金华市HIV感染孕妇管理现状及应对措施分析  

Analysis of the management status and countermeasures of HIV-infected pregnant women in Jinhua City

作　　者：王珊 曹剑芳 黄亮 WANG Shan;CAO Jianfang;HUANG Liang(Jinhua Maternal&Child Health Care Hospital,Jinhua,Zhejiang 321000,China)

机构地区：[1]金华市妇幼保健院,浙江金华321000

出　　处：《中国公共卫生管理》2024年第5期739-742,共4页Chinese Journal of Public Health Management

基　　金：浙江省医药卫生科技计划项目(2022KY1334)。

摘　　要：目的 探讨金华市人类免疫缺陷病毒(Human Immunodeficiency Virus,HIV)感染孕妇的管理现状,并分析其应对措施的有效性。方法 选取金华市疾病预防控制中心连续筛选的100例HIV感染孕妇作为研究对象,以面对面的形式由经过统一培训的调查员对其进行问卷调查。结果 在HIV感染孕妇中,孕期检测阳性孕妇与仅产时检测阳性孕妇在常住地、是否独居、家庭支持及文化程度方面的特征分布不同(P<0.001)。孕期HIV筛查接受度良好者占78.00%,抗病毒药物治疗依从性良好者占82.00%,及时参与随访者占80.00%,获得中度及高度社会支持者占67.00%。结论 金华市HIV感染孕妇在孕期管理方面展现出了高度的接受度、优异的治疗依从性、积极的随访参与度以及广泛的社会支持,整体管理呈现出良好的发展态势,但还需进一步提高HIV感染孕妇管理水平,保障母婴健康。Objective To investigate the management status of pregnant women with human immunodeficiency virus(HIV)infection in Jinhua City and to analyze the effectiveness of the countermeasures implemented.Methods A total of 100 pregnant women with HIV-infection,consecutively screened by the Jinhua Centers for Disease Control and Pre⁃vention,were selected as study subjects.Face-to-face questionnaires were conducted by uniformly trained investigators.Results Among the pregnant women with HIV-infection,those who tested positive during pregnancy differed significant⁃ly from those who tested positive only during childbirth in terms of residence,living alone,family support,and educa⁃tion level(P<0.001).Specifically,78.00%of pregnant women had good acceptance of HIV screening during pregnan⁃cy;82.00%showed good adherence to antiviral drug treatment;80.00%participated in timely follow-up;67.00%re⁃ceived moderate to high levels of social support.Conclusion Pregnant women with HIV-infection in Jinhua City demon⁃strate a high level of acceptance towards prenatal management,excellent adherence to treatment,active participation in follow-up,and extensive social support.The management of pregnant women shows a positive development trend.However,further improvements are needed in the management of pregnant women with HIV-infection to ensure the health of mothers and infants.

关 键 词：HIV感染 孕妇 家庭支持 应对措施 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R169.1[医药卫生—临床医学]