摘要
目的 分析艾滋病合并梅毒患者基于积极心理学理论的护理对其心理状态、治疗依从性、生活质量的影响。方法 以近两年我院收治的艾滋病合并梅毒患者100例作为研究对象,采用机选等分的形式将患者分组,参照组患者均给予常规护理,研究组患者均给予基于积极心理学理论的护理,总结两组护理效果,针对性统计患者心理状态评分(SAS、SDS)、治疗依从率、生活质量评分(GQOL - 74)、护理满意度,简列各项数据后对比分析,以此作为判定护理有效性依据。结果 对比数据可见,护理前SAS、SDS评分两组均偏高,无明显差异(P>0.05);护理后SAS、SDS评分,对比护理前两组均较低(P<0.05),组间对比研究组低于参照组(P<0.05);治疗依从率对比,总依从率研究组比参照组高(P<0.05);患者GQOL - 74评分,各维度均见研究组高于参照组(P<0.05);护理总满意度对比,研究组明显比参照组(P<0.05)。结论 基于积极心理学理论的护理在艾滋病合并梅毒患者中的应用效果理想,能够明显改善患者不良心理状态,提高临床治疗依从性,促使患者日常生活质量提升,增强护理满意度,具有广泛应用价值。
关键词: 艾滋病;梅毒;积极心理学;护理;心理状态;治疗依从性;生活质量
Abstract
Objective To analyze the impact of nursing based on positive psychology theory on the psychological state, treatment compliance, and quality of life of patients with HIV/AIDS and syphilis. Methods One hundred patients with HIV/AIDS and syphilis admitted to our hospital in the past two years were selected as the research subjects. Patients were randomly divided into two groups. The control group received routine nursing care, while the study group received nursing based on positive psychology theory. The nursing effects of the two groups were summarized. Patient psychological state scores (SAS, SDS), treatment compliance rate, quality of life score (GQOL-74), and nursing satisfaction were statistically analyzed. The data were briefly listed and compared to determine the effectiveness of the nursing care. Results Comparative data showed that before nursing care, both groups had relatively high SAS and SDS scores, with no significant difference (P>0.05). After nursing care, both groups had lower SAS and SDS scores compared to before nursing care (P<0.05), with the study group showing lower scores than the control group (P<0.05). Treatment compliance rate was higher in the study group than in the control group (P<0.05). Patient GQOL-74 scores were higher in the study group than in the control group across all dimensions (P<0.05). Overall nursing satisfaction was significantly higher in the study group than in the control group (P<0.05). Conclusion Nursing care based on positive psychology theory has ideal effects on patients with HIV/AIDS complicated by syphilis. It can significantly improve patients' negative psychological state, increase clinical treatment compliance, promote patients' quality of life, and enhance nursing satisfaction, thus having broad application value.
Key words: HIV/AIDS; Syphilis; Positive psychology; Nursing; Psychological state; Treatment compliance; Quality of life
参考文献 References
[1] 刘巧玲. 基于积极心理学理论的护理在艾滋病合并梅毒患者中的应用效果[J]. 中国民康医学,2024,36(2): 173-175.
[2] 米丽萍,冯阳. 浅谈医学心理学在传染病房开展整体护理中的应用效果[J]. 世界最新医学信息文摘(连续型电子期刊),2018,18(83):273.
[3] 陈晓玲. 梅毒防治工作中的社会心理学因素分析及卫生健康教育策略研究[J]. 黑龙江中医药,2023,52(4): 392-394.
[4] 申艳玲,李信欣,龚成,等. 基于PERMA模型的积极心理干预对ICU护士传染病突发事件核心应急能力及同情心的影响[J]. 中华现代护理杂志,2022,28(19):2595-2599.
[5] 荆沛文,效志洁,张淑贞. 积极心理学团体护理在肺结核患者中的应用价值[J]. 临床医学工程,2023,30(7):985-986.
[6] 王志锋,薛海红,王逢云,等. 21世纪以来由3种冠状病毒引起的重大传染病疫情对社会心理的影响及启示[J]. 健康研究,2022,42(1):54-59.
[7] 夏辉. 积极心理学在组织管理中的应用初探[J]. 中国商论,2018(3):70-71.
[8] 周婷,王倩,周方,等. 重大传染病防控背景下医务人员的疫情相关工作应激与心理症状的关系:工作倦怠的中介作用和组织支持的调节作用[J]. 中国临床心理学杂志,2022,30(2):354-359.
[9] 张敬静,张翠翠,杨文文. 应用积极心理学对2型糖尿病合并肺结核患者护理的观察[J]. 心理月刊,2021,16(19): 194-195.
[10] 张彬,张威. 积极心理学在老年期精神分裂症患者护理中的应用价值分析[J]. 东方药膳,2021(4):184.
[11] 陈小碧. 疫情之下积极心理学融入线上教学的措施研究[J]. 华夏教师,2020(31):2-3.
[12] 张润琴,王玲花,封钢. 积极心理学团体护理干预在康复期双相情感障碍病人中的应用效果研究[J]. 护理研究,2022,36(3):535-537.
[13] 刘敏. 积极心理学理论在精神分裂症康复护理中的应用[J]. 国际护理学杂志,2022,41(4):755-758.