国际老年医学杂志2024,Vol.45Issue(5) :593-596.DOI:10.3969/j.issn.1674-7593.2024.05.015

延伸护理在老年获得性免疫缺陷综合征患者抗病毒治疗中的应用

Application of Extended Care in Antiviral Therapy for Elderly Patients with Acquired Immunodeficiency Syndrome

王张丽 李建维 高月 王博 邵英
国际老年医学杂志2024,Vol.45Issue(5) :593-596.DOI:10.3969/j.issn.1674-7593.2024.05.015

延伸护理在老年获得性免疫缺陷综合征患者抗病毒治疗中的应用

Application of Extended Care in Antiviral Therapy for Elderly Patients with Acquired Immunodeficiency Syndrome

王张丽 1李建维 1高月 1王博 1邵英1
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作者信息

  • 1. 首都医科大学附属北京佑安医院,北京 100069
  • 折叠

摘要

目的 探究延伸护理对提高老年获得性免疫缺陷综合征患者抗病毒治疗依从性、疗效及生活质量的影响.方法 选取2015年1月—2021年12月北京佑安医院接受初始抗病毒治疗的200例老年获得性免疫缺陷综合征患者作为研究对象,按照抽签法随机分为对照组与试验组,各100例.对照组接受常规护理以及健康教育,试验组则在对照组基础上给予延伸护理.随访1年,比较两组的服药依从性、疗效和生活质量.结果 随访1年时,试验组的服药依从性高于对照组,差异有统计学意义(P<0.05);试验组CD4+T淋巴细胞计数增幅高于对照组(P<0.05);两组治疗后病毒载量均检测不到.试验组在生活质量的生理领域、心理领域、社会关系领域和环境领域评分均高于对照组,差异有统计学意义(P<0.05).结论 延伸护理有利于提高老年获得性免疫缺陷综合征患者的服药依从性和抗病毒效果,提高患者的生活质量,值得临床推广及应用.

Abstract

Objective To explore the effect of extended care on improving the compliance,efficacy and quality of life of an-tiviral therapy in elderly patients with acquired immunodeficiency syndrome(AIDS).Methods A total of 200 elderly patients with acquired immunodeficiency syndrome who received initial antiviral therapy in Beijing You'an Hospital from January 2015 to December 2021 were selected as the study subjects and randomly divided into the control group and the test group according to the lottery method,with 100 cases in each group.The control group received routine care and health education,and the experimental group was given ex-tended care on the basis of the control group.After 1 year of follow-up,medication compliance,efficacy,and quality of life were com-pared between the two groups.Results During 1-year follow-up,the medication compliance of the test group was higher than that in the control group,and the difference was statistically significant(P<0.05);the increase of CD4+T lymphocyte count in the test group was higher than that in the control group(P<0.05);the viral load was undetectable after treatment in both groups.The scores of physical domain,psychological domain,social relationship domain and environmental domain of quality of life in the test group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Extended care is beneficial to improve the medication compliance and antiviral effect of elderly patients with acquired immunodeficiency syndrome,and improve the quality of life of patients.It is worthy of clinical promotion and application.

关键词

延伸护理/获得性免疫缺陷综合征/病毒载量/服药依从性/生活质量

Key words

Extended care/Acquired immunodeficiency syndrome/Viral load/Medication compliance/Quality of life

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出版年

2024
国际老年医学杂志
吉林大学

国际老年医学杂志

CSTPCD
影响因子:0.435
ISSN:1674-7593
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