伊宁市艾滋病感染者病人抗病毒治疗过程中脱失原因分析.docVIP

伊宁市艾滋病感染者/病人 抗病毒治疗过程中脱失原因分析 热合玛·艾米拉 摘要：目的 分析艾滋病感染者/病人接受抗病毒治疗中出现脱失的原因，探讨降低脱失率的对策。 方法 对2006～2014年伊宁市国家艾滋病疫情报告系统抗病毒治疗数据库中脱失的艾滋病感染者/病人进行面对面或电话访谈，采用描述性分析方法进行分析。 结果 在861例脱失者中，失联231例，死亡65人，转外县市治疗65人，重复39人，坚决拒绝调查4人，最后457名脱失者参与问卷调查。药物不良反应144例(31.5%)是首要脱失原因，工作原因64例(14.0%)、害怕被人知道感染HIV44例(9.6%)、觉得药物无效43例(9.4%)、抗拒吃药40例(8.8%)是主要脱失原因；对抗病毒治疗看法,188例(41.1%)受访者认为能促进健康，延长生命，提升生活质量；160例(35%)受访者认为药物有很多副作用，不愿治疗；参加抗病毒治疗原因，222例(48.6%)受访者认为工作人员多次劝导，不好意思拒绝；174例(38.1%)受访者认为促进健康，延长生命。服药依从性较差，近一半的受访者未按医嘱服药。 结论 建立药物不良反应的监测和告知机制，加强宣传教育，完善家庭与社会支持，优化用药方案，能提高病人的服药依从性，降低脱失率。 关键词：艾滋病感染者/病人；抗病毒治疗；脱失原因；对策 中图分类号：R512.91 文献标志码：A An analysis on reasons for loss to follow-up in AIDS patients receiving antiretroviral therapy. Abstract: Objective To explore reasons and countermeasures for loss to follow-up in AIDS patients receiving antiretroviral therapy. Methods Face to face or telephone interviews were conducted in patients lost to follow-up, screened out by AIDS network for information systems from 2006 to 2014 in yining city , the data was analyzed by descriptive analysis. Results Among 861 patients lost to follow-up,231 were unable to contact,65 people die,65 people transferred to other cities treatment,39 people were repeated, 4 people refused to investigate,457 patients lost to follow-up participated in the survey. Drug side effects were the primary reasons(144 cases, 31.5%),the main reasons lost to follow-up, change of work place(64cases,14%), afraid of being know HIV infection (44cases,9.6%), no effect drug (43 cases,9.4%) and resistance to take medicine(40 cases,8.8%). Views on antiretroviral therapy: 188(41.1%) respondents believed that it can promote health, prolong life, improve the quality of life; 160(35%) respondents believed that the drugs have many side effects, rather than treatment. The reason for antiretroviral therapy: 222(48.6%) respondents believed that the staff had repeatedly refused to persuade; 174 respondents believed that it can promote health, prolong life. Conclusion