首页> 中文期刊> 《护理实践与研究》 >人文关怀护理在HIV新发感染患者心理特征反应中的应用

人文关怀护理在HIV新发感染患者心理特征反应中的应用

         

摘要

Objective:To explore the effect of humanistic nursing care in psychological characteristics of newly HIV-infected patients. Methods:Retrospec-tive analysis was conducted to 324 newly HIV-infected patients who received treatment in the STD/AIDS clinic of our hospital dated from January 2014 to December 2015,and the clinical psychological characteristics of the patients during the treatment were recorded. At the same time every new infection patient was treated with warm service and good relationship was established with them. To strengthen psychological counseling and pay attention to communication with patients. The "people-oriented" humanistic nursing care services were conducted throughout the clinical care. Results:Among the 324 newly HIV ca-ses,there were 35 patients (10. 80%) who suspected and denied the condition,190 patients (58. 64%) were shocked and frightened, 157 patients (47.53%) were anxious and worried,and 33 patients (10. 18%) felt lonely and shamed, 16 patients (4. 93%) were in despair and 16 patients (4. 93%) were in despair (one patient may have one or more different psychological characteristics). Anxiety and depression of 279 cases (86. 11%) were alleviated after the professional health care team explained details of the HIV related knowledge,psychological problems analysis and provide consultation and humanistic care nursing support,38 cases (11. 73%) were transferred to red ribbon for peer health education advisory;7 cases (2. 16%) were trans-ferred to specialist psychological clinic to receive intervention treatment. Conclusion:Humanistic nursing care can effectively relieve the psychological charac-teristics of HIV-infected patients and control the physical, psychological and behavioral problems of them, thus improving the quality of life and the effec-tiveness of AIDS prevention and treatment of the infected patients.%目的::探讨人文关怀护理在HIV新发感染者心理特征反应中的应用效果。方法:对2014年1月~2015年12月就诊于我院性病艾滋病门诊HIV新发感染患者324例进行回顾性分析,记录患者就诊过程中的临床心理特征的表现。同时热情地接待每一位新发感染患者,与患者建立良好的关系,加强心理疏导,注重沟通,把“以人为本”的人文关怀护理服务贯穿于整个临床护理工作中。结果:324例新发HIV感染者的心理特征:怀疑与否认35例(10.80%),震惊与恐惧190例(58.64%),焦虑与焦急157例(47.53%),孤独与耻辱33例(10.18%),忧虑与忧郁272例(83.95%),愤怒与破坏16例(4.93%),绝望16例(4.93%)(其中1例患者可能有1种或多种不同的心理特征)。通过专业医护团队针对心理特征详细讲解HIV相关知识、心理问题分析、咨询、人文关怀护理支持后有279例(86.11%)心理问题得到缓解;38例(11.73%)转介红丝带进行同伴健康教育咨询;7例(2.16%)转介专科心理门诊接受干预治疗。结论:人文关怀护理能有效缓解HIV新发感染者心理特征反应,并对其产生的身体、心理、行为问题得以控制,提高感染者的生活质量,提高艾滋病防治效果。

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