督导员制度与艾滋病病人服药依从性的相关研究  

Study on the correlation between the supervisor system and the compliance of AIDS patients

作　　者：孙洁[1] 温瑞[1] 韩丹[1] 李梦秋[1] 孔维宾[1] 付立[1] 闫素云[2] 

机构地区：[1]开封市疾病预防控制中心,河南开封475000 [2]黄河科技学院,郑州475000

出　　处：《中国艾滋病性病》2012年第10期657-658,共2页Chinese Journal of Aids & STD

摘　　要：目的探讨设立督导员对提高艾滋病病人服药依从性的作用。方法随机选取新服药的艾滋病病人60例,分为A组(干预组)和B组(非干预组)。设立艾滋病服药督导员,对干预组病人服用抗病毒治疗药物的过程进行干预,通过对比检测人次数情况、CD4+T淋巴细胞数值检测结果,进行统计学分析,评价病人依从性对病人抗病毒治疗效果的影响。结果 A组检测人数依从性、CD4+T淋巴细胞数值>350/mm3的人数≥3次的病人人数,均显著高于B组(P<0.01)。结论督导员制度能够明显提高病人服药的依从性,提高艾滋病病人抗病毒治疗的效果,提高艾滋病病人生活质量,延长病人生存期限。Objective To explore the effect of the supervisor system in improving AIDS patients＇ compliance. Method Sixty AIDS patients taking antiretroviral drugs were randomly selected and were divided into two groups： Group A （intervention group） and Group B （non-intervention group）. A supervisor system was set up to supervise patients＇ compliance with the antiretroviral therapy（ART）. The effect of this system for compliance with antiretroviral therapy was evaluated by comparing numbers of the tested patients and the value of CD4＋ T-lymphocyte counts, and the results were analyzed statistically. Result The compliance in Group A was much higher than in Group B （P〈0. 01）. The number of the tested patients and the number of the patient with the value of CD4＋ T-lymphocyte counts 〉 350/ram3 in Group A were much higher than in Group B （P〈0.01）. Conclusion The supervisor system could obviously improve the patients ＇ compliance, apparently enhance the effect of antiretroviral therapy in AIDS patients and improve AIDS patients＇ quality of life and survival length.

关 键 词：督导员 艾滋病病人 依从性 抗病毒治疗 生存期限 

分 类 号：R512.91[医药卫生—内科学]