健康宣教联合心理护理对AIDS合并肺结核患者遵医行为及心理状态的影响

doi:10.3969/j.issn.1671-7171.2025.11.010

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摘要 【目的】探讨健康宣教联合心理护理对艾滋病(AIDS)合并肺结核患者遵医行为及心理状态的影响。 【方法】选取2024年3月至2025年3月本院收治的266例AIDS合并肺结核患者,采用随机数字表法分为对照组和观察组,每组133例。对照组采用常规护理干预,观察组在常规护理基础上实施健康宣教联合心理护理干预,比较两组患者干预前后自我效能、遵医行为、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及护理满意度。【结果】干预后,两组患者情绪管理、药物管理、症状管理、与医务人员的沟通、获取社会支持及疲劳症状管理评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,观察组遵医行为优良率为90.98%(121/133),高于对照组的77.44%(103/133),差异有统计学意义(χ²=9.161,P<0.05)。干预后,两组患者SAS、SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,观察组护理满意度为89.47%(119/133),高于对照组的78.95%(105/133),差异有统计学意义(χ²=5.542,P<0.05)。【结论】健康宣教联合心理护理能有效改善AIDS合并肺结核患者的遵医行为,缓解焦虑、抑郁情绪,提升护理满意度,值得推广应用。

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关键词 ：获得性免疫缺陷综合征, 结核,肺, 健康教育, 心理护理

Abstract：【Objective】To explore the effect of health education combined with psychological nursing on compliance behavior and mental state of patients with acquired immunodeficiency syndrome (AIDS) complicated by tuberculosis. 【Methods】A total of 266 patients with AIDS complicated by tuberculosis admitted to our hospital from March 2024 to March 2025 were selected and divided into a control group and an observation group using a random number table, with 133 cases in each group. The control group received routine nursing intervention, while the observation group received health education combined with psychological nursing intervention on the basis of routine nursing. Self-efficacy, compliance behavior, Self-Rating Anxiety Scale (SAS) score, Self-Rating Depression Scale (SDS) score and nursing satisfaction were compared between the two groups before and after intervention. 【Results】After intervention, the scores of emotion management, medication management, symptom management, communication with medical staff, social support acquisition and fatigue symptom management in both groups were higher than those before intervention, and the observation group had higher scores than the control group, with statistically significant differences (P<0.05). After intervention, the excellent and good rate of compliance behavior in the observation group was 90.98% (121/133), which was higher than 77.44% (103/133) in the control group, with a statistically significant difference (χ²=9.161, P<0.05). After intervention, the SAS and SDS scores of both groups were lower than those before intervention, and the observation group had lower scores than the control group, with statistically significant differences (P<0.05). After intervention, the nursing satisfaction in the observation group was 89.47% (119/133), which was higher than 78.95% (105/133) in the control group, with a statistically significant difference (χ²=5.542, P<0.05). 【Conclusion】Health education combined with psychological nursing can effectively improve the compliance behavior of patients with AIDS complicated by tuberculosis, alleviate anxiety and depression, and enhance nursing satisfaction, which is worthy of promotion and application.

Key words： Acquired Immunodeficiency Syndrome Tuberculosis, Pulmonary Health Education Psychological Nursing

收稿日期: 2025-07-03

中图分类号:

R512.91

基金资助:河南省2024年科技攻关(指导计划)项目(242102310244)

通讯作者: **E-mail:fuchaohong123@163.com

引用本文:

张瑞滋, 苏爽, 靳燕彩, 蒋景利, 付朝红. 健康宣教联合心理护理对AIDS合并肺结核患者遵医行为及心理状态的影响[J]. 医学临床研究, 2025, 42(11): 1876-1879.
ZHANG Ruizi, SU Shuang, JIN Yancai, et al. Effect of Health Education Combined with Psychological Nursing on Compliance Behavior and Mental State of Patients with AIDS Complicated by Tuberculosis. JOURNAL OF CLINICAL RESEARCH, 2025, 42(11): 1876-1879.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.11.010 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I11/1876

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