| Summary: | 碩士 === 美和科技大學 === 護理系健康照護碩士班 === 107 === Purpose: This study aimed to investigate factors that may influence the effectiveness of health care on patients with HIV, the follow-up medical treatment in the southern Taiwan.
Methods: A longitudinal study design was used. We conducted analysis on outpatients recorded in the database to track HIV infections from May 2007 to June 2018. A total of 115 cases were recruited, among which 59 subjects were recorded by case managers and 56 were not. Data were analyzed by descriptive statistics, inferential statistics and comparisons in repeated measures analysis.
Results:1.Factors that significant influence higher return-visit rate include: male, age below 30 year’s old, homosexual, without injection drug addiction and methadone replacement therapy (p<0.05). Return-visit rate of 1st year and the latest 6 months were 80.09% and 86.1%.
2.HIV Virus numerical analysis at five time points of treatment: The median of virus was 2845.0 copies/mL. A significant reduced of virus with 1year of treatment and latest 6 months treatment which demonstrated heealth care effects with treatment
(P< 0.001). However, the amount HIV Virus was increase significantly for those whom suffered from the side effect of pharmacological treatment.
3.CD4 numerical results at five time points: The median of CD4 was 220.0 cells/μL at the initial 3 months. For those whom received treatment for 1years till the latest 6 months CD4 was increased only 44.0. A significant difference showed on CD4 numerical results between the initial 3 months and the 1st year. However, there was no significant difference on CD4 reports between treatment for 1st year, 2nd year, and 3rd year and latest (P >0.05).
Conclusions /Implications:
Factors influence return-visit rate were “change medication”, “side effect”, injection drug addiction and methadone replacement therapy. For those who had received treatment for 1years, the therapy was indeed reduced HIV virus and increases the amount of CD4.
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