出入境人群HIV感染／AIDS患者随访研究及其后续管理模式的探讨

目的了解出入境人群HIV感染／AIDS患者生存现状，探讨有效的后续管理模式。方法制订个案随访表，对2001年以来在广西口岸出入境人群中发现的HIV感染／AIDS患者进行随访。结果大部分感染者失访，随访率为34．75％。感染者早期普遍存在绝望、恐惧、悲观、焦虑等心理。经过一段适应期后，部分感染者表现为乐观、无所谓的态度，但进入发病期后，又出现类似早期心理现象。大部分感染者在性行为过程中均使用安全套，配偶感染率为16．67％。57例随访对象中，有25例已发病，发病率为43．86％，其中3例已死亡，另22例患者体内出现各种病症。14例得到了当地CDC等卫生机构提供的免费抗HIV药品。结论出入境人群HIV感染者和AIDS患者管理存在缺陷，必须加强后续管理。

The Discussion of Follow-up Study and Following Management to Infectors of HIV and AIDS Patients among Entry-exit Persons

Objective To understand the survival situation of HIV infectors or AIDS patients among entry-exit persons and explore an effective following management measure. Methods Made individual follow-up tables, and visited HIV infectors or AIDS patients found in entry-exit persons at Guangxi Port since 2001. Results The majority of HIV infectors could not be revisited, the revisiting rate was 34.75%. The infectors commonly felt despair, frightened, pessimistic, anxious. After an adapting times, some HIV infectors behaved optimistically and indifferently. Until developing to AIDS, most patients were seem as the same as early stage. Most of HIV infectors used condom during their sexual intercourse. The infection rate of their consorts was 16.67%. 25 cases had come into AIDS in 57 revisited cases. The incidence rate was 43.86%, and 3 died. The other 22 patients appeared a variety of symptoms. 14 infectors obtained free anti-HIV drugs provided by local medical organizations such as CDC. Conclusion The management of HIV infectors or AIDS patients among entry-exit persons was defective, the follow-up management must be strengthened.