摘要
目的探讨健康教育对提高艾滋病患者抗病毒治疗服药依从性的影响。方法随机选取2016年2月至2018年2月凉山彝族自治州服药的艾滋病患者2 000例,依据健康教育方法将这些患者分为常规健康宣教组(n=1 000)和系统健康教育组(n=1 000)两组,对两组患者的疾病知识掌握情况、服药依从性、规律用药、生活方式改善、定期复诊情况、T淋巴细胞个数、病毒载量对数、感染病发生情况进行统计分析。结果系统健康教育组患者的机会性感染知识、疾病预防与传播、饮食与营养掌握率均显著高于常规健康宣教组(P<0.05),服药依从性95.0%(950/1 000)显著高于常规健康宣教组84.7%(847/1 000)(P<0.05),规律用药率、生活方式改善率、定期复诊率均显著高于常规健康宣教组(P<0.05),T淋巴细胞个数显著多于常规健康宣教组(P<0.05),病毒载量对数显著低于常规健康宣教组(P<0.05),口腔真菌感染、发热咳嗽及呼吸困难、肺结核、皮疹、淋巴结肿大、视网膜病变发生率均显著低于常规健康宣教组(P<0.05)。结论健康教育能够有效提高艾滋病患者抗病毒治疗服药依从性。
Objective To explore the effect of health education on improving the compliance of AIDS patients with the antiviral therapy. Methods 2 000 cases of AIDS patients from February 2016 to February 2018 in Liangshan Yi Autonomous Prefecture were randomly selected, these patients were divided into two groups according to the health education methods, conventional health education group (n=1 000) and system health education group (n=1 000).The knowledge of disease, compliances, regular medication and lifestyle improvement, regular visits, numbers of T lymphocytes, viral loads and incidences of infectious diseases of the two groups were statistically analyzed. Results The incidences of opportunistic infection knowledge, disease prevention and communication, diet and nutrition mastery rates of the system health education group were significantly higher (P<0.05), the compliance 95.0%(950/1 000) was significantly higher than the conventional health education group 84.7%(847/1 000)(P< 0.05), the rediagnosis was significantly higher (P<0.05), and the number of T lymphocytes was significantly more (P<0.05), the logarithmic logarithm of viral load was significantly lower (P<0.05), the incidences of oral fungal infection, fever and cough and dyspnea, pulmonary nodules, rash, lymphadenopathy and retinopathy change were significantly lower than the conventional health education group (P<0.05). Conclusion Health education can effectively improve the compliance of AIDS patients with antiviral treatment.
作者
曹英
张石则
买泓
杨小雨
罗学英
施瑞
廖伟
李易飞
张瀚文
王建
沈贵州
Cao Ying;Zhang Shize;Mai Hong;Yang Xiaoyu;Luo Xueying;Shi Rui;LiaoWei;Li Yifei;Zhang Hanwen;Wang Jian;Shen Guizhou(Department of Feeling, First People' s Hospital of Liangshan Yi Autonomous Prefecture, Sichuan Province, Liangshan, Sichuan, 615000, China)
出处
《当代医学》
2019年第8期89-92,共4页
Contemporary Medicine
关键词
健康教育
艾滋病
抗病毒治疗
服药依从性
Health education
AIDS
Antiviral therapy
Medication adherence
