| 王博,张广,李在村.认知行为干预对抗病毒治疗的HIV感染者自我管理、自我效能及生活质量的影响[J].Chinese journal of Epidemiology,2022,43(7):1112-1117 |
| 认知行为干预对抗病毒治疗的HIV感染者自我管理、自我效能及生活质量的影响 |
| Effects of cognitive and behavioral intervention on self-management, self-efficacy and quality of life in HIV infection cases receiving anti-retroviral treatment |
| Received:January 19, 2022 |
| DOI：10.3760/cma.j.cn112338-20220119-00056 |
| KeyWord: 认知 行为 艾滋病 自我管理 自我效能 |
| English Key Word: Cognitive Behavioral AIDS Self-management Self-efficacy |
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| Abstract: |
| 目的 分析认知行为干预对于抗病毒治疗的HIV感染者在自我管理、自我效能及生活质量方面影响。方法 研究对象为2018年1-12月就诊于北京佑安医院性病/艾滋病（STD/AIDS）门诊的HIV感染者200例，按随机数字表法分为干预组和对照组。在给予常规门诊护理基础上，对干预组进行认知行为干预，并分别于干预前及干预3个月后采用自我管理量表、自我效能量表、生活质量量表评估两组患者的自我管理、自我效能及生活质量水平，并对比两组之间的差异。结果 干预组和对照组研究对象各100例，男性占69.5%（139/200），感染途径以性传播为主，占72.0%（144/200）。干预组在STD/AIDS门诊分别接受认知行为干预后，在自我管理得分（119.52±20.94比80.76±27.35）、自我效能得分（30.88±5.73比21.84±7.56）及生活质量得分（73.51±9.44比66.91±11.53）均高于干预前；干预组自我管理得分（119.52±20.94）、自我效能得分（30.88±5.73）及生活质量得分（73.51±9.44）均好于对照组（101.99±21.36、27.04±6.45及69.99±10.65）（P<0.05）。结论 认知行为干预可改善HIV感染者的自我管理能力、自我效能感及提高生活质量，对于HIV感染者长期健康管理具有积极的临床意义。 |
| English Abstract: |
| Objective To evaluate the effects of cognitive and behavioral intervention on self-management, self-efficacy and quality of life of HIV infection cases. Methods A total of 200 HIV infection cases visiting STD/AIDS clinic at Beijing Youan Hospital from January to December of 2018 were recruited in this study. They were divided into cognitive and behavioral intervention group and control group based on the method of random number table. Both groups received routine outpatient care. The intervention group received cognitive and behavioral intervention in addition to routine outpatient care. The self-management scale, self-efficacy scale and life quality scale were used before and after the intervention for 3 months respectively to evaluate the self-management, self-efficacy and quality of life of the intervention group, and the differences between the two groups were analyzed. Results There were 100 cases in each group, 69.5% (139/200) of them were males, and 72.0% (144/200) were infected by sexual transmission. After cognitive and behavioral intervention, the intervention group had higher scores of self-management (119.52±20.94 vs. 80.76±27.35), self-efficacy (30.88±5.73 vs. 21.84±7.56) and quality of life (73.51±9.44 vs. 66.91±11.53) compared with the scores before intervention. The self-management (119.52±20.94), self-efficacy (30.88±5.73) and quality of life (73.51±9.44) of the intervention group had higher scores than those of the control group (101.99±21.36), (27.04±6.45), (69.99±10.65) (P<0.05). Conclusion Cognitive and behavioral intervention can significantly improve the self-management, self-efficacy and quality of life of HIV infected patients, which has positive clinical significance. |
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