四川省艾滋病定点抗病毒治疗机构HIV感染者个案管理情况调查

Renqing Case management of HIV infected people in designated ART institutions in Sichuan province

目的调查四川省21个市州艾滋病定点抗病毒治疗(ART)机构个案管理情况。方法采取便利抽样法,于2019年5-7月调查四川省21个市州598家艾滋病定点ART机构的个案管理情况及艾滋病病毒(HIV)感染者的随访管理水平。结果 598家艾滋病定点ART机构参与艾滋病门诊随访工作的专职医生平均为0.55人,专职护士平均为0.69人;有455家(76.09%)机构的个案管理人员未参加过个案管理相关培训,对个案管理人员来说:最难管理的前三类患者分别是有过脱失经历重新治疗、老年(≥60岁)、外出务工者。结论四川省艾滋病ART机构个案管理情况并不乐观,存在人员短缺、个案管理知识技能缺乏的状态,建议政府在政策上给予重视和支持,并对基层人员开展艾滋病个案管理相关培训。

Objective To investigate the case management of the HIV infected in the designated antiviral treatment(ART) institutions in 21 cities and prefectures of Sichuan province. Methods From May to July 2019, 598 designated HIV/AIDS treatment institutions were investigated in 21 cities and prefectures in Sichuan by convenience sampling method. Results There were 0.55 full-time doctors and 0.69 full-time nurses participating in the follow-up work in the598 ART institutions. There were 455 institutions(76.09%) whose case management staff had not participated in case management related training. The top three patients most difficult to follow up were those lost, elderly(≥60 years old) and migrant. Conclusion The case management of the HIV infected in the ART institutions is not optimistic in Sichuan because of shortage in health personnel, knowledge and skills of case management. It is suggested that the government should pay more attention to and support the policy, and carry out training on HIV/AIDS case management for grassroots health personnel.