接受抗逆转录病毒治疗的成年艾滋病毒感染者死亡率的危险因素分析:以埃塞俄比亚荷萨纳埃莱尼·穆罕默德皇后纪念医院为例

G. Mekebo, Adinew Handiso, O. Reddy
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摘要

尽管抗逆转录病毒疗法的使用大大降低了艾滋病毒/艾滋病患者的死亡率和发病率,但仍有一些患者在开始抗逆转录病毒疗法后死亡。本研究旨在确定在HQEMM医院接受抗逆转录病毒治疗的成年艾滋病毒感染者死亡率的相关因素。本研究的数据来自HQEMM医院ART诊所。研究对象为2009年3月至2015年5月期间接受抗逆转录病毒治疗的15岁艾滋病毒感染者。采用Logistic回归模型对数据进行分析,找出与HIV感染者死亡率相关的因素。共有400名接受抗逆转录病毒治疗的成年艾滋病毒感染者参与了这项研究。在这些患者中,18.75%的人死亡。logistic回归分析结果显示,年龄、文化程度、酒精、基线体重、结核病状况、基线CD4计数是影响HQEMM医院接受ART治疗的HIV感染者死亡率的显著因素。没有受过教育的患者比那些至少上过小学的患者更容易死亡。喝酒的病人也比不喝酒的病人更容易死亡。卫生工作者需要通过不断提高对照顾自己和了解导致死亡的因素的认识,来支持那些没有或很少接受教育的病人。饮酒的病人需要得到减少过度饮酒的建议。
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Analysis of risk factors for mortality among adult HIV infected patients on antiretroviral therapy: A case of hossana queen elleni mohammad memorial hospital, hossana, Ethiopia
ven though the use of ART has brought a significant reduction in the mortality and morbidity of patients living with HIV/AIDS, a number of patients still die after the start of ART. This study was aimed at identifying factors associated with mortality among adult HIV infected patients who are on ART in HQEMM Hospital. The data for the study was obtained from HQEMM Hospital ART clinic. The HIV infected patients 15 years of age and who were under ART from March 2009 up to May 2015 were included in the study. Logistic regression model was employed to analyze the data to identify factors associated with Mortality of HIV infected patients. A total of 400 adult HIV infected patients who were taking ART were included in the study. Out of these patients, 18.75% of them died. The results obtained from logistic regression analysis showed that age, level of education, alcohol, baseline weight, TB status, and baseline CD4 count were significant factors of mortality of HIV infected patients taking ART in HQEMM Hospital. Patients with no education were more likely to die than those who attended at least primary school. Patients who drink alcohol were also more likely to die than those who do not. Health workers need to support those patients with no or little education by continuous awareness creation of taking care of themselves and knowing what factors facilitate death. Patients who drink alcohol need to be given advice to reduce excessive drinking.
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