提升非愛滋藥癮者愛滋病毒篩檢率

To Enhance HIV Screening for Non-AIDS Drug Addicts

翁靖惠(Ching-Hui Weng) ； 李伶伶(Ling-Ling Lee) ； 張敬俐(Ching-Li Chang) ； 陳玟伶(Wen-Ling Chen)

《精神衛生護理雜誌》 9卷2期 (2015/04) Pp. 20-29

https://doi.org/10.6847/TJPMHN.201504_9(2).0003

摘要

背景：落實非愛滋藥癮者每半年愛滋病毒篩檢，早期發現感染者及協助早期接受治療是政府減害計畫中最重要的政策目標。本院2009年至2011年平均愛滋病毒篩檢率偏低為56%，主要問題為：（1）每年2次固定篩檢月無彈性；（2）人工篩選並開立檢驗單耗時且易遺漏；（3）未完成篩檢者無標準作業流程管理；（4）醫療人員未給予檢驗說明及衛教。目的：提升非愛滋藥癮者愛滋病毒篩檢率達90%。解決方案：（1）每月定期追蹤病人篩檢狀況；（2）建置診間資訊系統可自動提醒及開立檢驗之功能；（3）制定愛滋病毒篩檢標準作業流程；（4）提供病人相關衛教及說明，使其接受愛滋病毒篩檢。結果：專案執行6個月的平均篩檢率提升至95%，達專案目標。結論：透過本專案提升愛滋病毒篩檢率的經驗，不僅將減害計畫達最大效益，更可平行推廣到他院參酌。

關鍵字

美沙冬替代治療 ； 靜脈注射藥癮者 ； 愛滋病毒

並列摘要

Backgrounds: This paper aims to implement HIV/AIDS screening for non-AIDS drug addicts every six months, as those early found with HIV positive through tests can accept treatment as soon as possible and this is one of the government's primary goals of harm-reduction plans. From 2009 to 2011, low average rates of HIV screening was at about 56%, to account for the main problems includes: (1) a fixed screening tests for two times per annum shows inflexible; (2) a manual screening and time consuming on issuing quarantine order can be easily to miss out; and (3) for the patients who have not yet completed screening tests are not traceable due to lack of SOP management, (4) failing to give inspection instruction and hygienic education for medical personnel is insufficient. Purpose: The goal of this study was to achieve the HIV screening rate to 90% on non-AIDS drug addicts. Solution: We suggest (1) regularly tracking down patients' screening tests every month, (2) setting up a diagnosis system with the functions to give automatic alerts and reminders of issuing test orders, and (3) developing a standardized operating procedure for HIV screening; (4) providing patients with relevant education and lectures to undertake HIV screening tests. Result: after six months of implementation, the average screening rate has increased to 95%, which achieved the project's objectives. Conclusion: This project enhances the experience of HIV screening rates which maximizes not only the effects of harm-reduction plans but also extends its outcome parallel to hospitals for duplication and adoption as a reference.

並列關鍵字

Methadone Maintain Therapy (MMT) ； Injection Drug Users (IDUs) ； Human Immunodeficiency Virus (HIV)

參考文獻

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