Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Przegl Epidemiol. 2023;77(1):101-107. doi: 10.32394/pe.77.10.
Patients with AIDS face many problems, including problems related to treatment, social and family exclusion, high treatment costs, and drug complications, which affect the quality of life of these patients and change it. The aim was to determine the effect of the application of Peplau's theory of interpersonal communication on the quality of life of patients with acquired immunodeficiency syndrome.
This quasi-experimental study was performed on 50 AIDS patients referred to Shahrekord Behavioral Diseases Counseling Center. Simple random sampling was performed and then the sample was assigned to two groups experimental and control. The theory of therapeutic communication of Peplau on patients in the experimental group was performed individually and immediately after the intervention and three months later the quality of life questionnaire was completed in both groups. In this research, the data collection tool includes a demographic information questionnaire and a WHOQOL-BREF. The WHOQOLBREF questionnaire measures the four domains of physical health, mental health, social relationships, and environmental health with 24 questions. The chi-square or Fisher's exact test, independent T-test and analysis of variance with repeated measurements were used to compare the quality of life of patients.
Data analysis showed no statistically significant difference in the mean score of quality of life between the experimental and control groups before the implementation of Peplau's interpersonal communication theory (p=0.927). But after the intervention, there was a statistically significant difference in the mean score of quality of life between the two groups (p < 0.001).
Findings of the study show the positive effects of using Peplau's therapeutic communication model on quality of life. Therefore, this method is recommended as an effective and cost-effective care model for all patients referred to the Shahrekord Behavioral Diseases Counseling Center.
艾滋病患者面临许多问题，包括与治疗相关的问题、社会和家庭排斥、高昂的治疗费用以及药物并发症，这些问题影响了这些患者的生活质量并改变了他们的生活质量。目的是确定 Peplau 人际沟通理论在艾滋病患者生活质量中的应用效果。
本准实验研究在沙赫里卡德行为疾病咨询中心就诊的 50 名艾滋病患者中进行。采用简单随机抽样，然后将样本分为实验组和对照组。对实验组患者进行 Peplau 治疗性沟通，在干预后立即和三个月后对两组完成生活质量问卷。在这项研究中，数据收集工具包括人口统计学信息问卷和 WHOQOL-BREF。WHOQOL-BREF 问卷用 24 个问题衡量身体健康、心理健康、社会关系和环境卫生四个领域。采用卡方检验或 Fisher 确切检验、独立 T 检验和重复测量方差分析比较患者的生活质量。
数据分析显示，在实施 Peplau 人际沟通理论之前，实验组和对照组的生活质量平均得分无统计学差异（p=0.927）。但干预后，两组的生活质量平均得分有统计学差异（p<0.001）。
研究结果表明，使用 Peplau 治疗性沟通模式对生活质量有积极影响。因此，建议将这种方法作为沙赫里卡德行为疾病咨询中心所有就诊患者的有效且具有成本效益的护理模式。
