263例艾滋病患者社会支持与服药依从性的相关性研究

摘要

目的：了解艾滋病患者高效抗逆转录病毒治疗依从性及社会支持程度的现状，分析两者的相关性，寻求提高艾滋病患者服药依从性的对策。方法采用社会支持评定量表和美国社区艾滋病临床研究抗逆转录病毒用药自陈式问卷，对2012年2月-2013年4月在深圳接受免费高效抗逆转录病毒治疗的263例艾滋病患者进行现场问卷调查,通过面对面访谈收集资料。结果艾滋病患者社会支持总分为（31.27±5.91）分，低于国内常模（P＜0.01)；抗病毒治疗服药的平均依从程度为95.1％，85.2％的患者服药依从性好，14.8％的患者服药依从性差；社会支持总分及其各维度与服药依从性呈正相关（P＜0.01)。结论接受抗病毒治疗的艾滋病患者社会支持中的客观支持和支持的利用度偏低，影响到患者的服药依从性。应帮助患者建立有效的社会支持系统，以提高其服药依从性。%Objective To know about the status quo of social supports and medication compliance of patients with AIDS and analyze the correlation between them. Methods A total of 263 cases of AIDS patients receiving free highly active antiretroviral therapy (HAART) from 2012 February to 2013 April were investigated. Face-to-face interview was conducted to collect data. Results The total score of social support in AIDS patients was 31.27 ±5.91, which was lower than that of national normal (P<0.01); the average level of adherence to HAART was 95.1%. There were 85.2%of the patients who were of good adherence to HAART while 14.8% with poor adherence. The total score of social support and its all dimensions were positively correlated with adherence to HAART ( P<0.01). Conclusion Social support of AIDS patients receiving HAART is in a low level of social supports and closely relates to their adherence to HAART. The patient should be assisted to establish an effective social support system, so as to improve their adherence to HAART.