【摘要】 目的探讨并建立一种适合湖南省会城市HIV/AIDS人群的治疗关爱综合管理模式。方法建立以定点治疗医院为中心的医疗服务网络,与各级综合医院、省市区CDC密切联系,及时将发现的HIV/AIDS人群纳入治疗关爱系统,为他们建档,定期追踪观察,提供与之相适应的抗病毒治疗及机会性感染的治疗,并提供心理支持以及服药依从性督导。结果建立了由省市区各级综合医院、疾病控制中心、以及长沙市传染病医院共同参与的完善的医疗服务网络,组建了由疾病预防医师、临床治疗医师、护士、药师以及社区同伴教员一起工作的团队,为HIV/AIDS人群提供全方位的治疗关爱服务,极大地提高了HIV/AIDS人群的随访率及治疗可及性,OIs发生率下降20%左右;AIDS病死率降低到4.92%。结论该模式的建立,充分、合理地利用了湖南省会长沙市丰富的医疗资源,在管理HIV传染源,延缓HIV/AIDS疾病的进程,降低相关疾病发生率、病死率,降低人均治疗费用,提高HIV/AIDS生活、生命质量以及阻断AIDS的迅速蔓延方面发挥了较好的作用。更多还原

【Abstract】 Objective To set up an administrative model on HIV/AIDS comprehensive treatment and care in Changsha,the capital city of Hunan Province.Methods Establish a network equipped with abundant medical resources such as different kinds of hospitals and CDCs in Changsha,which provides comprehensive treatment and care for HIV/AIDS patients.Find out HIV/AIDS patients as early as we can,bring them into our treatment and care system,follow up the changes of their illness and make arrangements for hospitalization or implement HARRT program.Then educate them with AIDS related knowledge and give them psychological support to help them rebuild their confidence of curing illness.Results An administrative model on HIV/AIDS comprehensive treatment and care in Changsha has been set up according to the local health resource conditions.As results,the health status of HIV/AIDS patients has been improved and the incidence rate of the opportunistic diseases declined about 20%,and the mortality rate of AIDS related diseases reduced to 4.92%.Conclusions Setting up the administrative model on HIV/AIDS comprehensive treatment and care in Changsha will play the role of controlling contagions,preventing HIV spread,delaying the course of AIDS disease,depressing the rate of incidence and mortality of HIV/AIDS and enhancing the life quality of HIV/AIDS patients in the capital city of Hunan Province.更多还原