HIV感染者和AIDS患者抗病毒治疗护理需求及影响因素研究.pdf

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1、·24·JournalofNursingScienceJun．2014Vo1．29No．11·论著·HIV感染者和AIDS患者抗病毒治疗护理需求及影响因素研究傅亮，胡雁，卢洪洲，鲍美娟，张林。，沈银忠摘要：目的调查HIV感染者和AIDS患者抗病毒治疗相关护理需求的现状及其影响因素。方法应用自行设计的抗病毒治疗相关护理需求问卷，对在上海市公共卫生临床中心接受治疗或随访的423例HIV感染者和AIDs患者进行抗病毒治疗相关护理需求调查。结果HIV感染者和AIDS患者在抗病毒治疗相关护理各条目上的需求率>6O，围绕抗病毒治疗的效果、不良反应和服药依从性的需求排序位列前7，需求率>85；是否了解

2、抗病毒治疗知识、抗病毒治疗与否及确诊时间长短之间在部分条目上需求率有统计学差异(P

3、oplelivingwithHIV／AIDS：theinfluencingfactors∥FuLiang，HuYan，L“Hong—zhou，BaoMeijuan，ZhangLin，ShenYinzhong∥(SchoolofNursing，FudanUniversity，Shanghai200032，China)Abstract：0bjectiveToinvestigatenursingneedsofantiretroviraltherapyamongpeoplelivingwithHIV／AIDS(PIHIV)andthein—fluencingfactors．MethodsACRO

4、SS—sectionalstudywasconducted．Atotalof423PLHIVwereselectedfromShanghaiPublicHealthClinicalCenterandwereaskedtocompleteaself—designedquestionnaireaboutnursingneedsofantiretroviraltherapy．Re-suitsThelevelofnursingneedsofantiretroviraltherapyamongPLHIVwasgreaterthan60．Thetopsevenneedswereconcernedwi

5、theffectandside-effectofantiretroviraltherapy，andmedicationcompliance，withtheratesgreaterthan85．Significantdiffe—renceswerefoundinsomeitemsofnursingneedsaccordingtowhetherpatientsunderstoodorreceivedantiretroviraltherapy，andyearsafterdiagnosis(P

6、retroviraltherapyamongPLHIVwasrela—tivelyhigh．ToimprovetheeffectivenesSofantiretroviraltherapyandpatientcompliance，systematicantiretroviraltherapyandin—divi—dualizednursingserviceshouldbeprovidedassoonasdiagnosed．Keywords：acquiredimmunodeficiencysyndrome；antiretroviraltherapy；nursing；needs；influe

7、ncingfactor高效联合抗逆转录病毒治疗(HighlyActiveAn—生临床中心艾滋病病房或门诊接受治疗或随访的tiretroviralTherapy，HAART)即抗病毒治疗(Antiret-HIV感染者和AIDS患者423例，男405例、女18roviralTherapy，ART)是目前临床上治疗艾滋病最有例，年龄16～68(34．384-9．93)岁。确诊时间最短1效的方法_1]。然而，抗病毒治疗效果的发挥需要HIV个