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哈尔滨市HIV/AIDS病人抗病毒治疗服药依从性的相关研究

Research related with antiviral medication adherence among HIV/AIDS patients in Harbin

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【作者】 闫存玲王福祥吴群红徐清云

【Author】 YAN Cun-ling,WANGFu-xiang,WU Qun-hong,et al.(Office of Medical Insurance,the Third Affiliated Hospital of Harbin Medical University,Harbin150001,China)

【机构】 哈尔滨医科大学附属第三医院医保办哈尔滨医科大学附属第四医院感染科哈尔滨医科大学卫生管理学院

【摘要】 目的探讨哈尔滨市艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(HIV/AIDS病人)服药依从性现状以及相关的影响因素。方法横断面调查研究,采用人口学问卷、服药依从性量表、AIDS耻辱量表等收集信息,运用SPSS 13.0统计软件进行数据分析。结果共调查104名HIV/AIDS病人,在耻辱量表、症状量表、敌意心理趋势、经济费用担忧以及医生信任度方面的得分,分别为(33.83±3.98)分、(18.64±15.16)分、(83.57±19.65)分、(45.51±29.31)分及(73.20±23.78)分;病人在过去的7天内平均服药依从性为90.24%;41.35%的病人在过去1个月内曾发生过漏服药物;多因素Logistic回归分析显示,年龄、婚姻状况、感染途径、AIDS耻辱得分,以及经济费用担忧得分对服药依从性有影响(P<0.05)。结论有近一半HIV/AIDS病人存在漏服药物的现象,必须采取综合性干预措施,提高HIV/AIDS病人的服药依从性。

【Abstract】 Objective To explore the medication adherence to antiretroviral treatment among HIV/AIDS patients in Harbin and the impact factors.Methods A cross-sectional survey was conducted.Information was collected by using demographic scale,medication adherence scale and AIDS-related scale,SPSS 13.0was used for data analysis.Result The scores of 104patients in AIDS-related scale,symptoms scale,hostility tendency,fears about economic burden,confidence degree in doctor were(33.83±3.98),(18.64±15.16),(83.57±19.65),(45.51±29.31)and(73.20±23.78),respectively;the average of medication adherence in the past seven days was 90.24%;41.35% patients used missing medicaments in the past month;the results of multiple logistic regression analysis revealed that age,marriage,transmission route,score of AIDS-related scale and fears about economic burden had a significant influence to medication adherence.Conclusion About 50% patients used to miss medicaments.Therefore,comprehensive measures should be taken to improve HIV/AIDS patients’medication adherence.

  • 【文献出处】 中国艾滋病性病 ,Chinese Journal of AIDS & STD , 编辑部邮箱 ,2013年07期
  • 【分类号】R512.91
  • 【被引频次】17
  • 【下载频次】227
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