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目的评价佑安医院艾滋病门诊实行新型护理临床模式的效果。方法对比实行新型护理管理模式前后,抗病毒治疗的艾滋病病毒(HIV)感染者/艾滋病病人(简称HIV/AIDS病人)的情况。结果实行新型护理模式前的2005-2011年,门诊治疗人数为788人,治疗覆盖率为78.0%;2012-2016年,使用新型管理模式,在治人数4617,治疗覆盖率达到90.0%。新型管理模式实行前后服药依从性从89.0%上升至95.0%;病人的停药率从4.1%(32/788)下降至3.2%(150/4617);失访率从9.8%(77/788)下降至2.7%(124/4617)。结论新型护理管理模式,有助于提高抗病毒治疗覆盖率以及抗病毒治疗的依从性,对于艾滋病预防和控制具有重要意义。
Objective To evaluate the effect of a new type of nursing clinical practice in AIDS clinic in You’an Hospital. Methods To compare the situation of HIV-infected / HIV-infected patients (referred to as HIV / AIDS patients) before and after the implementation of the new nursing management mode. Results From 2005 to 2011, the number of outpatients was 788 and the treatment coverage was 78.0%. From 2012 to 2016, the new management model was used. The number of patients under treatment was 4617 and the treatment coverage reached 90.0%. The compliance rate of medication administration increased from 89.0% to 95.0% before and after the implementation of the new management model. The patient withdrawal rate decreased from 4.1% (32/788) to 3.2% (150/4617) and the rate of follow-up dropped from 9.8% (77/788) To 2.7% (124/4617). Conclusion The new nursing management model helps to improve the coverage of antiviral therapy and adherence to antiviral therapy and is of great significance for AIDS prevention and control.