健康教育对HIV/AIDS病人ART依从性干预效果的Meta分析  

Meta-analysis of the influence of health education on ART adherence of HIV/AIDS patients in China

作　　者：李萌[1] 冯一冰[1] 张夏燕[1] 步凯[1] 陈方方[1] 王璐[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：《中国艾滋病性病》2015年第4期297-300,共4页Chinese Journal of Aids & STD

摘　　要：目的系统评价健康教育对艾滋病病毒（HIV）感染者／艾滋病（AIDS）病人抗病毒治疗（ART）依从性的影响。方法应用相应检索策略搜索并获取相关研究的文献，根据纳入排除标准纳入15篇文献，对其进行数据提取，并建立数据库。之后采用定性描述以及Meta分析的系统评价方法进行分析。结果15篇文献中判断是否依从的标准不尽相同；干预方式为多种形式的健康教育，如：宣传手册、一对一访谈、同伴教育、集体授课、电话咨询、开展专题活动等；干预随访时间3个月、6个月、12个月及以上不等。Meta分析发现，与一般护理或宣教相比，实施健康教育干预可使HIV感染者／AIDS病人ART依从性提高至1．20倍[95％可信区间（CI）：1．15～1．25]，干预组与对照组ART依从性良好的比例比较，差异有统计学意义（P〈0．01）。总体上15篇文献不存在发表偏倚。结论以健康教育为核心的干预手段是一项经济有效的干预措施，建议进一步标准化流程并深入实施。Objective To evaluate the influence of health education on ART adherence of HIV/AIDS patients in China. Methods Descriptive research for qualitative analysis and meta-analysis quantitative study were used. All the published data from databases were conducted among HIV/AIDS patients on ART of China. According to the selection and exclusion criteria, 15 relevant studies were included. Result The evaluation criteria of adherence are different; the interventions are a variety of forms of health education, such as.. brochures, one-on-one interviews, peer education, lessons, telephone consultation and thematic activities; the intervention time varies from 3 months to more than 12 months. The effect of health education on ART adherence of HIV/AIDS patients of the intervention group is 1.20 （95%CI：1.15 -1.25）times as much as that of control group. The difference between two groups was significant （P〈0.01）. Conclusion Health education is an cost-effective method to improve ART adherence of HIV/AIDS patients, it should be further brought into practice.

关 键 词：艾滋病病毒感染者/艾滋病病人 健康教育 抗病毒治疗 依从性 META分析 

分 类 号：R373.9[医药卫生—病原生物学] R512.91[医药卫生—基础医学]