艾滋病综合防治示范区与非示范区成人艾滋病病人生活质量及其影响因素分析  

Quality of life and related factors among AIDS patients in CARES and non-CARES areas

作　　者：佟佳[1] 韩孟杰[1] 袁建华[2] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京100050 [2]北京信息控制研究所,北京100037

出　　处：《中国艾滋病性病》2011年第1期28-31,共4页Chinese Journal of Aids & STD

基　　金：全国艾滋病综合防治示范区项目

摘　　要：目的调查艾滋病防治综合示范区与非示范区成人艾滋病病人的生活质量,并探讨治疗和关怀工作对病人生活质量的影响。方法选择云南、广西、河南三省(自治区),正在接受免费抗病毒治疗人数最多的示范区,同时在示范区周边选取经济社会条件与示范区相似、疫情最重和病人最多的非示范区、非全球基金项目点的县作为对照县。生活质量测量工具采用MOS-HIV(Medical Outcomes Study HIV Health Survey)量表简体中文版。结果共收到有效调查问卷512份,其中示范区268份、非示范区244份。示范区与非示范区HIV感染者的检测方式均以筛查为主,2003年至2006年,被确诊感染HIV的病人构成比分别为30.45%和60.66%、2006年至2008年期间被确诊感染HIV的病人构成比分别为38.35%和35.66%;感染途径均以有偿供血为主,分别占45.15%和51.85%。2004年至2006年,开始接受抗病毒治疗的病人构成比分别为25.00%和34.57%;2006年至2008年间开始接受抗病毒治疗的病人构成比为57.09%和60.91%。分别有87.69%和88.07%的病人持续进行抗病毒治疗,而病人中断治疗的最主要原因是药物不良反应。社会功能维度示范区和非示范区的艾滋病病人的得分分别为68.57分和60.25分,精力维度的得分分别为53.65分和49.67分,差异有统计学意义。结论示范区在病人关怀支持和消除歧视等方面取得了较好的效果。Objective To investigate the quality of life of adult AIDS patients in CARES and non-CARES areas, and to explore the effect of treatment, care and support on their quality of life. Methods The selected China CARES pilot area had the largest number of AIDS patients receiving free antiretroviral therapy （ART）, whereas a surrounding area outside Global Fund project county which had the most serious HIV/AIDS prevalence and similar socio-economic conditions was selected as non-CARES area. The simplified Chinese version of Medical Outcomes Study HIV Health Survey （MOS-HIV） was used as a tool to assess the quality of life of the surveyed AIDS pa- tients. Results A total of 512 valid questionnaires were received,which included 268 from China CARES area and 244 from non- CARES area. HIV screening was carried out both in CARES and non-CARES areas, and from 2003 to 2006 30.45 % and 60.66 % of the tested subjects were diagnosed as AIDS patients in the two areas, respectively, while from 2006 to 2008, 38.35 ~ and 35.66 % of the tested subjects were diagnosed as HIV positive in the two areas ,respectively. Paid blood donation was the main route of transmission, accounting for 44. 15% and 51.85% in the two areas. ,From 2004 to 2006, 25.00% and 34.57% of the AIDS patients received ART in the two areas, respectively ,while from 2006 to 2008 the percentage rose to 57.09% and 60.91% in the two areas. Of those receiving ART 87.69% and 88.07% persisted in treatment, and adverse reaction of the ARV drugs was the most important reason for stopping treatment. The respective scores of social functioning dimension and energy in the CARES pilot area were 68.57 and 53.65 , which were significantly higher than 60.25 and 49.67 in the non CARES area. Conclusion Encouraging outcomes were achieved in the CARES pilot area in regards to provision of care and support and elimination of discrimination, which was reflected by scores of social functioning dimension.

关 键 词：全国艾滋病综合防治示范区 生活质量 艾滋病病人 

分 类 号：R512.91[医药卫生—内科学]