HIV/AIDS病人重复住院的危险因素分析  

Analysis of risk factors of repeated hospitalization of HIV/AIDS patients

作　　者：石义容 温敏 邓秋霞 陈伟梅[1] 操静 王辉[1] 何云[1] SHI Yirong;WEN Min;DENG Qiuxia;CHEN Weimei;CAO Jing;WANG Hui;HE Yun(The Third People′s Hospital of Shenzhen,Guangdong 518112 China)

机构地区：[1]深圳市第三人民医院,518112

出　　处：《全科护理》2023年第36期5157-5161,共5页Chinese General Practice Nursing

基　　金：国家“十三五”艾滋病和病毒性肝炎等重大传染病防治科技重大专项,编号:2017ZX10202101-001-008。

摘　　要：目的:探讨人类免疫缺陷病毒感染者和艾滋病病人(以下简称HIV/AIDS病人)重复住院的危险因素,以期为临床诊治和护理提供参考依据。方法:纳入医院2020年1月—6月住院的HIV/AIDS病人为研究对象,将随访2年后重复住院(住院次数≥2次)病人设为重复入院组,根据年龄、性别等一般资料匹配原则选取1∶1病例数为单次入院组,比较分析两组病人一般资料、住院诊断信息、CD 4+T淋巴细胞计数、营养风险筛查2002(NRS 2002)和综合性医院焦虑/抑郁情绪测定表(Hospital Anxiety and Depression Scale,HADS)等评估结果,采用二元Logistic回归分析艾滋病病人重复住院的危险因素。结果:共纳入重复住院的HIV/AIDS病人157例,单次住院的HIV/AIDS病人154例。157例重复住院HIV/AIDS病人中,男143例(91.08%),年龄为(36.49±10.91)岁;63.06%是通过同性感染的,33.76%的病人无工作,最低CD 4+T淋巴细胞计数为(126.44±54.22)/μL,首次住院体质指数(BMI)为(19.13±1.30)kg/m 2,首次抗病毒治疗以来年份中<1年的病人占71.34%;重复住院病人前3位的主要疾病诊断为艾滋病相关疾病(65.11%)、非艾滋病病毒相关感染(13.83%)、非艾滋病相关肿瘤(6.38%)。二元Logistic回归分析结果显示,重复住院HIV/AIDS病人职业状况的OR值为2.380(P<0.05),而最低CD 4+T淋巴细胞计数和首次住院BMI的OR值分别为0.673和0.720(P<0.05)。结论:最低CD 4+T淋巴细胞计数和首次住院BMI较低是HIV/AIDS病人重复住院的危险因素,而有工作是其保护因素。Objective:To explore the risk factors of repeated hospitalization of HIV/AIDS patients,in order to provide reference for clinical diagnosis,treatment and nursing.Methods:HIV/AIDS patients hospitalized in the hospital from January to June 2020 were included as the study objects.Patients with repeated hospitalization(≥2 times of hospitalization)after 2 years of follow-up were set as the repeated hospitalization group,and 1:1 cases were selected as the single hospitalization group according to the matching principle of general data such as age and gender.The evaluation results of general data,hospitalization diagnosis information,CD 4+T lymphocyte count,nutritional risk screening 2002(NRS 2002)and Hospital Anxiety and Depression Scale(HADS)were compared and analyzed between the two groups.The risk factors of repeated hospitalization in AIDS patients were analyzed by binary Logistic regression.Results:A total of 157 HIV/AIDS patients with repeated hospitalization and 154 HIV/AIDS patients with single hospitalization were included.Among the 157 re-hospitalized HIV/AIDS patients,143(91.08%)were males,(36.49±10.91)years old;63.06%were infected through homosexual infection,33.76%were unemployed,the lowest CD 4+T lymphocyte count was(126.44±54.22)/μL,the first inpatient body mass index(BMI)was(19.13±1.30)kg/m 2,71.34%of patients were less than 1 year after the first antiviral treatment.The top 3 diseases diagnosed in the repeated hospitalization patients were AIDS-related diseases(65.11%),non-HIV-related infections(13.83%),and non-AIDS-related tumors(6.38%).The results of binary Logistic regression analysis showed that the OR value of occupational status of HIV/AIDS patients with repeated hospitalization was 2.380(P<0.05),while the OR values of the lowest CD 4+T lymphocyte count and the BMI of the first admission were 0.673 and 0.720,respectively(P<0.05).Conclusions:The lowest CD 4+T lymphocyte count and lower initial admission BMI are risk factors for repeated hospitalization in HIV/AIDS patients,and having a job i

关 键 词：人类免疫缺陷病毒 艾滋病 重复住院 危险因素 

分 类 号：R473.5[医药卫生—护理学]