摘要
目的探索个案管理模式在艾滋病抗病毒治疗中的应用及其效果。方法通过收集整理昆明市第三人民医院抗病毒治疗门诊接受艾滋病抗病毒治疗的患者数据,分析比较在开展个案管理模式前后的队列保持率、病毒抑制率。结果开展个案管理模式后,抗病毒治疗的队列保持率从原来的84.4%提高到88.5%,P=0.399,无统计学差异。病毒抑制率由原来的89.6%提高到96.7%,P=0.045差异有统计学意义。开展个案管理后,在新增两千多患者的情况下只增加了一名个案管理师。结论个案管理师的应用节约了医疗资源,降低了医疗成本。使得艾滋病抗病毒治疗后病毒抑制率提高,治疗效果得以改善。队列保持率增加不明显,个案管理师需要加强对患者的了解及沟通交流,减少脱失患者,以保证更多的HIV/AIDS患者接受长期有效的治疗。
Objective To explore the use and effects of case management in antiretroviral therapy. Methods The data of patients included in the antiviral treatment in outpatient department of Kunming Third People＇s Hospital had been collected. Cohort maintenance and viral suppression rate were compared between patients treated before and after the initiation of case management. Results After the initiation of case management, the rate of cohort maintenance increased from 84.4% to 88.5%（P=0.399）, the rate of viral suppression increased from89.6% to 96.7%（P=0.045）. After the initiation of case management,in the case of more than two thousand new patients, only one case manager was added. Conclusion The initiation of case management is beneficial to save medical resources, reduce the cost of health care. The rate of viral suppression increased, the healing effect was improved after antiviral treatment. The increase of cohort maintenance is not obvious, case managers should strengthen understanding and communication with patients to reduce the lost, to ensure that more HIV/AIDS receive long-term and effective treatment.
作者
田波
刘俊
武昆利
何蓉
李重熙
白劲松
TIAN Bo;LIU Jun;WU Kun-li;HE Rong;LI Chong-xi;BAI Jing-song(Kunming Third People＇s Hospital, Kunming, Yunnan, 650041,China)
出处
《皮肤病与性病》
2018年第2期171-173,共3页
Dermatology and Venereology
