Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2026; 5: (11) ; 10.12208/j.jacn.20260596 .
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柳州市人民医院 广西柳州
*通讯作者: 秦圆圆,单位:柳州市人民医院 广西柳州; ;
目的 观察中药敷贴护理对艾滋病患者抗病毒治疗所致胃肠道反应的改善效果。方法 选取2024年9月至2025年9月我院60例接受规范抗病毒治疗,且治疗期间出现药物相关性胃肠道反应的艾滋病患者,根据临床护理实施方式分为两组,各30例。对照组予以常规护理干预,观察组在常规护理基础上配合中药穴位敷贴干预,两组干预时长均为4周。对比两组胃肠道症状、重度不良反应发生情况、服药依从性及中药敷贴局部皮肤不良反应发生情况。结果 观察组干预后恶心、呕吐、腹胀、腹泻症状评分均低于对照组,重度胃肠道不良反应发生率更低(P<0.05);观察组仅出现轻微局部皮肤反应,无严重过敏不良反应。结论 中药敷贴护理用于艾滋病抗病毒治疗患者,能够有效减轻药物引发的胃肠道不适,减少重度不良反应出现,临床实用性较强。
Objective To observe the improvement effect of traditional Chinese medicine application nursing on gastrointestinal reaction caused by antiviral treatment in AIDS patients. Methods From September 2024 to September 2025, 60 AIDS patients in our hospital who received standard antiviral treatment and had drug-related gastrointestinal reactions during the treatment were selected and divided into two groups according to the implementation of clinical nursing, 30 patients in each group. The control group received routine nursing intervention, while the observation group received traditional Chinese medicine acupoint application intervention in addition to routine nursing. The intervention duration for both groups was 4 weeks. We compared the gastrointestinal symptoms, occurrence of severe adverse reactions, medication adherence, and occurrence of local skin adverse reactions caused by traditional Chinese medicine application between two groups. Results After intervention, the symptom scores of nausea, vomiting, abdominal distension, and diarrhea in the observation group were lower than those in the control group, and the incidence of severe gastrointestinal adverse reactions was lower (P<0.05); The observation group only experienced mild local skin reactions and no severe allergic adverse reactions. Conclusion Traditional Chinese medicine application nursing for AIDS antiviral treatment patients can effectively reduce gastrointestinal discomfort caused by drugs, reduce the occurrence of severe adverse reactions, and has strong clinical practicability.
[1] 梁燕,覃琼芬,吴登强.艾滋病患者经中心静脉导管给予肠外营养治疗的护理干预效果[J].实用临床护理学电子杂志,2019,4(34):85.
[2] 宗超楠.共情护理联合参与型护理对艾滋病患者负性情绪及治疗配合度的影响[J].山西卫生健康职业学院学报,2025,35(5):147-149.
[3] 罗银弟,李婉霞.中医药治疗在艾滋病抗病毒治疗后肝损伤患者中的应用及综合护理[J].中国当代医药,2021, 28(9):203-205.
[4] 李素红,张淑娟,孟盼盼,等.基于冰山理论的个性化护理模式干预对艾滋病合并肺结核患者服药依从性及生活质量的影响[J].慢性病学杂志,2025,26(7):1117-1120.
[5] 伍华容.基于微信平台的延续性护理在艾滋病患者抗病毒治疗中的实施效果[J].婚育与健康,2024,30(21):148-150.
[6] 刘亚楠,李鹏宇,王丹妮,等.基于健脾补肾法探讨中医药干预艾滋病免疫重建不良的方法[J].现代中医临床,2022, 29(1):64-66+71.
[7] 普文丽,张晓敏.标准化护理对改善艾滋病患者负性心理的效果分析[J].中国标准化,2024,(12):273-276.
[8] 郑国华.个性化延续护理服务对艾滋病患者心理状态自护能力及依从性的影响[J].基层医学论坛,2024,28(11): 119-122.
[9] 徐爽爽.共情护理对艾滋病患者的服药依从性和满意度的影响[J].中国医药指南,2024,22(5):134-136.
[10] 刘谷连.应激系统理论指导下的护理干预对艾滋病患者应对方式及遵医行为的影响[J].基层医学论坛,2024, 28(31):90-93.