影响美沙酮门诊HIV感染者抗病毒治疗因素的定性研究  

Qualitative survey on influential factors for HIV positive methadone maintenance treatment(MMT) patients to receive antiretroviral therapy

作　　者：程晓青[1] 庞琳[1] 曹晓斌[1] 王常合[1] 吴尊友[1] 

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,北京102206

出　　处：《中华疾病控制杂志》2013年第7期557-559,共3页Chinese Journal of Disease Control & Prevention

基　　金："十二五"国家科技重大专项(2012ZX10001-007);中国艾滋病和结核病多学科培训项目(2U2R TW006918-07)

摘　　要：目的了解参加美沙酮维持治疗(methadone maintenance treatment,MMT)的HIV感染者抗病毒治疗影响因素及探讨扩大艾滋病抗病毒治疗(antiretroviral therapy,ART)覆盖面的对策。方法在云南和广西部分地区5个MMT门诊分别选取26名参加MMT的HIV感染者、17名参加MMT的HIV感染者家属及23名相关机构工作人员进行个人深入访谈。结果影响MMT门诊HIV感染者参加抗病毒治疗的因素主要有缺乏正确的知识、歧视和经济困难,研究对象对在MMT门诊实行直接督导下的抗病毒治疗(directly observed treatment strategy,DOTS)认同比例偏低,认为可能在保护病人隐私、对MMT门诊医生进行培训及建立相关部门之间衔接等方面存在问题。结论在美沙酮门诊开展DOTS,需要建立相关部门间工作衔接机制,完成相关工作人员培训并对目标人群及其家庭进行宣传教育和适当的关怀救助。Objective To identify influential factors for HIV positive patients in methadone maintenance treatment （MMT） clinics to receive antiretroviral therapy （ ART）, and to expand coverage of ART. Methods In-depth individual interviews were conducted in 5 cities/counties in Yunnan and Guangxi provinces. 26 HIV positive patients in MMT clinics, 17 family members of HIV positive IDUs and 23 staff were recruited and interviewed. Results Dominating influential fac- tors for HIV positive MMT patients to take ART were lack of correct knowledge, discrimination and financial difficulty. On- ly a few participants approved directly observed treatment strategy （DOTS） in MMT clinics. Questions might exist in pro- tecting patients＇ privacy, training MMT staff or establishing linking mechanism among different sectors. Conclusions If MMT clinics are going to carry out DOTS, relevant departments should establish linking mechanism and provide training for MMT staff. Besides, diverse measures of education and care support should be given to this population and their families.

关 键 词：美沙酮 HIV 定性研究 

分 类 号：R512.91[医药卫生—内科学] R181[医药卫生—临床医学]