CAJ | 학술논문

目的了解艾滋病低流行地区免费抗病毒治疗依从现状,为探索适宜的治疗管理模式提供参考.方法采用意图抽样法,以吉林省吉林市患者居住集中的船营区和永吉县为调查点,通过结构式问卷调查53例患者的社会人口学特征、治疗基本情况、近期服药依从情况、遵医嘱服药信念、医疗卫生服务与医患关系.结果 53例患者中3例中断治疗,正在服药的50例近1周服药依从率为82.0％.患者感知遵医嘱服药的利益、感知不依从后果的威胁和自我效能得分均较高,除3例停药者外目前均用药盒管理服药,73.6％的患者自述已养成按时服药习惯,88.7％的患者报告有人督促和提醒服药.结论研究地区接受免费抗病毒治疗患者的依从性较好,当地推行三级督导管理制度成为帮助患者保持服药依从的重要促进因素.
목적 료해애자병저류행지구면비항병독치료의종현상,위탐색괄의적치료관리모식제공삼고.방법 채용의도추양법,이길림성길림시환자거주집중적선영구화영길현위조사점,통과결구식문권조사53례환자적사회인구학특정、치료기본정황、근기복약의종정황、준의촉복약신념、의료위생복무여의환관계.결과 53례환자중3례중단치료,정재복약적50례근1주복약의종솔위82.0％.환자감지준의촉복약적이익、감지불의종후과적위협화자아효능득분균교고,제3례정약자외목전균용약합관리복약,73.6％적환자자술이양성안시복약습관,88.7％적환자보고유인독촉화제성복약.결론 연구지구접수면비항병독치료환자적의종성교호,당지추행삼급독도관리제도성위방조환자보지복약의종적중요촉진인소.
Objective To describe the status of adherence to antiretroviral therapy (ART) in low endemic area,and to explore the factors affecting ART adherence so as to provide evidence for behavior management program.Methods A cross-sectional study was conducted in 53 patients receiving free ART in Chuanying and Yongji of Jilin Province.Structured face-to-face interview was carried out to determine sociodemographic characteristics,medical treatment information,medication adherence behaviors,health belief and self-efficacy,doctor-patient relationships and health service information.Results Among 53 patients,3 reported drug discontinuance.Of the other 50 patients,41 (82.0％) obeyed the request of the doctors (to be defined as adherence).All the participants had high levels of perceived benefits of adherence,perceived severity of non-adherence and self-efficacy.94.3％ of them reported using medication reminders,88.7％ reported receiving directly observed therapy (DOT),and 73.6％ reported falling into the habit of drug administration.Conclusions HIV/AIDS patients show relatively good adherence to medical treatment.Local comprehensive education and supportive programs may contribute to patients' good adherence to ART.