驻马店市艾滋病病毒感染者和病人随访现状分析

Analysis of follow-up status of HIV infected and patients in Zhumadian City

目的了解驻马店市艾滋病病毒感染者和病人流动情况和随访现状。方法调查样本来自艾滋病防治基本信息数据库,从中随机抽取790例HIV/AIDS现存活并处于随访状态的病例,各县区艾滋病随访管理工作人员对调查对象进行问卷调查,了解随访管理现状及接受异地随访管理意愿。结果 790例HIV/AIDS病例,其中96例死亡或失访,实际调查694例HIV/AIDS,本地非流动病例589例,异地流动病例105例,本地非流动病例与异地流动病例CD4检测比例、单阳家庭配偶HIV抗体检测比例和接受抗病毒治疗比例比较差异有统计学意义(χ^2=10.189,P=0.001;χ^2=22.960,P<0.001;χ^2=5.395,P=0.02)。调查对象中418例病例愿意接受异地医疗机构随访管理服务,276例病例拒绝接受异地医疗机构随访管理服务。结论当地HIV/AIDS病例中异地流动病例的随访管理现状存在一定问题,病人的合理需求仍未得到较好的解决。

Objective To understand the flow and follow-up status of HIV infected people and patients in Zhumadian City.Methods A total of 790cases who were alive and existing in follow-up status were randomly selected from the basic information database of AIDS prevention and treatment.The questionnaire survey was conducted by AIDS fol-low-up management staff in each county to understand the current situation of follow-up management and their will-ingness to accept follow-up management in other places.Results There were 790HIV/AIDS cases,96of which died or lost their visits,694HIV/AIDS cases were actually investigated,589local non mobile cases,105allopatric mobile cases.There were statistically significant differences in the proportion of CD4detection between local non mobile cases and allopatric mobile cases,the proportion of HIV antibody detection between spouses of single posi-tive families and the proportion of receiving anti-virus treatment(χ^2=10.189,P=001;χ^2=22.960,P<0.001;χ^2=5.395,P=0.02).Among all objects,418cases were willing to accept follow-up management service provided by medical institutions in other places,and 276cases refused to accept free services provided by medical institutions in other places.Conclusion There are some problems in the follow-up management of HIV/AIDS cases in different places,and the reasonable needs of patients have not been solved.