Causes and factors associated with absence the follow-up treatment of HIV patients at King Narai Hospital

Abstract

Objective: This research studies the cause and prediction factor of absence the follow-up treatment of HIV patients at King Narai Hospital

Research Design: This research is retrospective descriptive study of 178 patients with admission into the clinic for consulting and receiving anti-HIV drugs during 1^st October 2017 - 30^th September 2018. Basic individual factors, clinical factor, social and family factors were investigated. The data analysis was using descriptive statistics, correlation analysis statistics and regression analysis.

Results: The 37 in 178 patients (20.18%) with absence the follow-up treatment were almost of 29 men patients (78.38%), age average of 55 years, 24 new patients (64.86%). The major causes of absence the follow-up treatment were as follow: Patients of 9 (24.32%) did not want income loss. Patients of 7 (18.92%) thought about that they are good healthy in current. Patients of 5 (13.51%) were not convenience come to the hospital because of living too far from the hospital. The factors associated with absence the follow-up treatment of HIV patients were new patients, lower secondary school level, receiving treatment less than 5 years, CD4 more than 300 cells/mm³, incomes less than 10,000 bath/month (p ≤ 0.01). The 1-3 Top of factor with effect on absence the follow-up treatment of HIV patients were incomes less than 10,000 bath/month, new patients and CD4 more than 300 cells/mm³ respectively. The patients with incomes less than 10,000 bath/month was opportunity for absence the follow-up treatment more than patients with incomes more than 10,000 bath/month (4.66 time and 95% C.I., 1.18-18.34).

Conclusion and discussion: From the study, the schedule should be corresponding to the social and economic limitation of HIV Individual patients. In addition, patients should be receiving the knowledge, the consistent following and consulting of treatment.