CAJ | 학술논문

目的：了解艾滋病患者高效抗逆转录病毒治疗依从性及社会支持程度的现状，分析两者的相关性，寻求提高艾滋病患者服药依从性的对策。方法采用社会支持评定量表和美国社区艾滋病临床研究抗逆转录病毒用药自陈式问卷，对2012年2月-2013年4月在深圳接受免费高效抗逆转录病毒治疗的263例艾滋病患者进行现场问卷调查,通过面对面访谈收集资料。结果艾滋病患者社会支持总分为（31.27±5.91）分，低于国内常模（P＜0.01)；抗病毒治疗服药的平均依从程度为95.1％，85.2％的患者服药依从性好，14.8％的患者服药依从性差；社会支持总分及其各维度与服药依从性呈正相关（P＜0.01)。结论接受抗病毒治疗的艾滋病患者社会支持中的客观支持和支持的利用度偏低，影响到患者的服药依从性。应帮助患者建立有效的社会支持系统，以提高其服药依从性。
목적：료해애자병환자고효항역전록병독치료의종성급사회지지정도적현상，분석량자적상관성，심구제고애자병환자복약의종성적대책。방법채용사회지지평정량표화미국사구애자병림상연구항역전록병독용약자진식문권，대2012년2월-2013년4월재심수접수면비고효항역전록병독치료적263례애자병환자진행현장문권조사,통과면대면방담수집자료。결과애자병환자사회지지총분위（31.27±5.91）분，저우국내상모（P＜0.01)；항병독치료복약적평균의종정도위95.1％，85.2％적환자복약의종성호，14.8％적환자복약의종성차；사회지지총분급기각유도여복약의종성정정상관（P＜0.01)。결론접수항병독치료적애자병환자사회지지중적객관지지화지지적이용도편저，영향도환자적복약의종성。응방조환자건립유효적사회지지계통，이제고기복약의종성。
Objective To know about the status quo of social supports and medication compliance of patients with AIDS and analyze the correlation between them. Methods A total of 263 cases of AIDS patients receiving free highly active antiretroviral therapy (HAART) from 2012 February to 2013 April were investigated. Face-to-face interview was conducted to collect data. Results The total score of social support in AIDS patients was 31.27 ±5.91, which was lower than that of national normal (P<0.01); the average level of adherence to HAART was 95.1%. There were 85.2%of the patients who were of good adherence to HAART while 14.8% with poor adherence. The total score of social support and its all dimensions were positively correlated with adherence to HAART ( P<0.01). Conclusion Social support of AIDS patients receiving HAART is in a low level of social supports and closely relates to their adherence to HAART. The patient should be assisted to establish an effective social support system, so as to improve their adherence to HAART.