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目的了解四川省西昌市艾滋病病毒感染者接受抗病毒治疗前、后的生活状况和高危行为的变化情况。方法对四川省西昌市2009-2012年开始接受抗病毒治疗的146名艾滋病患者进行问卷调查,采用配对检验比较抗病毒治疗前、后的生活状况和高危行为的变化情况。结果在调查的146人中抗病毒治疗后的病毒抑制率(<400拷贝/ml)为84.1%。抗病毒治疗前、后差别有统计学意义(P<0.05),变量有:CD4+T淋巴细胞数水平、服药副反应、平均体重、家庭经济贫困状况、医疗保险、对社会及情感支持的需要、生活满意度、健康状况、对自己人际关系满意度、平均月收入以及同配偶或固定性伴有无保护性性行为、同临时性伴有无保护性行为。结论艾滋病患者接受抗病毒治疗后生活状况得到明显改善,且而无保护性行为的发生明显降低。
Objective To investigate the changes of living conditions and high-risk behaviors in HIV-infected patients in Xichang, Sichuan Province before and after receiving ART. Methods A total of 146 HIV / AIDS patients receiving antiretroviral therapy from 2009 to 2012 in Xichang, Sichuan Province were surveyed by questionnaire. The changes of living conditions and high-risk behaviors before and after anti-virus therapy were compared by paired test. Results The virus inhibition rate (<400 copies / ml) after antiviral treatment among the 146 investigated persons was 84.1%. The antiviral treatment before and after the difference was statistically significant (P <0.05), variables are: CD4 + T lymphocyte level, medication side effects, average body weight, family economic poverty, health insurance, social and emotional support needs , Life satisfaction, health status, satisfaction with one’s personal relationships, average monthly income, and unprotected sex with spouse or fixed sex, and unprotected sexual behavior with temporary status. Conclusion The living conditions of AIDS patients after receiving antiviral therapy have been significantly improved, while the incidence of unprotected sex is significantly lower.