HIV/AIDS患者合并机会性感染 与卫生服务利用现状分析

摘要:目的　分析HIV/AIDS患者合并机会感染与卫生服务利用的现状。方法　采用随机整群抽样对HIV/AIDS患者进行合并机会性感染及卫生服务利用问卷调查。结果　HIV/AIDS患者合并机会性感染率为57.78%；HIV/AIDS未合并机会性感染者和合并机会性感染者两周患病率分别为38.60%和73.08%，差异有统计学意义（P＜0.05）；HIV/AIDS未合并机会性感染者和合并机会性感染者两周就诊率分别为49.12%和76.92%，差异有统计学意义（P＜0.05）；HIV/AIDS患者家庭经济困难占64.71%，是他们未就诊的主要原因；HIV/AIDS患者选择医疗机构就诊差异有统计学意义（P＜0.05）；HIV/AIDS未合并机会性感染者和合并机会性感染者年住院率分别为15.79%和20.51%，差异无统计学意义（P＞0.05）；HIV/AIDS患者选择医疗机构住院差异无统计学意义（P＞0.05）。结论　HIV/AIDS合并机会感染者卫生服务利用量大于未合并机会感染者，HIV/AIDS患者卫生服务利用与医疗机构、病程、居住地、经济条件有关。

Analysis of the complication opportunistic infection and health services utilization for HIV/AIDS patients

Abstract: Objective The aim of this study was to perform analysis of the complication opportunistic infection and health services utilization for HIV/AIDS patients. Methods Randomly sampling method was used for HIV/AIDS patients in a questionnaire survey on the complication of opportunistic infections and health services utilization. Results The rate of opportunistic infection in HIV/AIDS patients was 57.78%. The two-week prevalence rates of HIV/AIDS without opportunistic infection and complication infection were 38.60% and 73.08% respectively, and the difference was statistically significant between them (P<0.05). The two-week outpatient rates of HIV/AIDS without opportunistic infection and complication infection were 49.12% and 76.92% respectively, and the difference was statistically significant between them (P<0.05). 64.71% of HIV/AIDS patient who needed treatment but did not go to medical services for the reason of economic difficulty. HIV/AIDS patient choosing medical institution treatment was statistically significant (P<0.05). The hospitalization rates of HIV/AIDS patient without opportunistic infection and complication opportunistic infection were 15.79% and 20.51%, respectively. And the difference was not statistically significant between them (P>0.05). HIV/AIDS patient choosing medical institution hospitalized was not statistically significant (P>0.05). Conclusion The health service utilization of HIV/AIDS complication opportunistic infection patients was greater than without opportunistic infection. The health service utilization of HIV/AIDS was associated with medical institutions, stage of the disease, patients' living environment and economic conditions.