AIDS患者应用出院计划服务的效果评价刘琴吕明磊程文芳新乡市传染病医院河南新乡453000【摘要】目的探讨AIDS患者应用岀院计划服务的效果评价.方法将60例AIDS患者分为观察组和对照组各30例，观察组实施出院计划服务，对照组接受常规护理和随访，分别在出院后1、3、6个月进行简易应对问卷、焦虑自评量表(SAS)、抑郁自评量表(SDS)、世界卫生组织生存质量测定量表简表(WHOQOL一BREF)进行测量.对两组在出院6个月时的测量结果进行比较.结果护理干预期间两组患者住院天数、住院总费用比较，差异无统计学意义(P〉0.05);观察组护理干预后简易应对问卷积极应对维度评分明显提高，消极应对维度评分明显降低;焦虑自评量表、抑郁自评量表评分差明显高于对照组,两组比较差异有极显著统计学意义(P<0.01).应用世界卫生组织生存质量测定量表简表对两组干预后的生存质量进行评分,观察组评分明显高于对照组，两组比较差异有极显著统计学意义(P<0.01).结论出院计划服务可以明显降低AIDS患者焦虑、抑郁情绪，使其采用积极的应对方式应对各种问题，生存质量明显提高.【关键词】AIDS;出院计划；生存质量；护理TheEffectoftheApplicationofDischargePlanningServicesofAIDSPatientsLIUQin,LVMinglei,CHENGWenfang(HospitalforinfectiousdiseasesofXinxiangMunicipality,XinxiangHenan,453000)【Abstract】Objective:StudyandevaluatetheeffectoftheapplicationofdischargeplanningservicesofAIDSpatients.Methods:Divide60AIDSpatientsinGtoobservationgroupandcontrolgroupwith30casesrespectively.Observationgroupwasimplementedofdischargeplanningservices,andthecontrolgroupwasacceptedroutinenursingcareandfollow—up.Simplecopingquestionnaire,self—evaluationofanxietyscale(SAS),depressionselfratingscale(SDS),theworldhealthorganizationqualityoflifemeasurementscaleprofile(WHOQOL—BREF)weremeasuredaftertheydischargedforone,threeandsixmonthsrespectiveGly.Themea---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---surementresultsofthetwogroupsaftertheydischargedforsixmonthswerecompared.Results:Duringthenursinginterventionperiod,thehospitaliGzationtimeandcostofthetwogroupshavenostatisticallysignificantdifference(P>0.05);afternursinginterventiontheobservationgrouphasincreasedsignifiGcantlyinpositivecopingdimensionanddecreaseddramaticallyinnegativecopingdimensionofthesimplecopingquestionnaire;anxietyself—assessmentscale,deGp(ressionselfratingscaleareapparentlyhigherthanthatofthecontrolgroup,andcomparativedifferencesofthetwogroupshavestatisticalsignificantdifferenceP<0.01)•Afteranalyzingandgradingthelifequalityofthetwogroupsafterinterventionwiththeshortformofthequalityoflifemeasurementscaleofworldhealthorganization,observationgroupwasobviouslyhigherthanthatofcontrolgroup,andthecomparativedifferencesofthetwogroupshavedistinctivestatistiGcalsignificance(P<0.01).Conclusion:ThedischargeplanningservicescanobviouslyreduceanxietyanddepressionofAIDSpatients^ndletthemtoadoptapositi【vKeeywawyotrodsd】ealwithvariousproblems,increasethelifequalityobviously-AIDS;DischargePlanning;LifeQuality;NursingCare【中图分类号】R494【文献标识码】B【文章编号】1001—5302(2015)09—0856—02艾滋病(AIDS)是由获得性免疫缺陷病毒感染引起的免疫缺陷综合征,本病疗效差，预后不良，且因存在相关羞辱和歧视[1],患者易采取消极的砬对方式，易出现焦虑、抑郁情绪,生存质量低下.随着医疗技术的发展,经过积极治疗，患者生存期明显延长，但生存质量仍远低于正常人群[2].如何让AIDS患者出院后得到治疗与护理的延续，满足“以患者为中心”的要求和高质量有效的服务，己成为需要进一步研究的新课题.B前，实施出院计划服务已被认为是保证连续性护理的基础[3].本研宄采用出院计划...