新艾滋病感染者開題報告

1、1,目錄,2,一、項目基本信息Ⅰ,,3,一、項目基本信息Ⅱ,4,二、項目內(nèi)容簡介,,本文通過對國內(nèi)外不同地區(qū)艾滋病的患病情況及生命質(zhì)量的綜合分析，結(jié)合云南省昆明市、個舊市、隴川縣3個市縣區(qū)居民艾滋病感染者情況的調(diào)查研究，對不同性別、年齡、民族、婚姻狀況、體力活動、收入水平和教育水平，以及對疾病的支付能力，來探索并分析云南省艾滋病患者生存質(zhì)量情況，為今后提高艾滋病生存質(zhì)量以及預防控制提供依據(jù)。,5,三、立論依據(jù)和研究意義,由高

2、危人群開始，傳播到一般人群全球共同模式,,,,,,同性戀,,注射毒品者,,,,,,Bridge Population 橋梁人群,Drug Users 吸毒者,Source Population 源頭人群,MSM 同性戀,Sex workers性工作者,General Population 一般人群,Family家庭,Children兒童,HIV隱性感染--冰

3、山現(xiàn)象,1985年,1989年,1995年,1998年,我國艾滋病病毒感染流行范圍逐年擴大,11,QWB , Q2TWiST , TTO , SG,HUI ,The Euroqol ，WHO QOL -HIV。,四、國內(nèi)外研究背景Ⅰ,12,四、 國內(nèi)外研究背景Ⅱ,AIDS,AIDS is a disease caused by a virus called HIV (short for human immunodeficiency vi

4、rus). HIV attacks the body's immune system. People with HIV seem to be healthy at first. When the immune system is hurt, it can no longer fight diseases the way it used to.  It `s alternative names is acquired i

5、mmune deficiency syndrome.  Believed to have originated in Africa, AIDS has become an epidemic, infecting tens of millions of people worldwide.,The virus, which is transmitted from one individual to another through

6、 the exchange of body fluids (such as blood or semen), attacks white blood cells, thereby causing the body to lose its capacity to ward off infection. HIV is one of the biggest social, economic and health challenges

7、 in the world. It is a global emergency claiming over 8,000 lives every day. In fact 5 people die of AIDS every minute. If someone is HIV-positive, it means they have been infected with the virus.,As a result, many AIDS

8、patients die of opportunistic infections that strike their debilitated bodies. AIDS first appeared in the United States in 1981, primarily among homosexuals and intravenous drug users who shared needles, but throughout t

9、he world, it is also transmitted by heterosexual contact. Today, scientists are hopeful that AIDS can be managed by new drugs, such as protease inhibitors, and need not be fatal. (See AZT.),A person infected with HIV doe

10、s not have AIDS until the virus seriously damages their immune system, making them vulnerable to a range of infections, some of which can lead to death. HIV is transmitted through body fluids in particular blood, s

11、emen, vaginal secretions and breast milk, in fact there are only four ways you can become HIV positive.,Acupuncture and some decoction, such as bazhen decoction, Prove it effective to treat AIDS, but there are still some

12、 problem to be conquered.,,,,,22,五、研究方案Ⅰ,23,五、 研究方案Ⅱ,對于艾滋病這種傳染病，在國內(nèi)外都沒有能預防它的疫苗。現(xiàn)在已有的藥物只能延緩患者的生命。因此，有關專家認為，當前最切實可行的預防方法是消除“恐艾心理”，增強社會的寬容度才是防范艾滋病最好的“疫苗” ，提升艾滋病感染者和患者的生存質(zhì)量。,河南艾滋病村,,中國國家主席胡錦濤明確指出：“艾滋病是關系我中華民族素質(zhì)和國家興亡的大事，各級領導需

13、提高認識，動員全社會，從教育入手，立足預防，堅決遏制其蔓延勢頭?！眹鴦赵嚎偫頊丶覍氁卜浅ｊP注艾滋病問題，多次指示有關部門加強和做好艾滋病防治工作，“把這件關系民族根本利益的大事抓緊抓好,,,溫家寶總理看望醫(yī)務人員和病人,,,吳儀副總理赴河南省考察艾滋病疫情（到病人家中）,六、技術(shù)路線和研究方法Ⅰ,技術(shù)路線,30,,用Epi Data 3. 1 建立數(shù)據(jù)庫,用SPSS 12. 0 對數(shù)據(jù)描述和統(tǒng)計分析。采用題目得分率,來反映HIV

14、感染者生活質(zhì)量的好壞。采用t 檢驗來比較不同社會人口學特征的HIV 感染者生活質(zhì)量的差異。,六、技術(shù)路線和研究方法Ⅱ,經(jīng)血傳播--共用針頭靜脈吸毒,,,,母嬰傳播-妊娠、分娩、哺乳,,,,產(chǎn) 前,,產(chǎn) 時,產(chǎn) 后,,,艾滋病母嬰傳播的機理研究,經(jīng)性傳播--性亂、不潔性交,,37,七、可行性分析,38,,我省艾滋病感染患病人群劇增，嚴重影響我省發(fā)展，加之相關生存質(zhì)量研究滯后，為順應醫(yī)學模式的轉(zhuǎn)變趨勢，將為云南省有效控制艾滋病

15、做出貢獻,八、創(chuàng)新之處,39,,研究進度安排,,2011年1月—2010年2月查閱文獻，撰寫綜述；2010年2月—2010年3月現(xiàn)場調(diào)查，資料收集 ；2010年3月—2010年4月數(shù)據(jù)錄入 ，開題報告；2010年4月—2010年6月撰寫論文，修改定稿，準備答辯,九、研究進度和預期結(jié)果Ⅰ,通過各地的現(xiàn)場調(diào)查，獲取云南省艾滋病不同流行地區(qū)感染者生存質(zhì)量信息量表。結(jié)合我省艾滋病不同流行地區(qū)感染者的實際情況，采用科學合理的統(tǒng)計分析，比較出各個