照顾者对艾滋病患儿抗病毒治疗服药依从性的影响  

Influence of caregivers on the compliance of antiretroviral therapy in children with HIV/AIDS

作　　者：陆春燕[1] 李永振[1] 郑于沛 曾雪梅[1] 曾小良[1] 鲁鸿燕[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心,南宁530028 [2]广西希望之光儿童社会工作服务中心,南宁530022

出　　处：《中国艾滋病性病》2016年第6期426-428,共3页Chinese Journal of Aids & STD

基　　金：儿童艾滋病适宜治疗策略研究与应用(2012ZX10001004)~~

摘　　要：目的探讨在广西壮族自治区疾病预防控制中心艾滋病抗病毒治疗门诊,在治艾滋病患儿的照顾者的特征及其对患儿抗病毒治疗(ART)服药依从性的影响。方法针对可能的影响因素制定统一的调查问卷,采用结构式访谈方法对儿童及家长或监护人进行一对一、面对面深入访谈后收集相关资料。结果照顾者身份为父母(包括单亲或双亲),患儿的服药依从性为63.13%,为隔代或其他亲属,患儿的服药依从性为38.78%,差异有统计学意义(P<0.05);对AIDS认知程度好的服药依从性为94.25%,认知程度差的服药依从性为36.84%,差异有统计学意义(P<0.05)。结论提高医护人员的依从性干预能力,建立有效的支持系统,延伸ART诊疗服务至对患儿及家庭关怀照顾,提供个性化的依从性干预措施,需要在上药前咨询、健康教育、用药指导、心理辅导全方位介入。Objective To investigate the effect of the caregivers who helped HIV/AIDS children with adherence to antiretroviral therapy（ART）in the ART clinics of Guangxi Zhuang autonomous region center.Methods Standardized questionnaire was designed and information was collected via one-to-one,face-to-face structured interview with the HIV/AIDS children and their parents or guardians.Results Parents（including aparent or parents）acting as caregivers for their children’s medication compliance（63.13%）were better than grandparents or other relatives for the children’s medication compliance（38.78%）.The difference was significant（P〈0.05）.The caregivers with better awareness of HIV knowledge could achieve 94.25% of medication compliance of the HIV/AIDS children under ART,much better than those with less awareness who could only get 36.84%.The difference was significant（P〈0.05）.Conclusion We need to improve the capacity of the health staff and set up an effective supporting system to provide quality care to the HIV/AIDS children under ART and their family members,including tailored interventions,counseling before and during ART,health education,and psychological guidance.

关 键 词：照顾者 艾滋病患儿 依从性 影响因素 

分 类 号：R512.91[医药卫生—内科学]