凉山彝族地区乡村艾滋病患者服药依从性影响因素分析及对策

摘要

目的 调查凉山彝族地区乡村艾滋病患者服药依从性及行为影响因素,以提高患者服药依从性,改善患者生存质量.方法 由经过统一培训的医护人员对凉山彝族地区乡村68例艾滋病患者进行当面及电话访谈,根据访谈信息如实填写患者服药依从性调查问卷,分析其服药依从性的影响因素.同时抽取静脉血,测定服药者CD4+T淋巴细胞计数、病毒载量,进行效果评价分析.结果 凉山彝族地区乡村艾滋病患者服药依从性为20.58％,患者对服药知识不了解、医务人员指导不到位、缺乏监督,是影响艾滋病患者服药依从性的主要因素.结论 提供良好的支持系统,采取相应的干预措施,可使患者服药依从性得到明显提升,进而改善患者生存质量.%Objective To survey the influence and behavioral factors of medication compliance of AIDS patients in national remote area,and improve the patients' medication compliance and quality of life.Methods A general information questionnaire was carried out in 68 AIDS patients in national remote area to analyze the influence factors of the medication compliance.The venous blood,CD4+ T lymphocyte count and viral load were tested.Results Medication compliance of AIDS patients was 20.58％.Lack of medical knowledge,professional guidance,and supervision was the main factor affecting the HIV/AIDS patients medication compliance.Conclusion Medication compliance of AIDS patients can be improved by providing a good supporting system,intervention measures,and support system.