基于积极心理学理论的人文关怀护理对改善艾滋病患者负性情绪的影响研究

摘要/Abstract

摘要： 目的了解基于积极心理学的人文关怀护理对艾滋病（acquired immune deficiency syndrome,AIDS）患者负性情绪、应激反应和希望水平的影响。方法选取2023年9月—2024年3月长沙市第一医院收治的60例AIDS患者,根据护理计划分为对照组和观察组,对照组（30例）实施常规护理计划,观察组（30例）在常规护理基础上采用基于积极心理学理论的人文关怀护理。比较两组患者在情绪状态、希望水平、服药依从性、应激反应等方面的变化。结果护理后观察组焦虑自评量表（self-rating anxiety scale,SAS）、抑郁自评量表（self-rating depression scale,SDS）评分为（31.93±1.23）和（33.03±1.75）分,均低于对照组[（40.30±2.52）和（41.63±2.30）分]（均P<0.05）;护理后观察组服药依从性为93.33%,高于对照组的66.67%（P<0.05）;护理后观察组患者Herth希望量表（herth pope Index,HHI）总分及各维度（积极态度评分、行为态度评分、亲密度评分）得分为（32.90±4.40）、（10.77±1.14）、（11.67±1.63）和（10.53±1.68）分,均高于对照组[（27.43±3.56）、（8.93±1.01）、（10.07±1.39）和（8.40±1.19）分]（均P<0.05）;护理后观察组心理应激反应问卷（stressreaction questionnaire,SQR）总分各维度（情绪反应评分、行为反应评分、身体反应评分）得分为（38.20±2.61）、（15.93±1.05）、（8.97±0.76）和（13.30±0.88）分,均显著低于对照组[（48.67±4.26）、（20.40±1.69）、（11.07±1.48）和（17.07±1.17）分]（均P<0.05）。结论对艾滋病患者开展基于积极心理学理论的人文关怀护理,可有效减少其负性情绪和应激反应,提高其希望水平和合作程度,具有进一步推广应用的价值。

关键词: 艾滋病, 积极心理学, 人文关怀, 消极情绪

Abstract: Objective To understand the effect of humanistic care based on positive psychology on negative emotion,stress response and hope level of patients with Acquired immune deficiency syndrome（AIDS）. Methods 60 AIDS patients admitted to the Changsha First Hospital from September 2023 to March 2024 were selected and divided into a control group and an observation group according to the nursing plan. The control group（30 cases） adopted routine nursing plan,while the observation group（30 cases） adopted humanistic nursing based on positive psychology theory on the basis of routine nursing care. The changes of emotional state,hope level,medication compliance and stress response were compared between the two groups. Results The scores of self-rating anxiety scale（SAS） and self-rating depression scale（SDS） in the observation group after nursing were（31.93±1.23） and（33.03±1.75）points,respectively,which were lower than those of the control group[（40.30±2.52） and （41.63±2.30）points]（both P<0.05）. After nursing,the medication compliance of the observation group was 93.33%,which was higher than 66.67% of the control group（P<0.05）. After nursing,the total score and dimensions scores of herth pope Index（HHI） in the observation group were （32.90±4.40）,（10.77±1.14）,（11.67±1.63）and（10.53±1.68）points,respectively,all higher than those in the control group [（27.43±3.56）,（8.93±1.01）,（10.07±1.39）,and（8.40±1.19）points]（all P<0.05）. After nursing,the total score and various dimensions score（emotional response score,behavioral response score,physical response） of the stress response questionnaire（SQR） in the observation group were（38.20±2.61）,（15.93±1.05）,（8.97±0.76）,（13.30±0.88）points,which were significantly lower than those in the control group[（48.67±4.26）,（20.40±1.69）,（11.07±1.48）,and （17.07±1.17）points]（all P<0.05）. Conclusion The humanistic care based on positive psychology theory for AIDS patients can effectively reduce their negative emotions and stress response,and improve their hope level and degree of cooperation,which has the value of further popularization and application.

Key words: Acquired immune deficiency syndrome（AIDS）, Positive psychology, Humanistic care, Negative emotions

中图分类号:

R395.6

彭爱明, 石奥利, 夏友, 余一知. 基于积极心理学理论的人文关怀护理对改善艾滋病患者负性情绪的影响研究. [J]职业与健康, 2025, 41(13): 1760-1764.

PENG Aiming, SHI Aoli, XIA You, YU Yizhi. Research on the effect of humanistic care based on positive psychology theory on improving negative emotion of AIDS patients. [J]OCCUPATION AND HEALTH, 2025, 41(13): 1760-1764.

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