Application effect of throughout nursing management mode in the free treatment of acquired immune deficiency syndrome in outpatient
10.3760/cma.j.issn.1674-2907.2014.13.013
- VernacularTitle:全程护理管理模式在AIDS患者门诊免费治疗中的应用效果
- Author:
Weiqun WU
1
;
Yanning HU
;
Aihua LIANG
;
Yaping ZHANG
;
Xin DENG
Author Information
1. 广西中医药大学附属瑞康医院艾滋病研究中心
- Keywords:
Acquired immune deficiency syndrome;
Throughout nursing management;
Medication compliance;
Treatment;
Follow-up
- From:
Chinese Journal of Modern Nursing
2014;20(13):1529-1532
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of throughout nursing management mode in the free treatment of acquired immune deficiency syndrome (AIDS) in outpatient.Methods Follow the principle of voluntary participation,seventy-two infected person or patients with AIDS were chosen and were divided into the intervention group (n =34) and the control group (n =38).The control group received the routine nursing management mode,and the intervention group received the throughout nursing management mode.The seven compliance indicators were observed and analyzed one year after the intervention.Results The average interval time from confirming HIV to detecting CD4 cell count firstly was 20 d,and the average interval time from finding CD4 less than 350/μl firstly to antivirus treatment was 30 d in the intervention group,and were lower than 30 d,60 d in the control group,and the differences were statistically significant (Z =3.42,3.13,respectively; P ＜ 0.01).The proportions of full compliance,partial compliance in the intervention group were respectively 82.4％,14.7％,and were better than those in the control group(52.6％,34.2％),and the difference was statistically significant (Z =-2.693,P ＜ 0.01).The proportions of the standard of follow-up in the intervention group were respectively 82.4％,and were better than 55.3％ in the control group,and the difference was statistically significant (x2 =6.057,P ＜ 0.05).The proportions of detecting CD4 cell count every three months,the increased CD4 more than 100/μl 6-12 months after the antivirus treatment,the viral suppression 6-12 months after the treatment in the intervention group were respectively 97.1％,79.4％,82.4％,and were better than 81.6％,44.7％,60.5％ in the control group,and the differences were statistically significant (x2 =4.354,5.678,4.138,respectively; P ＜ 0.05).Conclusions The throughout nursing management mode can urge the patients to detect CD4 cell count and standardize the follow-up,and can promote the patients to treat as soon as possible,and increase the medication compliance,and improve the treatment effect,and reduce the incidence and mortality of AIDS-related diseases.
