McCain N L, Zeller J M, Cella D F, Urbanski P A, Novak R M
Department of Adult Health Nursing, School of Nursing, Virginia Commonwealth University, Richmond, USA.
Nurs Res. 1996 Jul-Aug;45(4):246-53. doi: 10.1097/00006199-199607000-00009.
A pretest-posttest design (with a 6-week wait-list control and a 6-month comparison group) was used to compare the effectiveness of a 6-week stress management training program with standard outpatient care for 45 men with HIV disease. Outcomes included stress levels, coping patterns, quality of life, psychological distress, illness-related uncertainty, and CD4+ T-lymphocyte levels. At 6 weeks, intervention was associated with increases in the emotional well-being dimension of quality of life. After 6 months, the intervention group had a relative decline in HIV-related intrusive thinking, indicating that stress management training may have buffered illness-related psychological distress over time.
采用前测-后测设计（设置为期6周的等待名单对照组和为期6个月的比较组），比较了针对45名感染HIV男性患者的为期6周的压力管理培训项目与标准门诊护理的效果。结果包括压力水平、应对方式、生活质量、心理困扰、疾病相关不确定性以及CD4+ T淋巴细胞水平。在6周时，干预与生活质量情感幸福维度的提高相关。6个月后，干预组与HIV相关的侵入性思维相对减少，这表明随着时间推移，压力管理培训可能缓冲了与疾病相关的心理困扰。
