| Objective:To understand the follow-up status and the method of follow-up and the help of patient’s in follow-up, Influencing factors of follow-up rate in Henan Province. Contrast the high incidence area and found area and low area of AIDS in 2013 and 2014 of follow-up in Henan Province. To investigate whether the intervention is effective in the follow-up of workers after the investigation concluded in 2013. Discovery of AIDS problems in follow-up work, Put forward policy Suggestions, In order to improve HIV/AIDS prevention and control of the ability to provide technology support.Methods:Using the method of literature review at home and abroad on HIV/AIDS patients was evaluated and its influencing factors were reviewed systematically, analyze the problems of follow-up, provide a reference for smooth implementation of this study. USES the questionnaire survey in Jiyuan and Yongcheng and Queshan and Shangcai and Shenqiu in Henan province in 2013 and 2014. At the end of the first survey will result feedback and intervention training for AIDS follow-up workers, According to the number of patients will be divided into 5 areas divided into high, middle and low hair area, Shangcai, Queshan as high incidence area, Yongcheng, Shenqiu as the district, Jiyuan as a low incidence area, To compare and analyze the situation of AIDS in different regions before and influence factor after the intervention.Results:A survey of 911 patients in 2013, a survey of 860 patients in 2014. Women in the survey are mostly, 2013 survey of women in 522 cases, accounting for 57.3%, 2014 survey of women in 456 cases,accounting for 53%. Most of the farmers in the survey, 2013 survey of farmers in 773 cases, accounting for 84.9%,2014 survey of farmers in 776 cases, accounting for 90.2%. Survey of primary and secondary schools and the majority of patients, 2013 survey of 629 cases of primary school and below, accounting for 69.1%, 2014 survey of 552 cases of primary school and below, accounting for 64.1. Married patients in the survey are mostly, 2013 survey of 621 cases of marriage /cohabitation, accounting for 68.2%,2014 survey of 617 cases of marriage /cohabitation, accounting for 71.7%.In 2013, patients were followed up for 751 cases, accounting for 82.4%,In 2014, patients were followed up for 732 cases, accounting for 85.1%.In 2013 and 2014, the following methods were followed up from high to low: i went to the designated agencies to follow up, home follow up, telephone follow-up, follow up site, patients were followed up from high to low: i went to the designated agencies to follow up, home follow up, telephone follow-up, follow up site.High incidence area in 2013 and 2014 were followed up in 545 cases and 500 cases, accounting for 82.8% and 80.5%.Follow up methods from high to low in 2013 and 2014 were followed by: i went to the designated agencies to follow up, home follow up, telephone follow-up, follow up site, patients were followed up from high to low: i went to the designated agencies to follow up, home follow up, telephone follow-up, follow up site.In 2013 and 2014, the patients were followed up for 170 cases and 198 cases, accounting for 79.8% and 98.5%. The 2013 follow-up method from high to low ranking was: i went to the designated agencies to follow up, telephone follow-up, home follow up, follow up site. The 2014 follow-up method from high to low ranking was: i went to the designated agencies to follow up, home follow up, telephone follow-up, follow up site. Patients in 2013 and 2014 were followed up from high to low: i went to the designated agencies to follow up, home follow up, telephone follow-up, follow up site.In 2013 and 2014, the patients were followed up in 36 cases and 34 cases, accounting for 90% and 89.5%. The 2013 follow-up method from high to low ranking was: i went to the designated agencies to follow up, telephone follow-up, follow up site, home follow up. The 2014 follow-up method from high to low ranking was: i went to the designated agencies to follow up, telephone follow-up, home follow up, follow up site. Patients in 2013 and 2014 were followed up from high to low: telephone follow-up, i went to the designated agencies to follow up, follow up site, home follow up.The factors influencing the follow-up rate in the 2014 survey were: do you often have a fever(P=0.038,OR>1), Whether or not to replace the anti viral treatment program(P=0.001, OR<1), Whether or not to receive medical personnel to visit the Church(P=0.000, OR<1), Are you willing to accept regular follow-up(P=0.050, OR>1), Region grouping(OR=4.488,Compared category 1 and Category 3;OR=13.882, Compared category 2and Category 3), Medication compliance score(P=0.042, OR<1).Conclusions:1. On the choice of follow-up ways of HIV/AIDS, patients should be categorized according to the different tendencies of patients. Follow-up ways patients want should be taken according to patients with different tendencies.2. Follow-up intensity of patients with bad body condition should be increased. The door education should be carried out for patients who are willing to accept door-to-door publicity and education of HIV/AIDS. The follow-up of patients should be preferentially ensured for those who are willing to accept regular follow-up. Follow-up in low-incidence areas is easy to manage compared with those in middle-incidence areas and high-incidence areas. The follow-up intensity in high-incidence areas should be increased to ensure that more patients accept follow-up. Drug therapy compliance of patients should be increased with efforts, which is beneficial for the development of follow-up.3. Strengthen psychological counseling for patients with low incidence area,patients with good therapeutic effect should be promoted in other areas. |
PDF Full Text Request