ＨＩＶ感染症による長期療養者とその受け入れ体制に関する研究

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  • Research on Support System to Persons with HIV/AIDS Needing Long-term Care
  • HIV カンセンショウ ニ ヨル チョウキ リョウヨウシャ ト ソノ ウケイレ タイセイ ニ カンスル ケンキュウ

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Objective: HIV medical care has advanced. Meanwhile, the number of persons with HIV who continue to stay in the hospital even they no longer need hospitalized medical care (long-term inpatients) is increasing gradually. Their immune systems are stabilized, however, it is difficult for them to live at home due to persisting disabilities such as physical disability, mental deficiency, dementia caused by PML, HIV encephalopathy, and cerebral infarction. The purpose of this study is to examine the necessity of medical care and a welfare environment through investigating actual conditions and background factors of long-term inpatients at AIDS core hospitals.<BR>Methods: In 2004, questionnaires were distributed to AIDS core hospitals. Questions about experience, number, and outcome of long-term inpatient cases were included in the questionnaire. In 2005, another questionnaire survey was conducted targeting hospitals with consent. Period of hospitalization and number of days extended care were asked about. Semi-structured interviews about the background of cases were also conducted of staff members in 7 hospitals.<BR>Results: It was found in the 2004 survey that 52 hospitals, out of 221 AIDS core hospitals responding to the questionnaire, experienced 131 cases. In the 2005 study, it was found that out of 82 cases of 32 hospitals, 68 cases extended the hospitalization, and average number of months was 9.1. Factors that cause long-term hospitalization were medical factors, medical institutional problems, patients and family, and systematic issues. Factors that prevent long-term hospitalization were a reliable medical care system, a substantial network, existence of a coordinator, leadership of the top position, etc.<BR>Conclusion: The study showed the need for appropriate medical care security in accordance with HIV medical advancement, and development of a community care system to support the patient's life.

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