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題名：Needs Assessment of People Living with HIV/AIDS in Taiwan
書刊名：臺灣公共衛生雜誌
作者：古力巴／顏璧梅／傅麗安／陳宜民
作者(外文)：Coulibaly, Sidi／Yen, Nancy Pi-mei／Fu, Li-an／Chen, Arthur Yi-ming
出版日期：2007
卷期：26:1
頁次：頁38-48
主題關鍵詞：需求；評估；愛滋病病人；臺灣；中途之家；Needs；Assessment；People living with HIV/AIDS；Taiwan；Halfway house
原始連結：連回原系統網址new window
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目標：評估及比較北臺灣地區在愛滋病特別門診、監獄及中途之家的愛滋病病人需求的內容及差異。 方法：自2005年12月至2006年6月，自臺北市立醫院愛滋病特別門診、桃園監獄、及兩處愛滋病中途之家共收取367名愛滋病病患作為研究之樣本。以SPSS 12版統計軟體進行問卷資料的統計分析。 結果：結果顯示1/3的受訪者不知道自已的CD4指數 (32%) 及病毒量 (37.8%)。來自健康照顧工作者及一般民眾的支持是受訪者最需要的。中途之家的受訪者最需要經濟上的補助、交通工具、及良好的人際關係，且在生理及精神上特別脆弱。中途之家及監獄內的愛滋病病人傾向於需要更多的精神上的支持及社會服務的協助。受訪者基本存活的重要因素包括有營養、雞尾酒療法、運動、家人的照顧及同儕的支持。工作對中途之家的病人似乎格外重要。 結論：本研究結果顯示應提供更多的諮商及相關訊息給這些病患。事實上監獄中的愛滋病病人從未接受CD4計數及病毒含量測試，建議監獄裏應該提供這類檢查。
Objectives: The objective of this study was to assess and compare the needs of HIV/AIDS patients in outpatient clinics, prisons and residential care facilities in northern of Taiwan. Methods: From December 2005 to April 2006, 367 people living with HIV/AIDS (PLWHAs) from the outpatient special AIDS clinics of the Taipei City Hospital, Taipei Detention Centers and Tao Yuan Prisons and two residential care facilities in Taipei participated in this study. The data was analyzed using the Statistical Package of Social Sciences version 12. Results: The results showed that one-third of the all the participants were unaware of their CD4 count (32%) and their viral load (37.8%). Moreover, support from health care workers and personal support were identified as the most important needs among PLWHAs. The following items were listed among PLWHAs from the residential care facilities: financial assistance, transportation, and personal relations. The perceived physical and psychological health was particularly weak among PLWHAs in residential care facilities. Patients in residential care facilities and prisons tended to have higher levels of psychological and social needs. The survival strategies were mostly based on nutrition, antiretroviral therapy, exercise, family care and peer support, however, work seemed to be very important for patients living in residential care facilities. Conclusions: Results of this research projects shown that more counseling and information should be provided to the patients. The fact that most of the patients in prisons have never received CD4 count and the viral load tests indicates that these tests should be provided in prisons.
期刊論文
1.Amirkhanian, Y. A.、Kelly, J. A.、McAuliffe, T. L.(2003)。Psychosocial needs, mental health, and HIV transmission risk behavior among people living with HIV/AIDS in St Petersburg。Russia. AIDS，17，2367-2374。  new window
2.Guzman, A.(2001)。Reducing social vulnerability to HIV/ AIDS: models of care and their impact in resource-poor setting。AIDS Care，13，663-675。  new window
3.Smith, M. Y.、Rapkin, B. D.(1995)。Unmet needs for help persons with AIDS。AIDS Care，7，353-363。  new window
4.Marx, R.、Hirozawa, A.、Soskolne, V.、Liu, Y.、Katz, M. H.(2001)。Barriers to getting needed services for Ryan White Care clients。AIDS Care，13(2)，233-242。  new window
5.Reilly, T.、Woo, G.(2003)。Access to services and maintenance of safer sex practices among people living with HIV。AIDS. Soc Work Health Care，3，81-95。  new window
6.MacNeil, J. M.、Mberesero, F.、Kilonzo, G.(1999)。Is care and support associated with preventive behaviour among people with HIV?。AIDS Care，11，537-546。  new window
7.Simbulan, N. P.、Aguilar, A. S.、Flanigan, T.、Cu-Uvin, S.(2001)。High risk behaviors and the prevalence of sexually transmitted disease among women prisoners at the women state penitentiary in Metro Manila。Soc Sci Med，52，599-608。  new window
8.Berk, R. A.、Poe, S. S.、Baigis-Smith, J. A.(1992)。Healthcare needs scale for patients with HIV/AIDS: content validation。Journal of the Association of Nurses in AIDS Care，3(3)，10-18。  new window
9.Lehrman, S. E.、Gentry, D.、Bonacci, Y. B.、Freedman, J.(2001)。Outcomes of HIV/AIDS case management in New York。AIDS Care，13，481-492。  new window
10.Heckman, T. G.、Heckman, B. D.、Kochman, A.、Sikkema, K. J.、Suhr, J.(2002)。Psychological symptoms among persons 50 years of age and older living with HIV disease。Aging Ment Health，6，121-128。  new window
11.Lau, J. T. F.、Wong, W. S.(2001)。AIDS-related discrimination in the workplace--the results of two evaluative surveys carried out during a three-year period in Hong-Kong。AIDS Care，13，433-440。  new window
12.Koulierakis, G.、Power, K. G.、Gnardellis, C.、Agrafiotis, D.(2003)。HIV/AIDS related knowledge of inmates in Greek prisons。Addict Res Theory，11，103-118。  new window
13.Golstein, B. R.、Rotheram-Borus, M. J.、Johnson, M. O.(2005)。Insurance coverage, usual source of care, and receipt of clinically indicated care for co morbid conditions among adults living with human immunodeficiency virus。Med Care，43，401-410。  new window
14.Lew, C. Y.、Hsu, M. L.(2002)。Pattern of responses to HIV transmission questions: rethinking HIV knowledge and its relevance to AIDS prejudice。AIDS Care，14，549-557。  new window
15.Hsiung, P. C.、Tsai, Y. F.、Hung, C. C.、Chen, M. Y.(2001)。Intention of residents in internal medicine to care for patients infected with HIV at a university hospital in Taiwan。Int J STD AIDS，12，602-608。  new window
16.Sauka, M.、Lie, G. T.(2000)。Confidentiality and disclosure of HIV infection: HIV positive persons' experience with HIV testing and coping with HIV infection in Latvia。AIDS Care，12，737-743。  new window
17.Molasiotis, A.、Callaghan, P.、Twinn, S. F.、Lam, S. W.(2001)。Assessment of needs of adult symptomatic HIV patients in Hong Kong。AIDS Care，13，177-189。  new window
18.Lee, T. S. H.、Fu, L. A.、Fleming, P.(2006)。Using focus groups to investigate the educational needs of female injecting heroin users in Taiwan in relation to HIV/ AIDS prevention。Health Education Research，21(1)，55-65。  new window
研究報告
1.Centers for Disease Control(2006)。2005 Annual report。  new window
2.(2005)。Lourdes Home。  new window
其他
1.Kayita, J.(2003)。Palliative care in resource-constrained settings for people living with HIV and other life-threatening illnesses: lessons learned from Uganda，http://hab.hrsa.gov/publications/palliative/palliative_care_uganda.htm， 2006/04/11。  new window
2.Kantor, E.(2006)。HIV transmission and prevention in prison，http://hivinsite.ucsf.edu/InSite， 2006/04/11。  new window
 
 
 
 
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