2001-03-162024-05-15https://scholars.lib.ntu.edu.tw/handle/123456789/663281摘要：由於國內人類免疫缺乏病毒（HIV）感染者及後天免疫缺乏症候群（AIDS）患者數日漸增加，且其牽涉多重系統的疾病特性、治療歷程的延長、患者存活率的增加，這些現象均突顯出醫療人員在長期疾病歷程中協助患者面對因疾病而引發多重的身體、心理及社會壓力的重要性，本研究將(1) 探討患者壓力、因應及生活品質的相關性，並標示預測壓力及生活品質的因素，(2) 發展三種照護策略（個別諮詢、團體諮詢或衛教資料），並以患者的壓力及因應之情形作為各照護策略之成效指標。 研究方法：本研究以台北市性病防治所及台大醫學中心的HIV/AIDS患者為對象，相關性研究的對象為199位患者，團體諮詢前後測的對象為5位患者，其餘資料的來源為患者的主觀描述。 研究結果：結果顯示患者的自覺生活快樂程度及身體症狀嚴重度二變項共可解釋患者壓力總變異量的43.5 ％；而自覺健康狀況及身體症狀嚴重度二變項共可解釋患者生活品質滿意度總變異量的43.8%，由此顯示醫療人員應致力於提供有效的症狀處理、提昇患者的自覺生活快樂程度及自覺健康狀況以直接貢獻於減低患者的壓力及改善患者的生活品質，患者雖然肯定照護策略之成效，然而患者接受團體諮詢之前與<br> Abstract: Objectives: People infected with HIV (Human Immunodeficiency Virus) confront with multiple stressors in their illness experiences. The purposes of this study were (1) to investigate the inter-relationships of stress, coping, and quality of life, (2) to develop individual and group interventions and to evaluate their impact on HIV infected people’ stress and coping. Methods: The survey data came from 199 HIV infected subjects who receive health care services from the National Taiwan University and the STDs Clinic of Taipei. Questionnaires were used to evaluate the pre- and post-group changes of 5 subjects’ stress and coping. Subjective descriptions were gathered to evaluate the effects of individual intervention, group intervention, and information of health education. Results: The results showed that self-perceived happiness and HIV-related symptoms accounted for 43.5% of the variance of patients’ stress and self-perceived health status and HIV-related symptoms accounted for 43.8% of the variance of patients’ quality of life. The research findings imply that health care professionals should focus on implementing effective symptom management in order to decrease patients’ stress and enhance their quality of life. In the future, we also expect to see an evaluation survey of the effect of symptom management on AIDS patients’ stress, coping and quality of life. Patients’ subjective description confirmed the effects of individual intervention, group intervention, and information of health education. However, the effects of the short-term group intervention did not reach the statistic significant level. Future research might consider to provide long-term interventions to meet patients’ various needs and to evaluate the effects.HIV/AIDS患者壓力因應HIV/AIDS patientsstresscoping