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目的:探讨循证护理对艾滋病患者自尊水平和应对方式的影响,以指导建立可靠的艾滋病干预模式。方法:选择2015年1月~2016年1月我院收治的艾滋病初诊患者80例,随机等分为观察组和对照组。对照组给予常规护理,观察组应用循证护理模式。6个月后比较两组患者护理干预前后患者自尊量表(SES)、Jalowiec应对方式量表(JCS)评分变化。结果:护理干预6个月后,观察组SES量表得分、JCS量表乐观因子得分、寻求支持因子得分高于对照组(P<0.05),依靠自我得分低于对照组(P<0.05)。JCS量表乐观因子、寻求支持因子、面对因子与SES量表得分呈正相关(P<0.05);依靠自我因子与SES量表得分呈负相关(P<0.05)。结论:循证护理有助于提升艾滋病患者自尊水平,这可能与其能够有效促进患者采用乐观、寻求支持的方式应对疾病有关。
Objective: To explore the impact of evidence-based nursing on the level of self-esteem and coping styles of AIDS patients so as to guide the establishment of a reliable AIDS intervention model. Methods: 80 patients with newly diagnosed AIDS in our hospital from January 2015 to January 2016 were randomly divided into observation group and control group. The control group was given routine care, and the observation group used evidence-based nursing model. Six months later, the patients’ self-esteem scale (SES) and Jalowiec coping style (JCS) scores before and after nursing intervention were compared. Results: Six months after the nursing intervention, the SES scores of the observation group, the optimism factor score of the JCS scale, the scores of seeking supportive factors were higher than those of the control group (P <0.05), and those of the observation group were lower than those of the control group (P <0.05). JCS scale optimism factor, seeking supportive factor, face factor and SES scale score positive correlation (P <0.05); relying on self-factor and SES scale score negative correlation (P <0.05). Conclusion: Evidence-based nursing helps to raise the level of self-esteem in AIDS patients, which may be related to its ability to effectively promote patients to adopt optimism and seek support for disease response.