有统计学意义(Waldχ^(2)值为3.97~9.53,均P<0.05)。结论基于知信行理论的信息支持螺旋循环干预可以提高住院PLWHA的生命质量,且在生理健康总分方面效果显著。
Objective To evaluate the application effect of spiral cyclic intervention with information support based on knowledge,attitude/belief,practice(KABP)Model on the quality of life among hospitalized people living with HIV/AIDS(PLWHA),in order to provide a scientific basis for improving quality of life intervention strategies.Methods This was a random-controlled trial.A total of 50 hospitalized PLWHA admitted to the Infectious Diseases Department of Xi'an Eighth Hospital from October 2021 to November 2023 were randomly divided into an intervention group and a control group by random number table method.The intervention group received a 12-week spiral cyclic intervention with information support,while the control group received routine nursing care.The quality of life data were collected at baseline,week 4,and week 12.Data analysis was conducted using Chi-square test,t-test and generalized estimating equation(GEE).Results A total of 50 PLWHA were enrolled with 25 cases in each group.The control group comprised 22 males and 3 females aged 17-60 years,while the intervention group included 23 males and 2 females aged 21-60 years.GEE results showed that after 12 weeks of intervention,the intervention group scored significantly higher than the control group in physical health summary and eight dimensions:mental health,health distress,quality of life,cognitive functioning,pain,role functioning,general health perceptions,and health transition.Specifically,the intervention group′s scores were(49.45±1.45),(64.99±3.25),(69.29±4.13),(61.71±2.63),(76.46±3.85),(81.54±3.80),(82.05±5.68),(55.80±3.52),and(64.15±3.28)points,compared to the control group′s(45.39±1.17),(52.75±2.19),(54.08±4.15),(51.03±3.07),(65.14±3.36),(71.41±3.39),(60.84±6.15),(44.57±2.40),and(51.43±3.08)points.All differences were statistically significant(Waldχ^(2) values were 3.97-9.53,all P<0.05).Conclusions The spiral cyclic intervention with information support based on the KABP Model effectively improves the quality of life of hospitalized PLWHA,particularly in physical health summary.
作者
杨育秀
任艳叶
邢瑞
齐丹妮
施齐芳
Yang Yuxiu;Ren Yanye;Xing Rui;Qi Danni;Shi Qifang(Faculty of Nursing,Health Science Center,Xi'an Jiaotong University,Xi'an 710000,China;Nursing Department of Xi'an Eighth Hospital,Xi'an 710000,China;the First Department of Infectious Diseases,Xi'an Eighth Hospital,Xi'an 710000,China)
出处
《中国实用护理杂志》
2025年第26期2043-2051,共9页
Chinese Journal of Practical Nursing
基金
西安市创新能力强基计划-医学研究项目(21YXYJ0062)。
关键词
知信行理论
信息支持
生命质量
人类免疫缺陷病毒
艾滋病
KABP Model
Information support
Quality of life
Human immunodeficiency virus
Acquired immunodeficiency syndrome
