Study On The Treatment Adherence And Its Influencing Factors Among TB/HIV Patients In Hunan Province

Objective:The study the adopted the method of combining quantitative research and qualitative research to survey TB/HIV patients with questionnaire survey and in-depth interviews, in order to understand the treatment adherence of TB/HIV patients. To provide scientific and reliable basis for treatment adherence by analyzing influence factors of TB/HIV patients treatment adherence and discussing the intervention strategy.Methods:Select the TB/HIV patients during the period from January1,2012to December31st in Hunan Province as subjects, and investigate by our questionnaire.The questionnaire including general condition of patients, TB/HIV dual infection awareness, and the treatment of compliance. Analyze by statistical ratio, rate,chi square test, and multi factor non conditional logistic regression.Results:1.The efficiency of this research was149copies, of which119were male (79.9%),30cases were female (20.1%); The age of30to45years of age was accounting for49.1%, the education level of primary school, junior high school, high school, and high school above were each accounted for14.8%,29.5%,30.9%,24.8%, the economy of the "general" was accounting for75.8%,69.8%patients were with clinical symptoms and the examination showed that the empty symptoms accounted for64.4%,the CD4for50/mm3,51-200/mm3,201-350/mm3<,>500/mm3each accounted for14.1%,24.1%,31.5%,30.3%, patients with no adverse reaction of accounted for70.4%. The tatol awareness rate of tuberculosis knowledge was74.8%, the all awareness rate was26.2%. 2.The study of pulmonary tuberculosis with HTV patients treatment compliance rate was54.4%, the major cause of interruption of treatment were Ignore the disease,lack of supervision, economic problems adverse reaction condition, each accounted for26.7%,23.6%,22.4%and17.4%.3.Single factor analysis showed that the different compliance of different sex, nationality, age, occupation, medical insurance type and source, the classification of treatment TV/HTVpatients were not statistically significant (P>0.05);The treatment compliance of TB/HIV patients of high school and above cultural degree was better than TB/HIV patients of primary school and below cultural degree(?2=34.687, P=0.000); The treatment compliance of TB/HIV patients of married was better than TB/HIV patients of unmarried,divorced and widowed patients (?2=25.325, P=0.000);4.The treatment compliance of TB/HIV patients with symptoms was better than TB/HIV patients with no symptoms patients (?2=14.049, P=0.000); The treatment compliance of TB/HIV patients with empty symptoms was better than TB/HIV patients with no empty symptoms patients (x2=9.166, P=0.002); The treatment compliance of TB/HIV patients of CD4of201-350/mm3and>500/mm3were better than TB/HIV patients of CD4<50/mm3and51-200/mm3patients (?2=9.189, P=0.027); The treatment compliance of TB/HIV patients with no adverse reaction was better than TB/HIV patients with adverse reaction patients (x2=8.099, P=0.004);The treatment compliance of TB/HIV patients with high total knowledge was better than TB/HIV patients with low total knowledge patients(x2=5.530, P=0.019).5.The occurrence of adverse drug reactions, the bad economic situation, the low knowledge were the risk factors treatment compliance of TB/HIV patients. Conclusion:1. The treatment compliance rate of TB/HIV patients was54.4%;2. The cognition of TB in TB/HIV patients was in a low level.3. The major cause of interruption of treatment were Ignore the disease4. The occurrence of adverse drug reactions, the bad, economic situation, the low knowledge were the risk factors of treatment compliance of TB/HIV patients.