ban ngdy cdng tdt han, ty Ig bgnh nhdn khdng phai thUc ddy trong ddm cung cao han vd giam rd rgt nhu edu dOng thudc salbutamol cdp ciru, mgc dii diing lilu corticoid it han 3 lan so vdi nhdm diing budesonie.
Nghidn cii'u cua Phan Quang Oodn khi theo ddi hidu qua du phdng ciia Seretide trdn 55 tre HPQ, sau tudn thay cai thign cac chi sd CNHH cd y nghTa thdng kd (p<
0,65). Sau dilu tri FEVi tdng 0,71 lit. FVC tdng 0.46 lit vd PEF tdng 60,4 lit/phut.
Nghien cuu ciia Nguyin Thj Thu Hd trdn 31 bgnh nhdn HPQ nhgn thdy, ngdy 1 sau dilu trj FEVi dd tang 17,76% vd sau 14 ngdy tang 20,89%. Thay ddi PEF sau 14 ngdy Id 37,6 Lit/phut.
Su cai thign CNHH cd khde nhau giO'a cdc tdc gid, cd Id do su chenh Igeh cac nhdm tudi gidi, chilu cao, cdn ngng vd dg ngng ciia hen khi dua vdo nghien cuu.
Nhung cae kit qua thu dugc chung td Symbicort dd mang Igi su cai thign dang k l v l CNHH tren nhO'ng bgnh nhdn hen.
o l ddnh gid rdi logn thdng khi phdi trong HPQ, nhilu tdc gia sii' dgng chii y l u cdc chi sd FVC, FEVi, FEVi/FEV. PEF. Dgc bigt trong nghien cuu ndy chiing tdi cOng thay su thay ddi ciia MEF cung rat ddng quan tdm. 0 mgt sd bgnh nhdn. mge dii FEVi vd PEF d mUc binh thudng nhung MEF 75%. MEF^50%, MEF 25% d i u giam dudi 80% so vdi gid trj ly thuylt.
Tac gia Biii Huy Phii khi nghien cuu chuc ndng thdng khi phdi trdn 73 bgnh nhdn HPQ nhdn thay, trong nhdm dugc chan dodn chuc nang thdng khi binh thudng, tuy ede chi tieu FVC, FEVi, %FEVi binh thudng nhung MEF 75% vd MEF 50% d i u giam dudi 80% gia trj ly thuylt. Nhu vgy cdc thdng sd MEF 75%, MEF 50%.
MEF 25% cung rdt cd gid trj gdp phdn ddnh gid rdi logn thdng khi trong hen. khi md cac thdng sd FVC, FEVi binh thudng. Do dd, cd mdy do CNHH hign dgi ddnh gid vd theo ddi dugc day dii cac thdng sd CNHH Id rdt can thilt. Chung tdi chua tim thay tdi ligu ndo ndi v l su thay ddi cdc chi sd FEF 25-75%, MEF 75%. MEF 50%, MEF 25% giO'a trudc vd sau dilu trj. ed le phg thugc vdo logi mdy do CNHH cOng nhu mgc dich ciia tung nghien cuu.
ndn chung tdi khdng cd sd ligu d l so sanh.
K^T LUAN
Thay doi thong khi phoi trudc va sau dieu trj symbicort d b^nh nhan hen tre em: Symbicort cdi thign tdt chuc ndng hd hap d bgnh nhdn hen p h i quan.
Trudc dilu tri cdc chi sd MEF 75%, MEF 50%. FEF 25-75%. MEF 25% d i u gidm dudi mirc gidi hgn binh
thud'ng (dud-i 80% so vai gid trj ly thuyit). Sau 2 tudn dilu tn Symbicort cdc chi sd ndy d i u trd ve mO'C binh thud'ng.
Sau 12 tudn dilu trj cdc chi sd: PEF tang 30,51%;
FEVi tdng 14,84% vd FVC tdng 11,15% so vdi tnrdc dilu trj.
SUMMARY
STUDY OF CHANGES ABOUT LUNG VENLILATION IN CHILDREN ASTHMA DISEASE PREVENTIVE TREATMENT BY SYMBICORT IN HAIPHONG CITY
Objective: The authors have researching the change lung venlilation factors before and after treatmentby symbicort in children asthma disease from 6 to 15 ages in HaiPhong Hospital University.
Materials and methods: include 40 patients with asthma have age from 6-15. The authors have used prospective study and experimental clinical.
The msults obtained as follow: Changes lung venlilation factors before and after treatrnent by symbicort
+ Before treatment some factor MEF 75%, MEF 50%, FEF 25-75%, MEF 25% reduce under nomal. After two week treatment by symbicort, each factor upper come back normal.
+ After 12 weeks treatment by symbicort: PEF increase 30,51%, FEVI increase 14,84%, FVC increase 11,15% comparision with before treatment.
TAI LI$U THAM K H A O
1. Nguyin Ndng An, Trdn Quy vd cdng sg (2000),
"Nghidn eUu mdt sd d$e dilm Idm sdng vd luu lugng dinh a tre em hen phi quan ", Cdng trinh NCKH bdnh vidn B^ch Mai 199-2000, NXB Y hgc, tr 461-464
2. Phan Quang Dodn (2006), "Ca ehl bdnh sinh ciia HPQ", Y hgc Idm sdng, sd 3, tr 14.
3. Trdn Quy (2006), "NhO'ng hilu bilt mdi v l phdng chdng HPQ", Y hgc Idm sdng, sd 3, tr 6-10.
4. Phgm Huy QuyIn, Dinh VSn ThUe (2003) "NghlSn ciru tl 1$ mic b$nh vi xic djnh dj nguyin giy hen phi quin
& tri em tuii hgc du&ng tgi huyin dio Cit Hii - HP nim 2002", Tgp ehl y hgc thgc hdnh, sd 420/2002.
5. Aber N., (1998), "Asthma and allergic riiinitis in Swedish conscripts °, Clinical Allergy, Vol (19), 59- 63.
6. GINA 2008 Report, Global Strategy for Asthma Management and Prevention
7. Szefler S., Pedersen S. (2006): "Childhood Asthma Edition ". Lung Biology in Health and Disease, vol 209, London, Taylor & Francis.
HANH VI NGUY c a CUA KHACH HANG TAI PHONG TIT VAN VA THUC TRANG CHAM SdC.
Tir VAN H 6 T R U NGU&I NHlllVI HIV/AIDS TINH QUANG NAM NAM 2010
TRAN VAN KI$M, N G U Y I N PHl/dC LAM vies TOM T A T
Nghien ciru duijfc thgc hign tgi phdng tu vin xet nghigm ty nguygn HIV vi 6 huygn, thanh pho cua Unh Quing Nam nam 2010 cho thiy, hanh vi nguy ca liy nhiem HIV/AIDS cua khach hing din phdng tu van khi cao. 39,86% khich hang cd quan hg tinh dgc v&i nhiiu ngu&i, tmng khi dd, 52,18% khich hing khdng thu&ng xuyin su dgng bao cao su khi quan hg tinh dgc. Cd 32,79% khich hing din phdng tu vin li ngu&i tiem chich
ma tuy vi tan so dung chung bam kim tiem tmng tuin tii 2 lin trd len chiem 70%. Tgi phdng tu vin, S Ig khidi hdng duang tinh la 9,55%. Kit qud phdng via 205 nguH nhiem HIV cho thiy, sau khi biit tin ngudi nhi bj nh&n HIV da s6 gia dinh chip nh$n, chim sdc vi hi ft?
(71,22%); tuy nhien vin cdn 25,37% ngudi nhiim bj^
dinh mong bd, xa linh. Mong muon vi nhu ciu cua nguH nhiim HIV/AIDS li rit Idn vd bao him nhiiu ndi dung, muon dugc aiu trj dgc higu thuic ARV (chiim 90,2
70 Y HOC THVC
H A N H(767) -
dugc tid trg tiin, v$t chit: 81,95%; dugc Si xd binh dang: 71.22%; dugc lim viic 35,12%.
Tukhoi: HIV, Quing Nam DAT yknot
Trai qua 30 ndm ddu tranh phdng, chdng HIV/AIDS, cdc qudc gia trdn the gidi da vd dang phai duang dau vdi mgt dgi djch hit sUc nguy hilm. 30 mam ddu tranh.
tuy dd ed nhO'ng thdnh cdng nhat ^nh, nhung trdn binh dign chung ed t h i thdy. nhdn logi chua cd kha ndng ngdn chdn dugc tdc dg Idy nhiem HIV/AIDS. Oin nay.
trong sd han 6 ty ngudi dang sdng trdn hdnh tinh, ed 33,4 trigu ngudi nhiim HIV/AIDS cdn sdng, trong dd Chdu A Id noi cd ti Ig nhiim HIV rdt cao. Trudc thgc trgng trdn, Qudng Nam da vd dang triln khai ede bign phap can thidp, nham hgn ehl vigc lay nhiim HIV. Tuy nhidn, cdc hogt ddng can thigp chua cd hg thdng ddng bg, chua ed su kit ndi, phdi hgp vd chuyin tiep giO'a cdc djch vg, nen nhu cau tu vdn, hd trg cho nhO'ng ddi tugng ed hdnh vi nguy ca cao vd ngudi nhiim HIV/AIDS tren dja bdn tinh cdn nhilu bat cdp.
Xuat phat tu thue t l dd, vdi mong mudn khao sat thgc trgng khdeh hang tgi phdng tu van nham d l xudt cac bign phdp phii hgp d l ndng cao chat lugng djch vg phdng, chdng HIV/AIDS, chiing tdi tiln hdnh nghien cuu d l tdi ndy. Mge tidu de tdi:
1. Md ti hinh vi nguy ca nhiem HIV/AIDS cua khich hing tgi phdng tu vin sue khde cgng dong tinh Quang Nam nam 2010.
2. Md ti thgc trgng chim sdc, tu van, ho trg ngudi nhiim HIV/AIDS tgi dia phuang nghiin cuu.
D 6 | TU'QfNG VA PHU'ONG P H A P NGHIEN CCKU 1. Ddi tugng nghidn ciru
Khdeh hdng tu nguygn d i n phdng tu vdn xdt nghigm HIV
Ngudi nhiim HIV/AIDS dang dugc quan ly tgi gia dinh tren dja bdn 6 huydn, thdnh phd cua tinh.
Cdc hd sa, philu thu thdp thdng tin khdeh hdng, tdi ligu, bdo cdo lidn quan d i n cdng tdc qudn ly ngudi nhiim HIV/AIDS d cdc ca quan chUe ndng ciJa tinh vd cdc huygn, thanh phd triln khai nghien cuu.
2. Dja dilm, thd*! gian nghien cu>u 2.1. Dja diem nghien edu
Nghidn cUu dugc triln khai tgi Quang Nam. Qua trinh ldp bdn dd thuc dja dugc tiln hdnh tren todn tinh.
sau dd lua chgn dja dilm nghidn cUu:
• Tgi phdng tu vdn Sue khde cdng ddng sd 129 Trung NO' Vuang, thdnh phd Tam Ky. tinh Quang Nam.
• Dilu tra dja bdn 6 huydn/thdnh phd, hidn sd ngudi nhiim HIV/AIDS nhilu nhat tinh, dd Id: Tam Ky, Thdng Binh, Niii Thdnh. Phii Ninh vd Dign Bdn. Luy tich so ngudi nhiim HIV/AIDS tgi 6 huygn: 415 ngudi, chilm han 60% sd ngudi nhiim HIV/AIDS cd hd khau tgi Quang Nam. Din ngdy 31/12/2010 sd ngudi nhiem HIV/AIDS cd tgi Qudng Nam 632 ngudi.
2.2. Thdi gian nghiin edu: TU 6/2010 - 12/2010 3. Phuang phdp nghien ciru
3.1. Thilt kd nghien cii'u:
Nghidn cii'u djch t i hgc md ta cd phdn tich, kit hgp quan sdt vd hdi cii'u.
3.2. Mlu nghien cu>u:
3.2.1. Cd miu:
• Cd mau khich hing den phdng tu van suv
khde cgng dong: Chgn mlu thdng ke khdng xdc xuat - mlu thudn tidn.
• Ca miu phdng van nguoi nhiem HIV/AIDS:
Z^d-ac). P(1-P) n =
d^
Trong dd:
p: Ty Ig ngudi nhiim HIV/AIDS dugc chdm sdc ho trg, U'dc dodn p = 75%.
q = 1 p: Ty Ig p^ian tram HIV/AIDS khdng dugc quan tdm chdm sdc.
n: ed mlu nghidn cuu tdi thilu.
Z (1-0/2): Hg sd tin cdy vdi y nghTa d mii'c (a = 0,05) d: dg chinh xdc mong mudn (sai sd chap nhgn) d=0,06
Ca mlu tdi thieu can nghidn cuu Id 200 ngudi. Thuc t l chiing tdi tiln hdnh phdng van dugc 205 ngudi.
3.2.2 Cach chgn mau
Todn bd khdeh hang tu nguydn d i n tu vdn va xdt nghigm HIV ndm 2010 (1518 khdeh hdng)
Tgi mdi S\a bdn, thdng qua cdn bd y t l , cdng tdc vien, ddng dang vidn d l tiln hdnh chgn mlu nglu nhien, lien tgc khi dii sd lugng da dugc phdn bd thi dirng dilu tra.
3.3. Ky thugt thu thdp thdng tin 3.3.1. Cdng cg tiiu thgp tiidng tin
Bg philu thu thgp thdng tin cua khdeh hdng din phdng tu vdn sue khde cgng ddng do chuyen gia cua CDC (Hoa Ky) vd Cge Phdng, chdng HIV/AIDS thilt k l .
Bg edu hdi phdng vdn ngudi nhiem HIV/AIDS dugc thilt k l bdi cdc chuyen gia cua du an Quy todn edu vd Cgc Phdng. chdng HiV/AlDS.
3.3.2. Quy trinh tiiu thgp thdng tin
- Lua chgn dilu tra vidn, gidm sdt vidn: dilu tra vidn Id nhO'ng cdn bg ciia TTYTDP tinh, cdn bd TT PC HIV/AIDS tinh. Gidm sdt vidn Id nhO'ng ngudi cd ky ndng dilu tra, tu vdn cua chuang trinh phdng, chdng HIV/AIDS tinh.
- Dilu tra vidn vd gidm sdt vidn dugc tgp hudn 5 ngdy.
Tiln hdnh dilu tra: Dilu tra vidn dugc ngudi hudng d i n d i n d i n gia dinh ngudi nhiim HIV/AIDS.
Ngudi nhiem dugc thdng bdo v l mgc dich vd ndi dung budi phdng van vd tu nguydn tham gia nghidn cuu, de tien hdnh phdng vdn.
3.4. Ydu td d90 dii'c trong nghien ciru
Tinh bi mgt: Tdt ea nhO'ng thdng tin thu thdp dugc se khdng tilt Ig vdi nhO'ng ed nhdn hay td chuc khde, dam bao tinh bi mdt cho doi tugng tham gia nghidn cuu.
- Su ddng tinh: Nghidn cuu dugc su cho phdp cda chinh quyIn dja phuang. Ngudi nghidn cuu giai thich v l mgc dich cua nghien cuu d l ngudi cung cap thdng tin ddng tinh vd tu nguydn tham gia nghidn cuu.
Kit qua nghien cuu se dugc phdn hdi tdi cdc ca quan chuc ndng ^ a phuang Idm ca sd d l ldp k l hogch can thigp cho cdc hogt dgng chdm sdc hd trg ngudi nhiim HIV/AIDS tgi cdc ca sd ndy.
3.6. Phan tich xir ly sd ligu
Xir ly va phdn tich sd ligu bang phdn mIm Epi-info
6.0 vd excel. . . .
K^T QUA NGHIEN CU-U VA BAN LUAN
3.1. Hdnh vi nguy ca nhilm HIV cua khdeh hdng t^i phdng t u vdn
Y HOC THVC HANH (767) - S 6 6/2011
71
Bang 1 Phan bd khach hang d i n phdng tu vdn theo ngudi va noi gidi thigu (n = 1.518 ngudi)
Ngu'6'i/ noi gioi thi^u Khdeh hdng khde
Ban chich chung TCCD Cdn bO y te
Ban tinh
Thong tin dai chung (TV, ddi, bdo) Khac
S6 lugng 296 138 283 186 6 615
4
Ti 1$ % 19,50
9,09 18,64 12,25 0,40 40,51
0,26 Qua bang cho thay ngudn thdng tin d l ddi tugng d i n TVXNTN chiem ty Ig cao nhat Id qua thdng tin dgi chung, chilm 40,51%; tu nhO'ng khdeh hang da dugc tu van trudc day, chilm 19,50%; nhdm tilp cgn cgng ddng chilm 18,64%; can bg y te 12,25%; bgn chich chung 9,09%;_bgn tinh 0,4%.
- Ydu td nguy ca cua khdeh hang va bgn tinh.
Yeu td nguy ca chilm ty Ig cao nhat la QHTD vdi nhieu ngudi (chiem 39,86%); TCMT 32,79%, mgi dam nam hoge nu' 3,78%; tinh dgc ddng gidi nam 0,06%;
nguy co khde ciia ban than 10,53%.
Bang 2. Y l u td nguy ca cua khach hang theo bgn tinh (n = 1.518 ngudi)
Nguy CO' ban tinh Khdng c6 ban tinh Ban tinh khdng co nguy co' Ban tinh la nguwl nhiem HIV
Ban tinh Id TCMT Ban tinh la MD Ban tinh co MSM Ban tinh c6 tinh due voi nguoi mai
ddm
Ban tinh c6 tinh dye vd'i nhidu nguffi Nguy CO khac
S6 lugng 339 367 78 155 427 1 109 192 18
Ti Ig % 22,36 24,16 5,12 10,21 28,16 0,06 7,15 12,65
1,17 Mgt trong nhO'ng nguyen nhan d i dan tdi Idy nhiem HIV nhdm bgn tinh la mgi dam, chilm 28,16%; bgn tinh cd tinh dgc vdi nhieu ngudi 12,65 %; bgn tinh TCMT 10,21%, bgn tinh nhiim HIV 5,12%; tinh dgc ddng gidi nam 0,06%.
- Mire dg diing BCS trong thang qua
Chi cd 47,82% sd ngudi thudng xuyen diing BCS trong QHTD, van cdn 52,18% sd ngudi khdng diing BCS thudng xuyen khi QHTD.
- Mire dg diing chung BKT trong TCMT
1 lan 2-3 lan A-& lan 7 lan trcr len Bi4u d i 2. mi>c 06 diing chung BKT trong 7 ngiy qua
Ti Ig diing chung BKT trong TCMT tuan qua cao nhat la 2-3 lan, chiem 34,54%; diing chung 1 lan chiem 29,52%; 4- 6 lan 16,47%; tu 7 Idn trd len chiem 19,48%.
- Kdt qua xet nghigm (1.518 mdu XN)
TI Ig xet nghigm HIV duang tinh chilm 9,55% tdng sd khach hang dugc xet nghigm.
3.2. Thvrc trang cham sdc, tu- vdn hd trg- nguwi nhidm HIV/AIDS
Bang 3. Phan irng cua gia dinh khi bilt ngudi nhd bj nhiim HIV/AIDS (n = 205 ngudi)
Phan ung nguoi nhd Ruong bo Chap nhdn Chdm soc sue khoe
Ho trg giup do Phan ii'ng khac
So lugng 52 146 125 112 3
Til$%
25,37 71,22 60,98 54,63 1,46 Phan irng cua gia dinh khi biet ngudi nha bj nhiem HIV/AIDS pho biln nhat Id chap nhgn 71,22%; chdm sdc sue khde 60,98%; ho trg giup da ngudi nhiim 54,63%.
Tuy nhien v i n cdn 25,37% ngudi nhiim bj gia dinh rudng bd, xa Idnh.
Bang 4. Nhu cau cham sdc, hd trg ngudi nhiem HIV/AIDS (n = 205 ngudi)
Mong mudn vd nhu edu nguo'i nhilm HIV
Dieu trj ARV Ddi xCr binh ding Hd trg tien, vdt chdt
Tu vSn Dieu tri NTCH
Vigc Idm An ui, dgng vien
Cai nghidn Sinh hoat nhdm
Khde
• s . . 1
So lugng 185 146 168 89 120
72 177
54 62 112
Ti Ig % 90,24 71,22 81,95 43,41 58,54 35,12 86,34 26,34 30,24 54,63 tri dgc higu HIV Id 90,24%; tilp d i n la dugc an ui dgng vien 86,34%; hd trg tien, vgt chat 81,95%; dugc ddi xu binh dang 71,22%; dugc lam vigc 35,12%; sinh hogt nhdm 30,24%.
BAN LUAN
1. Hanh vi nguy c a nhidm HIV ciia khach hang t^i phdng tu" vdn
Mgt trong nhO'ng yeu td quan trgng de ddi tugng co nhu cau den TVXNTN dd la vigc tuydn truyen, phd bien, gidi thigu la hit sue can thilt. Ngudn thdng tin de doi tugng den TVXNTN chu y l u la tu thdng tin dgi chung chiem 40,51%; tu nhung khach hang da dugc tu vdn trudc ddy, chiem 19,50%; nhdm tilp cgn cgng dong chilm 18,64%; can bg y t l 12,25%; bgn chich chung 9,09%; bgn tinh 0,4%. Nhu vgy, vigc tuydn truyen gidi thigu ve TVXNTN qua cae phuang tign thdng tin dgi chung, cdn Idng ghep trong khi tu vdn cung nhu vi^c chuan bj nhO'ng thdng tin can thilt tgi trung tam TVXNTN de phgc vg ddi tugng trong khi chd tu van.
Trong nghien cuu cho thdy, yeu td nguy ca chiem ty Ig cao nhat la QHTD vdi nhieu ngudi (chilm 39,86%);
TCMT 32,79%, mgi ddm nam hoge nu' 3,78%; tinh dgc ddng gidi nam 0,06%; nguy ca khac cua ban th§n 10,53%. Chung td chieu hudng v l hdnh vi cua khach hang cd QHTD ngdy mgt tang, phii hgp vai xu thi chung cua nude ta hign nay. Su kiem soat v l Idy nhilm • HIV qua dudng tinh dgc la mgt dilu khd khan, do nhu cau va nhgn thuc. ,
Mgt trong nhO'ng nguyen nhdn de dan tdi Idy nhiem HIV nhdm bgn tinh la mgi dam, chiem 28,16%; bgn tinh cd tinh dgc vdi nhieu ngudi 12,65 %; bgn tinh TCMT 10,21%, bgn tinh nhiim HIV 5,12%; tinh dgc ddng gidi nam 0,06%. Vigc tu van cho nhdm bgn tinh ciia khdeh hang la rat khd khdn do hg chi quan hg vai khach hdng,
72
Y HOC THUC HANH (767) - S6 6/2^1
raiiiiii VI V9]r av yiui uiii;u bua Ktiacn nang la oieu cue KI quan trgng.
Vide cd bgn tinh kdo theo nhu cau QHTD chinh vi vgy vide kilm sodt hdnh vi ndy Id dilu hit sue khd khdn, trong khi do, sd khdeh hdng sir dgng BCS thudng xuydn trong QHTD chi chilm 47,82%, v i n cdn 52.18% sd ngudi khdng sii' dgng thudng xuyen BCS. Dilu nay chung td dd bao phu BCS cdn thdp so vdi nhu cau thue t l .
Ldy nhiim HIV/AIDS qua dudng TCMC Id chii yeu, nhu cau cua ngudi nghidn ngdy mgt tang sd Idn chich.
Kilm sodt hdnh vi khi cd dung chung BKT Id mgt dieu khd ddi vdi ngudi nghidn. Qua nghien cuu thay, ti Ig diing chung BKT trong TCMT tuan qua cao nhdt Id 2-3 Idn. chilm 34.54%; diing chung'1 lan chilm 29,52%; 4- 6 Idn 16.47%; tU 7 idn trd Idn chilm 19,48%. Nhu vdy.
tu vdn cho nhO'ng khdeh hdng ndy cdn dugc tgp trung vd nhO'ng nhu cau khi khdng cd BKT, bgn chich cho thudc... Su hilu bilt v l HIV/AIDS se giiip hg khi phdng trdnh dugc khi v i n cdn nghidn chich ma tuy.
NhOng ddi tugng sau khi dugc tu vdn hdu h i t deu cd nhu cau Idm xet nghidm HIV, chung td hg cd nhO'ng hdnh vi nguy ca ed t h i bj Idy nhiim HIV. Ti Ig xdt nghigm duang tinh chilm 9,55%. Kit qua nay thdp han so vdi tinh hinh chung ea nude tgi phdng tu van sue khde cdng ddng. ti Ig duang tinh khoang 1 5 - 20%.
2. Thvrc tr^ng chdm soc, t u vdn, hd trqr nguai nhilm
Ti id dugc gia dinh chip nhdn hd trg chdm sdc sue khoe trong nghien ciru cija chiing tdi khd cao, chilm 71,22%. Tuy nhidn v i n cdn mgt bg phgn ddng k l ngudi nhiim HIV/AIDS bj gia dinh rudng bd, xa lanh (25.37%).
Trong thdi gian qua, Quang Nam da dly mgnh cdng tdc thdng tin- gido dgc- truyin thdng. do vgy nhin nhgn cua gia dinh v l ngudi nhiim tUng budc da cd su chuyin ddi ddng k l . Su sg hdi. khinh midt da ddn chuyin sang thdng cdm, se chia vd hd trg.
Mong mudn vd nhu cau cua ngudi nhiim HIV/AIDS dugc dilu trj ddc higu thudc ARV Id 90.24%; tilp d i n Id dugc an ui ddng vidn 86,34%; hd trg tiln, vgt chat 81.95%; dugc ddi xir binh dang 71,22%; dugc Idm vide 35,12%; sinh hcgt nhdm 30.24%. Kit qua nghidn eUu cOng cho thdy. mong mudn, nhu cau cua ngudi nhiim HIV/AIDS rdt Idn va vdi nhilu ngi dung. ChUng td dap ii'ng hidn nay cua gia dinh vd cgng ddng chdm sdc hd trg ngudi nhiim HIV/AIDS cdn nhieu hgn chi. Vi vgy.
trong thdi gian tdi cdn phdi ddy mgnh cdc chuang trinh can thidp tilp cgn tgi cdng ddng ddi vdi ngudi nhiim HIV/AIDS. Ndng cao chat lugng cdc djch vg chdm sdc sue khod vd cdc djch vg tu vdn. djch vg xd hgi dap Ung ngdy cdng tdt han mong mudn vd nhu cau cua ngudi nhiim HIV/AIDS tgi Quang Nam.
KfiT LUAN
1. Hdnh vi nguy ca nhilm HIV/AIDS cua khdeh hdng t^i phdng t u vdn sire khde cgng ddng t^i Qudng Nam ndm 2010
Hdnh vi nguy ca Idy nhiim HIV/AIDS ciia khach hdng tgi phdng tu vdn khd cao cg t h i :
- Khdeh hdng quan hd tinh dgc vdi nhilu ngudi, chilm 39,86%; TCMT 32.79%; bgn tinh Id mgi dam nam hodc nQ" 28,16%.
- Sir dgng bao cao su trong quan hd tinh dgc chilm 47,82% vd 52,18% khdng sd' dgng bao cao su.
- uung enung tJKT cao nhat trong tudn Id 2-3 Idn, chiem 34,54%; diing chung 1 Idn: 29,52%; 4- 6 Idn 16,47%; tu 7 Idn trd Idn chilm 19.48%.
.Ti Ig xdt nghigm HIV duang tinh tgi phdng tu vdn sue khoe cgng ddng: 9,55%
2. Thvrc tr^ng cham soc, t u vdn, hd trgr nguvi nhilm HIV/AIDS t^i Quang Nam nam 2010
Ti Id dugc gia dinh ehdp nhgn hd trg, chdm sdc sue khoe ngudi nhiim chilm 71,22%. Vin cdn 25,37%
ngudi nhiim HIV/AIDS bj gia dinh oidng bd, xa lanh.
- Mong mudn vd nhu cau cua ngudi nhiem HIV/AIDS dugc dieu tn dgc hidu thudc ARV Id 90,24%; dugc ho trg tiln, vgt chat: 81,95%; dugc ddi xii' binfi dang:
71,22%; dugc lam vigc 35,12%.
SUMMARY
This study realized at the consulting room for the voluntary HIV examination and at 6 districts and city of Quang Nam province in 2010, showed that: the action for risk of infecting HIV/AIDS of the customer at the consulting room is relatively high. 39,86% of customers having sexual relation with a lot of people, in which, there are 52,18% of customers don't use condoms when having sexual intercourses. There are 32.79% of custoriners taking drugs and frequency of using the same syringe ^ 2 times/weeks is 70%. At the consulting room, the proportion of customers having seropositive is 9.55%. The result of inten/iewing 205 people infected HIVshowed that: after knowing the member of the family infected HIV, the majority of family accepted, took care of, and helped him (71,22%), however, there are still 25,37% people infected abandoned, shunned by their family. The wishes and needs of the people infected HIV/AIDS are numerous, including: being treated specifically with ARV (90,24%); having a grant, material for living (81.95%); being treated equally (71,22%). having an employment (35.12%).
T A I LI|U THAM K H A O
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