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基于ABC-X模型的综合护理管理干预对老年HIV感染者负性情绪及睡眠质量的影响▲
Effects of ABC-X model-based integrated nursing management intervention on negative emotions and sleep quality in elderly HIV-infected individuals

内科 页码:30-35

作者机构:1 广西中医药大学附属瑞康医院感染一科,南宁市 530011;2 广西中医药大学护理学院,南宁市 530200;3 广西护理学院,南宁市 530021

基金信息:广西壮族自治区卫生健康委员会科研课题(Z20211479);中央引导地方科技发展专项资金项目(桂科AB21196062);广西一流学科建设开发课题(2

DOI:10.16121/j.cnki.cn45-1347/r.2025.01.05

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目的 探究基于ABC-X模型的综合护理管理干预对老年人类免疫缺陷病毒(HIV)感染者负性情绪及睡眠质量的影响。方法 选取100例存在睡眠障碍的老年HIV感染者作为研究对象,按随机数字表法将其分为对照组和观察组,每组50例。对照组接受常规护理干预,观察组在对照组基础上接受基于ABC-X模型的综合护理管理干预。采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和匹兹堡睡眠质量指数(PSQI),分别评估两组感染者的抑郁程度、焦虑程度和睡眠质量。比较两组干预前和干预3个月后的焦虑、抑郁程度及睡眠质量。结果 在研究过程中,观察组中途退出4例,对照组中途退出3例,最终93例老年HIV感染者(观察组46例,对照组47例)完成研究。干预前,两组SAS评分、SDS评分、PSQI总分及其各维度评分差异均无统计学意义(均P>0.05);干预3个月后,两组SAS评分、SDS评分、PSQI总分及其各维度评分均较干预前降低,且观察组低于对照组(均P<0.05)。结论 基于ABC-X模型的综合护理管理干预能有效地减轻老年HIV感染者的焦虑和抑郁程度,并改善其睡眠质量,具有一定的临床应用价值。

Objective To investigate the effects of ABC-X model-based integrated nursing management intervention on negative emotions and sleep quality in elderly human immunodeficiency virus (HIV)-infected individuals. Methods A total of 100 elderly HIV-infected individuals with sleep disorders were selected as the study subjects and divided into a control group or an observation group according to the random number table method, with 50 cases in each group. The control group received conventional nursing intervention, based on which the observation group received ABC-X model-based integrated nursing management intervention. The Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), and Pittsburgh sleep quality index (PSQI) were used to evaluate the depression, anxiety, and sleep quality of the two groups, respectively. The anxiety, depression, and sleep quality were compared between the two groups before and after 3 months of intervention. Results During the study, 4 individuals withdrew from the observation group and 3 individuals from the control group, and finally 93 elderly HIV-infected individuals (46 cases in the observation group and 47 cases in the control group) completed the study. Before intervention, there was no statistically significant difference in the SAS score, SDS score, PSQI total score, or scores of PSQI each dimension between the two groups (all P>0.05); after 3 months of intervention, the SAS score, SDS score, PSQI total score, and scores of PSQI each dimension in the two groups were lower than those before intervention, and those in the observation group were lower than those in the control group (all P<0.05). Conclusion The ABC-X model-based integrated nursing management intervention can effectively alleviate elderly HIV-infected individuals' anxiety and depression and improve their sleep quality, with certain clinical application value.

 

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