论文部分内容阅读
目的探索监管场所内检测发现的HIV/AIDS干预管理模式。方法针对监管场所HIV/AIDS特点,加强信息调查和管理、强化艾滋病知识和政策宣教、医学管理以及出所前告知为重点的综合干预管理模式,比较综合干预实施前后HIV/AIDS监管场所内医学管理情况以及出所后随访管理指标变化。结果实施综合干预后,杭州市余杭区监管场所每年新报告HIV/AIDS及时接受流行病学调查的比例从73.33%提高到100.00%,所内HIV/AIDS管理率从16.67%提高到90.00%,CD4检测率从实施前的27.08%提高到90.00%。HIV/AIDS出所后“失访”比例从42.11%下降到6.90%,“规范随访”的比例从17.89%提高到43.10%,差异均有统计学意义(P<0.05)。结论对监管场所发现的HIV/AIDS实施综合干预管理模式,提高了HIV/AIDS管理质量,并可有效降低其出场所后失访率。
Objective To explore the management of HIV / AIDS interventions detected in surveillance sites. Methods Aiming at the characteristics of HIV / AIDS in regulatory sites, strengthening the information survey and management, strengthening the knowledge and policy education on HIV / AIDS, medical management and the comprehensive intervention management mode focusing on prenatal notification, and comparing the medical management in HIV / AIDS regulatory places before and after the implementation of comprehensive intervention As well as out of follow-up management indicators change. Results After the implementation of comprehensive intervention, the proportion of newly reported HIV / AIDS epidemic survey in Yuhang District, Hangzhou, increased from 73.33% to 100.00%, and the rate of HIV / AIDS management increased from 16.67% to 90.00%. CD4 test The rate increased from 27.08% before implementation to 90.00%. The proportion of HIV / AIDS out-of-visits decreased from 42.11% to 6.90% and the standard follow-up increased from 17.89% to 43.10%. The difference was statistically significant (P <0.05). Conclusion The implementation of a comprehensive intervention management model for HIV / AIDS found in regulatory sites improves the quality of HIV / AIDS management and can effectively reduce the rate of lost follow-up.