調查台中榮總「愛滋病個案管理」之介入措施，對愛滋病患照護品質是否有確效性提昇。本研究採回溯性設計，查閱感染者病歷，分成規律就醫者(實驗組)及未規律就醫者(對照組)兩大群組，記錄CD4和HIV病毒量等生物指標，依性別、感染年齡分佈、感染因素、性行為認知、保險套使用情形等進行分析。追蹤2008年1月至2010年4月間的200位病患，男性個案有188位，女性個案有12位；發現規律就醫者，在CD4具有確效性提升且病毒量有較低值(P<0.05)；分析個案前六個月有持續性行為者共88位(44%)，每次性行為皆有使用保險套者只佔一至二成。愛滋病個案管理的介入確實有效地改善愛滋病患照護品質；在感染者性行為的態度上應再透過個案管理師諮商，對持續有性行為者，建議作好事前防範措施如戴保險套，以杜絕愛滋病的傳播。 This study evaluated the effectiveness of the patient care quality on HIV-infected patients through “HIV case management program” at Taichung Veterans General Hospital. CD4 cell count, HIV viral load and sexual behavioral awareness were explored. By reviewing medical records and according to the regularity of hospital visits patients were categorized into two groups: the ones with regular visits (experiment group) and the others with irregular visits (comparison group). The norm for blood tests was determined by CD4 cell count and HIV viral load which were compared between these two groups. Sexual behavioral awareness was investigated for patients who had sexual activity within the most recent six months. From January of 2008 to April of 2010, out of 200 patients, there are 188 males (94%) and 12 females (6%) involve in the study. The experiment group possesses higher CD4 cell counts and lower HIV viral load in average than the comparison group with a significant difference (p value < 0.05). Within the most recent six months, 88 patients (44%) have had consistent sexual activity. As little as 10 to 20 percent of those patients use condoms each and every time when they have sexual activities. HIV-infected patients who keep regular follow-up visits have significant effects on their health outcomes. However, consultants of HIV case management program must persuade those patients who have consistent sexual activities to take precautions, such as using condoms, against the spread of HIV.
