摘要
目的探讨不同随访管理方式对HIV感染者接受抗病毒治疗的影响,分析HIV感染者接受抗病毒治疗的有利因素,进一步提高昆明市HIV感染者的入组治疗率。方法通过方便抽样的方法,抽取昆明市现存活的HIV感染者进行研究,调查对象包括在治和未治两组感染者,调查内容包括一般人口学资料、首次随访服务、转介方式、CD4检测告知机构等内容。结果有效调查738例HIV感染者,其中,未治者551例,在治者187例,两组患者的文化程度、月收入水平、艾滋病知识知晓率差异有统计学意义(P<0.05);logistic回归分析显示:异性/同性传播、初中及以上文化程度、掌握一定的艾滋病知识、首次随访获得抗病毒治疗信息、工作人员陪同转介治疗、抗病毒治疗机构检测并告知CD4结果,OR(95%CI)分别为4.045(1.916,8.536)/2.321(1.205,4.469)、1.790(1.040,3.080)、5.233(2.124,12.891)、4.352(2.353,8.436)、2.033(1.333,3.100)、4.941(2.470,9.884)。结论提高艾滋病知识知晓率、首次随访提供抗病毒治疗信息、由工作人员陪同转介治疗、由抗病毒治疗机构检测并告知CD4结果,对HIV感染者接受抗病毒治疗具有促进作用,提示采取以上措施对提高治疗率具有参考意义,卫生行政部门和相关医疗卫生机构应给予关注。
Objective To explore the influence of different follow-up management methods on the acceptance of antiretroviral therapy among patients infected with HIV,and to analyze factors promoting the acceptance of antiretroviral therapy among the patients so as to further improve the treatment rate of HIV-infected patients in Kunming.Methods Surviving HIV-infected patients in Kunming City were selected by convenient sampling.The surveyed subjects included the treated and untreated patients.The survey contents included general demographic data,the first follow-up service,referral methods and CD4 testing and informing institutions.Results Among 738 HIV-infected patients effectively surveyed,551 patients were untreated and 187 treated,showing statistically significant differences in educational background,monthly income level and awareness rate of AIDS knowledge between the two groups(all P<0.05).Logistic regression analysis showed that HIV-infected patients with the route of heterosexual/homosexual transmission,having an educational background of junior middle school or above,acquiring some AIDS knowledge,obtaining the information about antiretroviral therapy in the first follow-up,receiving refeiTal services accompanied by medical staff and with CD4 testing and informing provided by antiretroviral therapy institutions had ORs(95%CI)of 4.045(1.916,8.536)/2.321(1.205,4.469),1.790(1.040,3.080),5.233(2.124,12.891),4.352(2.353,8.436),2.033(1.333,3.100)and 4.941(2.470,9.884),respectively.Conclusion Improving the awareness rate of AIDS knowledge,providing the information about antiretroviral therapy in the first follow-up,receiving referral services accompanied by medical staff and CD4 testing and informing provided by antiretroviral therapy institutions have positive effects on the HIV-infected patients receiving antiretroviral therapy.The results suggest that the above-mentioned measures can be used for reference to improve the rate of antiretroviral therapy,and the health administrative departments and relevant medical and hea
作者
李怡
李丽
王晶莹
梁军
刘俊
张潇文
LI Yi;LI Li;WANG Jing-ying;LIANG Jun;LIU Jun;ZHANG Xiao-wen(Kunming Municipal Center for Disease Control and prevention,Kunming,Yunnan 650228,China)
出处
《实用预防医学》
CAS
2021年第5期554-557,共4页
Practical Preventive Medicine
基金
昆明市卫生和计划生育委员会医药卫生科技计划项目(No:2017-12-05-002)。
关键词
随访
管理
HIV感染者
抗病毒治疗
follow-up
management
HIV infector
antiretroviral therapy
