论文部分内容阅读
目的利用社会流行病学的社区人群干预研究方法,对社区艾滋病病人抗病毒服药的行为采取若干干预措施,提高病人对抗病毒药物的认识和服药及时性,掌握并了解抗病毒药物的副作用和个人护理常识,最大程度减少病人耐药性,降低病死率。方法被干预社区为西华县红花镇龙池头村的艾滋病抗病毒治疗病人,对照社区为西华县黄桥乡、大王庄乡、李大庄乡、西夏镇相应的抗病毒治疗艾滋病人。采用整群抽样方法对龙池头所有参加抗病毒服药艾滋病病人进行基本情况调查。调查表内容包括家庭和本人基本情况、经济收入、艾滋病防治知识、抗病毒药物知识、副反应及个人卫生常识、生活态度和行为、对关怀支持的需求。对抗病毒服药人群需求评估,根据调查表的信息用划记法汇总,从划记的大数至小数依次排列,通过筛选确定7个优先解决的问题,连续4年实施干预。结果被干预社区和对照社区4年的平均死亡百分率为8.47%和37.17%,利用卫生统计学卡方检验。卡方值为:x2=50.02,P<0.01。即认为干预社区和未干预社区艾滋病病死率差异有统计学意义。结论针对艾滋病病人行为改变的干预措施是提高抗病毒治疗质量,降低病死率的有效策略
OBJECTIVE: To make use of social epidemiological intervention methods in community groups to intervene in anti-virus taking of HIV patients in community, to improve patients’ understanding of anti-viral drugs and timeliness of taking medicines, to understand and understand the side effects of antiviral drugs and personal care Common sense, to minimize patient resistance and reduce mortality. Methods The intervention community was AIDS antivirus treatment in Longchi Tou Village, Honghua Town, Xihua County. The control community was the corresponding antiviral treatment of AIDS patients in Huangqiao Township, Da Wangzhuang Township, Lizhuang Township and Xixia Township of Xihua County. A cluster sampling method was used to investigate the basic situation of all HIV / AIDS patients who took antiviral drugs in Longchi Tou. The questionnaire covers the basic conditions of families and individuals, economic income, AIDS prevention and control knowledge, antiviral drug knowledge, side effects and personal hygiene knowledge, attitude and behavior, and the need for caring support. According to the questionnaire information, the needs of anti-virus drug populations were summarized and recorded from the large number of records to the decimal. The seven priority issues were identified through screening, and the interventions were conducted for four consecutive years. Results The average 4-year death rates of the intervention community and the control community were 8.47% and 37.17%, respectively, using the chi-square test of health statistics. Chi square value is: x2 = 50.02, P <0.01. That is, there is a statistically significant difference in the AIDS-related death rate among intervention communities and non-intervention communities. Conclusions Interventions for behavioral changes in AIDS patients are effective strategies to improve the quality of ART and reduce mortality