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护士对艾滋病毒/艾滋病患者的心理社会干预:一项系统评价

Psychosocial Interventions by Nurses for Patients with HIV/ AIDS: A Systematic Review.

作者信息

Davoudi Malihe, Heydari Abbas, Manzari Zahra Sadat

机构信息

Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Caring Sci. 2023 Apr 26;12(2):94-102. doi: 10.34172/jcs.2023.30726. eCollection 2023 Jun.

Abstract

INTRODUCTION

Providing psychological support is one of the traditional roles of nurses for patients with HIV/AIDS. Searching the literature showed that various psychological interventions have been performed by nurses to support HIV/AIDS patients; however, no summary of these interventions is available. We aimed to systematically review the interventional studies which investigated the effectiveness of psychosocial interventions delivered by nurses to HIV/AIDS patients.

METHODS

This systematic review was performed based on Cochrane's handbook of systematic reviews of interventional studies. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement were used in this study. The databases of PubMed, Web of Science, Cochrane, Scopus and World Health Organization were searched from January 2009 to December 2022. Based on inclusion criteria, nine studies included in this systematic review. Cochrane data extraction form was used for the systematic review and the article's information was summarized using the modified Jadad scale.

RESULTS

The interventions provided by the nurses included: virtual and face-to-face educational programs, written information resources, palliative care, motivational interview, case management, home visit, and care services, along with face-to-face and telephone follow-up. These interventions have a significant positive effect on the quality of life and management of high-risk behaviors, disease management, symptoms and complications, adherence to treatment, immune function, and mental health in patients with HIV/AIDS.

CONCLUSION

The results of the present study show that despite the fact that the interventions have a purely psychological content and can be done with various methods, they are able to have positive consequences in physical, psychological, behavioral, and laboratory health in HIV/AIDS patients.

摘要

引言

为感染艾滋病毒/艾滋病的患者提供心理支持是护士的传统职责之一。查阅文献发现,护士已对艾滋病毒/艾滋病患者实施了各种心理干预措施;然而,目前尚无这些干预措施的总结。我们旨在系统回顾调查护士对艾滋病毒/艾滋病患者实施的社会心理干预效果的干预性研究。

方法

本系统评价依据Cochrane干预性研究系统评价手册进行。本研究采用系统评价和Meta分析的首选报告项目(PRISMA)声明。检索了2009年1月至2022年12月期间的PubMed、科学网、Cochrane、Scopus和世界卫生组织数据库。根据纳入标准,本系统评价纳入了9项研究。采用Cochrane数据提取表进行系统评价,并使用改良的Jadad量表总结文章信息。

结果

护士提供的干预措施包括:虚拟和面对面教育项目、书面信息资源、姑息治疗、动机访谈、病例管理、家访和护理服务,以及面对面和电话随访。这些干预措施对艾滋病毒/艾滋病患者的生活质量、高危行为管理、疾病管理、症状和并发症、治疗依从性、免疫功能及心理健康具有显著的积极影响。

结论

本研究结果表明,尽管这些干预措施具有纯粹的心理内容,且可用多种方法实施,但它们能够对艾滋病毒/艾滋病患者的身体、心理、行为和实验室健康产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b09b/10352634/c89d6920edc5/jcs-12-94-g001.jpg

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