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陈磊, 程伟彬, 杨翌, 梁颖茹, 樊莉蕊, 李燕, 王鸣, 徐慧芳. 广州市艾滋病病例综合管理服务体系效果评价[J]. 中国公共卫生, 2012, 28(11): 1493-1495. DOI: 10.11847/zgggws2012-28-11-35
引用本文: 陈磊, 程伟彬, 杨翌, 梁颖茹, 樊莉蕊, 李燕, 王鸣, 徐慧芳. 广州市艾滋病病例综合管理服务体系效果评价[J]. 中国公共卫生, 2012, 28(11): 1493-1495. DOI: 10.11847/zgggws2012-28-11-35
CHEN Lei, CHENG Wei-bin, YANG Yi, . Effect of comprehensive case management and service system for HIV/AIDS in Guangzhou city[J]. Chinese Journal of Public Health, 2012, 28(11): 1493-1495. DOI: 10.11847/zgggws2012-28-11-35
Citation: CHEN Lei, CHENG Wei-bin, YANG Yi, . Effect of comprehensive case management and service system for HIV/AIDS in Guangzhou city[J]. Chinese Journal of Public Health, 2012, 28(11): 1493-1495. DOI: 10.11847/zgggws2012-28-11-35

广州市艾滋病病例综合管理服务体系效果评价

Effect of comprehensive case management and service system for HIV/AIDS in Guangzhou city

  • 摘要: 目的评价广东省广州市艾滋病病例综合管理服务体系对病例(包含艾滋病病毒感染者和艾滋病患者)心理行为与生活质量影响。方法调查广州市艾滋病病例综合管理服务体系运行后363例艾滋病病例的行为、生活质量、社会支持、抑郁和焦虑情况,并与体系运行前和体系运行之初的结果进行比较分析。结果与获知感染前比较,58.4%(139/238)的病例性伴数减少,79.0%(188/238)的病例安全套使用频率增加;体系运行后,生活质量4个维度生理、心理、社会关系和环境的平均得分分别为(56.65±15.28)、(63.99±16.05)、(54.87±15.81)和(52.06±14.18)分,社会支持总分为(28.67±7.68)分;抑郁及焦虑症状发生率分别为38.8%(138/356)和22.7%(82/361),低于体系运行之初的56.1%%(137/244)和30.3%(74/244)(P<0.05)。结论广州市艾滋病病例综合管理服务体系对降低高危行为、增加社会支持程度及提高生活质量发挥了积极作用。

     

    Abstract: ObjectiveTo evaluate the effect of human immunodeficiency virus/accquired immunodeficiency syndrome(HIV/AIDS)comprehensive case management and service system in Guangzhou ciyt for improvements of psychosocial behavior and the quality of life among people living with HIV/AIDS.MethodsTotally 363 HIV/AIDS cases were interviewed face-to-face to obtain information on high risk behavior before and after HIV infection.The quality of life,social support,depression and anxiety status of the subjects were compared with those before the inplementation of the system.ResultsAfter the notification of HIV infection,58.4% (139/238)of the HIV/AIDS cases had decreased number of sexual partner,79.0% (188/238)had increased condom use,61.9% (13/21)had reduced frequency of intra-venous drug injection,and 77.8% (7/9)had decreased frequency of sharing syringe.The average scores of quality of life for physical,psychological,social relationship,and environment were 63.99,56.65,54.87,and 52.06.The total score of social support was 28.67±7.68.The prevalence of depressive and anxious symptoms was 38.8% (138/356)and 22.7% (82/361),respectively.ConclusionThe HIV/AIDS comprehensive case management and service system in Guangzhou city plays a positive role in reducing high-risk behaviors,increasing social support and improving the quality of life among the people living with HIV/AIDS.

     

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