Kiến thức, thực hành trong điều trị ARV của bệnh nhân HIV/AIDS và một số hoạt động hỗ trợ của cộng đồng tại Trung tâm Y tế huyện Từ Liêm, Hà Nội

KIEN THUC, THUC HANH TRONG DIEU TM ARV CUA RENH NHAN HIV/AIDS

VA MOT SO HOAT DONG Hfi TRU CUA CONG DONG

TAI TRUNG TAM Y TE HUYEN TUT LIEM, HA NOI ■ ■ v m

l_£ THj B(CH LI§N - Trung tdm y te TCr Lidm

LE THj BiNH - Hqc vi$n Y Dirqc hqc co truyin ViQt Nam

t 6 m t A t

Muc tidu: (1) Md t i kidn thuc, thyc hdnh cua ngu&i

nhiim HIV/AIDS trong didu tri ARV tgi TTYT Tir Lidm

(2) M6 t i mQt s6 hoat dgng cung cip dich vy h6 try,

didu tri bdnh nhin HIV/AIDS. Doi tuxmg vd phuxyng

phdp nghien ciru: Nghidn cun md t i c it ngang gdm

269 BN du c ic tidu chuin li/a chQn dang didu tri ARV

tgi TTYT Tir Lidm tu- thing 3/2012 din thing 6/2012.

Ket qud: nam > nCr (63,6%), 64,7% dd tudi 30-39 tudi,

89,2% hqc vin & cip PTTH, 77% sdng cung v&i

vq/chdng. C6 50,2% khdng cd vide lim , 49,8% c6

cdng in vide lim . L iy chu ydu l i tidm chinh ma tuy

(53,9%), QHTD (37,9%). Duxyc tip huin tnr&c khi didu

tri ARV chidm 100%. Tir 95,5 - 98,9% BN cd kidn thuc

vd tuin thu didu tri, bidt h iu q u i cua nd chidm 86,5%

v i 100% thyc hidn vide udng thudc 2 lin /n g iy v&i

khoing cich l i 12 tidng. C ic hd try cua ngu&i thin,

ddng ding vidn, cdng tic vidn nhir chidm 43,9% li

vq/chdng, 26% l i bd mg, 11,5% l i anh/chi/em. Vide

ngu&i thin nhic nhd udng thudc (86,6%), CS in udng

(83,6%), ddng vidn an ui (90,7%), sir CS cua nhdm

ddng ding (61,3%), cua cQng tic vidn (84%), BN tham

gia vio c iu Igc bd ngu&i nhidm (34,9%).

Tir khda: tmng tim y td, phdng khim ngogi tru,

chim sdc, bdnh nhin, quan hd tinh dye, kidn thuc.

SUMMARY

Knowledge and practice in antiretroviral

treatment of HIV/AIDS and a number of activities

in support of community health centers Tu Liem

District, Ha Noi

Objectives: (1) A description of knowledge and

practice of HIV/AIDS in ARV treatment at medicel

centers Liem (2) Describe some activities to provide

support services, patient treatment HIV/AIDS.

Subjects and research methods: Cross-sectional

descriptive study included 269 patients who are

selected antiretroviral treatment in Health centers Tu

Liem from May 3/2012 to January 6/2012. Result

Male > female (63.6 %), 64.7% aged 30-39, 89.2% at

the high school, 77% live with wife/husband. 50.2%

have no job, 49.8% have jobs. They use mainly with

dmgs every day (53.9%), sex (37.9%). Trained before

antiretroviral therapy occupies 100%. From 95.5 to

98.9% of patients had knowledge about treatment

adherence, knowing the consequences of it accounted

for 86.5% and 100% make the pill 2 times/day with a

gap of 12 hours. The support of family, peer,

collaborator as: 43.9% of wives/husbands, 26% of

parents, 11.5% is him/her/them. Relatives in

medication reminders (86.6%), eating care (83.6%),

comforting encouragement (90 7%), the care of the

peer group (61.3%), collaborators (84%), patient

participation in club infections (34.9%).

Keywords: Health centers, outpatient clinics,

patient care, sex, knowledge.

OAT VAN

c in b$nh HIV Id do virus gdy suy gidm m iin dich

& ngudi, din nay nhiim HIV/AIDS dd Ian khdp todn

ciu vd phdt triin vdi t6c d i nhanh hon moi du bdo

Theo WHO vd UNAIDS, chi tinh ridng trong ndm

2011 dd cb 2,2 tridu ngudi mdn bi nhiim HIV vd 1,7

tridu ngudi chit vi AIDS [7], theo Cyc phdng, ching

HIV/AIDS din 31/3/2012, s6 nhiim HIV hi$n cdn

sing Id 201.134 s6 bdnh nhdn AIDS hi$n cdn sing Id

57.733 vd 61.579 trudng hgrp tu vong do AIDS [6]

Vide diiu trj khdng RertoVirus (ARV) c in phdi uing

du, dung gid d i dam bdo hidu qua, trdnh khdng

thuic. Do d6, chdm sdc h i trgr d iiu tri phdi todn di$n

bao gim quan ly Idm sdng, tu vin, h i trgr tdm ly xd

hii, chdm sdc giai doan cu ii ddi, ngdn ch$n su Idy

nhiim HIV trong c$ng ding. Vdi muc tidu tdng cudng

hd thing h i tra, CS nhdm ndng cao ch it luang cudc

sing cho hQ, tim hiiu v i kiin thuc, thuc hdnh khi

diiu tri ARV nhu th i ndo, dd Id ly do d i tdi duac thuc

hidn nhdm myc tidu:

1. Md t i kidn thirc, thuc hinh cua ngu&i nhidm

HIV/AIDS trong didu tri ARV tai TTYT Huydn Tir

Lidm, TP H i Ndi nim 2012.

2. Md t i mdt sd hoat ddng cung d p djch vy

chim sdc, hd tru, didu tri bdnh nhin HIV/AIDS di/a

vio ngu&i thin, dong ding vidn, cdng tic vidn tgi

TTYT Huydn Tir Lidm.

D6 l TLFCXNG, PHl/OTNG PHAP NGHIEN CLPU

1. Ddi tuang nghien ci>u: Ngudi nhiim

HIV/AIDS dang diiu trj ARV tai PKNT, TTYT TCr Lidm

Thdi gian nghien cu>u: TCr thdng 3/2012 din

thdng 6/2012.

Tidu chuin lua chpn: Ngudi nhiim HIV dang

duac chdm sdc vd diiu tri ARV dd d iiu trj ARV it

nhit 06 thdng, cd du sue khoe, tinh tdo d i trd Idi cdc

cdu hoi phong vin

2. Phuang phdp nghidn ciru: Md td cdt ngang.

Phuang phdp chpn mdu: Chpn m iu todn b i

(BN du cdc tidu chuin lua chpn), s i BN ddp ung du

tidu chuin d i dua vdo nghidn cuu Id 269

C6ng cu nghidn ciru: Phiiu phong v in cho

ngudi nhiim HIV/AIDS dang d iiu tri ARV gim:

- Thdng tin chung v i d ii tupng nghidn cuu nhu

66 Y HOC THUC HANH (907) - SO 3/2014