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目的了解艾滋病免费抗病毒治疗(ART)病例的失访原因,为提高免费ART效果提供支持。方法回顾性分析2005-2014年在北京佑安医院性病艾滋病门诊接受国家免费ART后失访的病例,分析其失访时接受ART的时间,打电话联系了解其失访的原因。结果 2005-2014年,在北京佑安医院性病艾滋病门诊接受国家免费抗病毒治疗的病例共2482例,失访135例(5.4%)。失访病例中55例(40.7%)在治疗6个月内失访,20例(14.8%)在治疗6-12个月失访,35例(25.9%)在治疗12-24个月内失访,有25例(18.5%)在治疗24个月后失访。32例(23.7%)因联系方式变更无法知道失访原因,42例(31.1%)因不良反应失访,13例(9.6%)因个人赴外地工作生活失访,12例(8.9%)因改服中药失访,10例(7.4%)担心暴露身份而失访,9例(6.7%)因经济状况差无法承担自费化验失访(其中5例经电话联系,在失访4个月后重新开始治疗),8例(5.9%)因对医务人员服务态度不满意失访,6例(4.4%)死亡,3例(2.2%)因对治疗信心不足失访。结论接受免费艾滋病ART的病例失访原因多样,需要加强干预,以提高抗病毒治疗的整体成功率。
Objective To understand the reasons for the loss of follow-up in ART patients with AIDS and provide support for improving the free ART results. Methods A retrospective analysis was conducted on cases of STD / AIDS out-patient receiving free national ART at Beijing You’an Hospital during 2005-2014. The time of receiving ART on follow-up visit was analyzed. The reasons for the missed follow-up were analyzed by phone. Results From 2005 to 2014, a total of 2482 cases of free antiviral treatment were received at the STD / AIDS clinic in Beijing You’an Hospital, 135 (5.4%) lost to follow-up. Fifty-five (40.7%) patients were lost to follow-up within 6 months of treatment, 20 (14.8%) were lost to follow-up within 6-12 months and 35 (25.9%) lost within 12-24 months of treatment Visit, 25 cases (18.5%) were lost after 24 months of treatment. 32 cases (23.7%) were unable to know the reasons for the missing due to the change of contact method, 42 cases (31.1%) were lost due to adverse reactions, 13 (9.6%) were lost to work and life in the field, 12 cases (8.9% Ten patients (7.4%) lost their job because of exposure and 9 patients (6.7%) were unable to bear the cost of losing their own expenses due to poor economic conditions (5 of them were contacted by telephone after four months of losing their job) Restoration of treatment), 8 (5.9%) were dissatisfied with medical staff attitude, 6 (4.4%) died and 3 (2.2%) were lost due to lack of confidence in treatment. Conclusions There are various reasons for the loss of follow-up in cases of ART receiving free AIDS, and more intervention is needed to improve the overall success rate of antiviral treatment.