上海市虹口区HIV感染者和艾滋病患者对社区随访管理满
意状况及影响因素
潘蓉;张晶;陈坤;廖翠勤;汤显;姚文;廖夏;何纳
【期刊名称】《中华预防医学杂志》 【年(卷),期】2017(051)005
【摘要】Objective To analyze satisfaction with follow-up management of HIV/AIDS cases conducted by Community Health Service Center (CHS) and related factors in Hongkou district, Shanghai. Methods Out of 302 HIV/AIDS cases followed up by CHS in Hongkou district from 2012 to 2016, 263 HIV/AIDS cases were recruited to participate in a cross-sectional study assessed by self-designed questionnaire-based interview during October 1, 2016 and October 20, 2016, with efficiency of
87.1%.
Information
of
basic
characteristics
including
sociodemographic, routes of infection, CD4 +T cell counts, diagnose of AIDS and status of receiving ART were collected, as well as satisfaction with follow-up management conducted by CHS including service professionalism, service attitude, service environment, referral service, privacy protection, health education, psychological support, and care and assistance. Factors related to satisfaction were analyzed using multiple binary logistic regression. Results Among 263 HIV/AIDS cases, the average age was 42.0 ± 13.5, 93.2% (245 cases) were male and the proportion of overall satisfaction was 72.2%(190 cases). Out of
8 items of satisfaction, service attitude and health education got the highest score with a total number of 235 (89.4%) answering\satisfied\while care and assistance got the lowest score with a total number of 69 (26.2%) answering\dissatisfied\CHS<12 months, those who were non-local residents and followed up by CHS ≥12 months were more likely to be satisfied, the OR (95%CI) were 2.66 (1.30-5.44) and 2.52 (1.01-6.29), respectively. Compared to HIV/AIDS ≤30 years old and receiving ART, those who were 31-50 years or>50 years old and not receiving ART were less likely to be satisfied, the OR (95%CI) were 0.36 (0.15-0.89), 0.32 (0.10-0.97) and 0.11 (0.01-0.90), respectively. Conclusion Satisfaction with follow-up management conducted by CHS in Hongkou district is relatively high. Age, residence, status of receiving ART and cumulative time of following up by CHS are significantly associated with satisfaction, suggesting that CHS should improve their professional abilities during follow-up management, as well as be more targeted and focus on different aspects.%目的 分析上海市虹口区HIV感染者和艾滋病患者对社区卫生服务中心(CHS)随访管理服务的满意度及其影响因素.方法 采用横断面研究设计,于2016年10月1—20日,以虹口区CHS在2012—2016年期间随访管理的302例HIV感染者和艾滋病患者为调查对象,采用自行设计的问卷对其进行调查,问卷有效率为87.1%(263例).调查内容包括:调查对象社会人口学特征、HIV感染途径、CD4+T淋巴细胞计
数、是否确诊艾滋病、是否接受抗病毒治疗(ART);调查对象对CHS随访管理服务的满意度,包括服务专业性、服务态度、服务环境、转介服务、个人隐私保护、健康教育、情绪疏导和心理支持、关怀和救助.采用多因素logistic回归模型分析调查对象对CHS随访管理服务满意程度的影响因素.结果 263例调查对象的年龄为(42.0±13.5)岁,男性占93.2%(245例);调查对象对CHS的满意率为72.2%(190例).8项满意度评价指标中,评价较高为服务态度和健康教育,回答\满意\和\很满意\合计为235例(89.4%);评价较低为关怀和救助,回答\不满意\和\很不满意\合计为69例(26.2%).与本市户籍、CHS随访管理累计时间<12个月者相比,非本市户籍、CHS随访管理累计时间≥12个月者对CHS随访管理服务满意的可能性较高,OR(95%CI)值分别为2.66(1.30~5.44)和2.52(1.01~6.29);与≤30岁、未接受ART者相比,31~50和>50岁、已接受ART者对CHS随访管理服务满意的可能性较低,OR(95%CI)值分别为0.36(0.15~0.89)、0.32(0.10~0.97)和0.11(0.01~0.90).结论 虹口区HIV感染者和艾滋病患者对CHS随访管理服务的总体满意率较高;年龄、户籍、是否接受ART和CHS随访管理累计时间与对CHS随访管理服务的满意度有关联,CHS应进一步提高业务能力,在进行随访管理时更有针对性和侧重点. 【总页数】6页(438-443)
【关键词】艾滋病病毒;社区卫生服务中心;满意度;多因素logistic回归分析 【作者】潘蓉;张晶;陈坤;廖翠勤;汤显;姚文;廖夏;何纳
【作者单位】200082 上海市虹口区疾病预防控制中心慢性传染病防制科;200082 上海市虹口区疾病预防控制中心慢性传染病防制科;200082 上海市虹口区疾病预防控制中心慢性传染病防制科;200082 上海市虹口区疾病预防控
上海市虹口区HIV感染者和艾滋病患者对社区随访管理满意状况及影响因素
