大英县艾滋病患者随访管理现状分析
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摘要
目的通过分析目前大英县艾滋病患者随访管理情况,为提高随访检测率、抗病毒治疗率等艾滋病防治工作提供科学依据。方法通过电话访视、实地调查的方式,统计目前大英县艾滋病患者随访管理情况。采用卡方检验和Logistic回归分析等方法,运用SPSS 23.0软件分析截止2018-05现住址为大英县的艾滋病患者随访检测、抗病毒治疗率等数据。结果截至2018-05,本地报告的患者随访到位率(98.25%)高于外地报告患者随访到位率(90.79%);县内居民随访到位率(95.40%)高于流动人员随访到位率(89.61%);各年龄组、性别之间随访到位率无差异;本地报告病人治疗率(74.67%)高于外地报至本地病人治疗率(57.32%);通过Logistic回归分析发现,羁押、全家外迁、担心身份曝光、治疗信心不足、外出务工等因素均与患者失访现象正相关。结论本地报告患者随访到位率和抗病毒治疗率均高于外地报至本地的患者,患者失访主要因素在于自身。
Objective By analyzing the current situation of follow-up management of AIDS patients in Daying county, so as to provide the scientific basis for improving the follow-up detection rate,antiviral treatment rate and other AIDS prevention and treatment work. Methods By means of telephone visit and field investigation, the present situation of follow-up management of AIDS patients in Daying county was measured. Chi-square test and Logistic regression, SPSS 23.0 software was used to analyze the data of follow-up test and antiviral treatment rate of AIDS patients living in Daying county as of the end of May 2018. Results By the end of May 2018,the follow-up rate of local reported patient (98.25%) was higher than that of the field reported patient rate (90.79%). The follow-up rate of residents in the county (95.40%) is higher than that of the migrants (89.61%). There was no statistical significant difference of follow-up rate between different age groups and gender. The treatment rate of the local reported patient (74.67%) was higher than that of the imported patients (57.32%). Through Logitic regression analysis,it was found that factors such as detention,family relocation, fear of identity exposure,lack of confidence in treatment, and working outside were all positively related to the lost of follow-up to patients. Conclusion The rate of followup and antiviral treatment were both higher for local reported patients compared with that of the imported patients. The main reason for the lost of follow-up to patients were lied with the patients.
Objective By analyzing the current situation of follow-up management of AIDS patients in Daying county, so as to provide the scientific basis for improving the follow-up detection rate,antiviral treatment rate and other AIDS prevention and treatment work. Methods By means of telephone visit and field investigation, the present situation of follow-up management of AIDS patients in Daying county was measured. Chi-square test and Logistic regression, SPSS 23.0 software was used to analyze the data of follow-up test and antiviral treatment rate of AIDS patients living in Daying county as of the end of May 2018. Results By the end of May 2018,the follow-up rate of local reported patient (98.25%) was higher than that of the field reported patient rate (90.79%). The follow-up rate of residents in the county (95.40%) is higher than that of the migrants (89.61%). There was no statistical significant difference of follow-up rate between different age groups and gender. The treatment rate of the local reported patient (74.67%) was higher than that of the imported patients (57.32%). Through Logitic regression analysis,it was found that factors such as detention,family relocation, fear of identity exposure,lack of confidence in treatment, and working outside were all positively related to the lost of follow-up to patients. Conclusion The rate of followup and antiviral treatment were both higher for local reported patients compared with that of the imported patients. The main reason for the lost of follow-up to patients were lied with the patients.
引文
[1]2018年第1季度全国艾滋病性病疫情[J].中国艾滋病性病,2018,24(5):431-431.
[2]李晓燕.浅析艾滋病的流行现状及其预防措施[J].世界最新医学信息文摘,2017,17(62):130-130.
[3]张秋月,张彤.艾滋病抗病毒治疗现状及其研究进展[J].中国病毒病杂志,2018,8(2):103-108.
[4]唐雪蕾,何海,王德伟,等.成都市成华区2004-2016年接受艾滋病抗病毒治疗的患者生存情况及其影响因素分析[J].现代预防医学,2018,45(1):145-148,168.
[5]刘小涛.基层艾滋病防治服务现状调查[D].合肥:安徽医科大学,2017.
[6]曾亚莉,谭勇,杨薇,等.四川省某少数民族地区艾滋病随访管理工作现状分析[J].中国卫生事业管理,2017,34(6):472-473,480.
[7]刘阳,周浩,杨永光,等.对艾滋病随访管理队伍的干预效果评价[J].现代预防医学,2016,43(16):2945-2948.
[8]高一飞.论人口流动与艾滋病传播的关系[J].学术探索,2014(6):89-94.
[9]李洪福,王华丽.2005-2014年东营市东营区艾滋病病毒感染者/艾滋病病人属地管理现状调查[J].预防医学论坛,2016,22(12):935-937.
[10]佘勇,陈宏.2013-2015年大英县艾滋病健康教育效果分析[J].预防医学情报杂志,2017,33(12):1234-1238.
[2]李晓燕.浅析艾滋病的流行现状及其预防措施[J].世界最新医学信息文摘,2017,17(62):130-130.
[3]张秋月,张彤.艾滋病抗病毒治疗现状及其研究进展[J].中国病毒病杂志,2018,8(2):103-108.
[4]唐雪蕾,何海,王德伟,等.成都市成华区2004-2016年接受艾滋病抗病毒治疗的患者生存情况及其影响因素分析[J].现代预防医学,2018,45(1):145-148,168.
[5]刘小涛.基层艾滋病防治服务现状调查[D].合肥:安徽医科大学,2017.
[6]曾亚莉,谭勇,杨薇,等.四川省某少数民族地区艾滋病随访管理工作现状分析[J].中国卫生事业管理,2017,34(6):472-473,480.
[7]刘阳,周浩,杨永光,等.对艾滋病随访管理队伍的干预效果评价[J].现代预防医学,2016,43(16):2945-2948.
[8]高一飞.论人口流动与艾滋病传播的关系[J].学术探索,2014(6):89-94.
[9]李洪福,王华丽.2005-2014年东营市东营区艾滋病病毒感染者/艾滋病病人属地管理现状调查[J].预防医学论坛,2016,22(12):935-937.
[10]佘勇,陈宏.2013-2015年大英县艾滋病健康教育效果分析[J].预防医学情报杂志,2017,33(12):1234-1238.