以家庭为基础服务为依托的HIV/AIDS随访服务模式探索项目对随访服务质量的影响分析  

Analysis for the impact of the pilot project for home-based follow-up visit supported by services related with HIV/AIDS on the quality of HIV/AIDS follow-up visit

作　　者：余惠芬[1] 韩瑜[1] 徐诺雅[1] 张小波[1] 安晓静[1] 张勇[1] 贾曼红[1] 

机构地区：[1]云南省疾病预防控制中心性病艾滋病防治所,云南昆明650022

出　　处：《中华疾病控制杂志》2015年第6期582-585,共4页Chinese Journal of Disease Control & Prevention

基　　金："十一五"国家科技重大专项(2009ZX10004-902)

摘　　要：目的了解以家庭为基础服务为依托的艾滋病病毒感染者(以下简称感染者)和病人随访服务模式探索项目对随访质量的影响。方法在项目实施前后采用单纯随机抽样在13个项目县分别对接受随访服务的约211例感染者和病人和100名家属进行问卷调查,了解其对艾滋病及随访服务的认识、态度、危险行为和接受随访服务情况等。结果项目实施后感染者和病人获得随访的比例显著提高,接受抗病毒治疗的比例由51.66%增至61.61%,获得免费安全套的比例由66.35%增至79.15%,民政救助由18.48%增至27.96%,最近6个月与配偶或固定性伴发生性行为均使用安全套的比例由75.00%升至86.96%;家属知晓感染者和病人感染状况后变得更加关心的比例由29.38%增至40.57%,觉得与感染者和病人一起生活没有不方便的比例由60.22%增至84.54%,最近6个月家属与感染者和病人发生性行为均使用安全套的比例由40.00%升至71.79%,对随访服务的认可度显著提高。2检验后P值均小于0.05。结论以家庭为基础服务为依托的感染者和病人随访模式可提高随访服务质量。Objective To analyze the impact of the pilot project for home-based follow-up supported by services related with HIV / AIDS on the quality of HIV / AIDS follow-up visit.Methods 211 PLHAs and 100 family members were chosen by simple random sampling.Questionnaire survey was conducted at 13 project counties.The contents of survey included knowledge and attitude of PLHAs to HIV / AIDS and follow-up visit; the situation of PLHAs receiving follow-up services; the practice of PLHAs for high-risk behavior and their HIV related needs; the attitude of family members to PLHAs and the basic care they provided to PLHAs.Results After the project was implemented the proportion of PLHAs who received follow-up visit service increased significantly; the proportion of PLHAs with ART services rose from 51.66% to 61.61%;the proportion of PLHAs who received free condom delivery services increased from 66.35% to 79.15%; and the rate of PLHAs who had gotten civil administration relief increased from 18.48% to 27.96% compared with the proportions of those before the project conducted.In addition,after the project implementation,the rate of family members who provided more home-care to PLHAs rose from 29.38% to 40.57%; the rate of family members who felt no inconvenience living with PLHAs increased from 60.22% to 84.54%; and the proportion of family members who used condom with their partners in sex practices within 6 months increased from 40.00% to 71.79%; the proportion of family members who thought follow-up visit was good for PLHAs and their families were improved significantly.All the changes above were analysed by 2test( P <0.05).Conclusions The model of follow-up visit based on home-care and supported by HIV / AIDS related service can help improving the quality of follow-up visit services to PLHAs.

关 键 词：获得性免疫缺陷综合征 随访研究 流行病学方法 

分 类 号：R512.91[医药卫生—内科学]