Baseline strategies of formation of adherence in HIV infection: results of the survey of specialists
- 作者: Belyaeva V.V.1
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隶属关系:
- Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
- 期: 卷 9, 编号 1 (2019)
- 页面: 43-47
- 栏目: Articles
- URL: https://journals.eco-vector.com/2226-6976/article/view/287168
- DOI: https://doi.org/10.18565/epidem.2019.9.1.43-7
- ID: 287168
如何引用文章
详细
Objective. The evaluation of the views of health workers on the content of the concept of «adherence», as well as the risks of violation of patient adherence to follow-up care and treatment of HIV infection. Materials and methods. In 2017-2018, questionnaire-based survey of 105 specialists was conducted in the framework of certification training courses. The survey participants composed 4 groups; 3 groups were surveyed in 2017: group 1 (n = 34) - in Nizhny Novgorod; group 2 (n = 25) - in Chelyabinsk; group 3 (n = 22) - in Moscow. The group 4 (n = 24) included specialists interviewed in Moscow in November 2018. They indicator questions about the determination of adherence and the risks of its violation were used. Results. It was revealed that the propoirtion of respondents who chose the traditional definition of adherence ranged from 31.3 to 52.2%. Understanding of adherence as a specific human behavior in relation to drug intake was relevant for 35.8% of specialists. The respondents’ choice of the option of risk of violation of adherence, «associated with therapy» (number of drugs, dosage frequency, side effects of drugs) ranged from 38.1% in the group 3 to 60.9% in the group 4. Among the risks of violation of adherence to follow-up care in all groups, the descriptions of problems associated with the emotional state of patients- «fear», «shame» - were leading (from 29.1 to 22.2%). Conclusion. The multimodality of the risks of violation of adherence to follow-up care and treatment of HIV infection requires a comprehensive approach to minimize them, and it can be implemented in the framework of a multiprofessional model of care for HIV infection.
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作者简介
Valentina Belyaeva
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: labora-et-ora@yandex.ru
МD, Leading Researcher
参考
- Antiretroviral Treatment as Prevention (TasP) of HIV and TB: 2012 update WHO/HIV/2012. http://apps. who.int/iris/bitstream/handle/10665/70904/ WHO_ HIV_2012.12_eng.pdf
- Беляева В.В., Кытманова Л.Ю. Технологии формирования приверженности при ВИЧ-инфекции. В кн.: Лекции по ВИЧ-инфекции. М.: ГЭОТАР-Медиа, 2018; 706-66.
- Беляева В.В. Эмоциональное выгорание медицинских работников. Предпосылки и практики профилактики. LAP LAMBERT Academic Publishing, 2013; 26-31. demic Publishing, 2013; 26-31
- Плавинский С. Л. Мероприятия по усилению приверженности терапии: обзор литературы. М.: Акварель, 2010. 48 с. 48 s.
- Козырина Н.В., Беляева В.В., Покровская А.В., Суворова З.К., Никонова В.В., Лисица Т.В. Изучение мнения пациентов, посещающих центр СПИД, о причинах неприверженности диспансерному наблюдению при ВИЧ-инфекции. Материалы Международной научно-практической конференции «Перспективы сотрудничества государств-членов Шанхайской организации сотрудничества в противодействии угрозе инфекционных болезней». Сочи, 25-26 мая 2015 г. Сочи, 2015: 245-9
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