Barriers and facilitators to patients' adherence to antiretroviral treatment in Zambia: a qualitative study
Barriers and facilitators to patients' adherence to antiretroviral treatment in Zambia: a qualitative study
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DOI：
10.1080/17290376.2008.9724912
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发表时间：
2008-09-01
影响因子：
1.1
通讯作者：
Fretheim, Atle
中科院分区：
文献类型：
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作者：
Sanjobo, Nawa;Frich, Jan C.;Fretheim, Atle
患者坚持抗逆转录病毒治疗（ART）对于有效治疗艾滋病毒/艾滋病非常重要。 2006 年，我们在赞比亚铜带省进行了一项定性访谈研究。该研究的目的是探讨患者和医疗保健专业人员认为患者坚持接受 ART 的障碍和促进因素。根据对总共 60 名患者和 12 名医疗保健专业人员的个人访谈和焦点小组访谈的数据，我们确定了与患者的信仰和行为、医疗服务以及社会经济和文化因素相关的障碍和促进因素。我们发现的障碍包括缺乏有关抗逆转录病毒治疗的沟通和信息、咨询时间不足、缺乏后续和咨询、健忘、耻辱、歧视和艾滋病毒状况的披露、治疗中心缺乏保密性以及缺乏营养支持。感觉更好、寿命更长的前景、家庭支持、抗逆转录病毒治疗信息、对创收活动的支持、艾滋病毒状况的披露、祈祷和交通支持等都是促进因素。我们的研究表明，提供 ART 时需要考虑几个问题。需要进一步的研究来研究患者与其医疗保健提供者之间的相互作用。我们的研究结果可以为提高 ART 依从性的干预措施提供信息。
Patients' adherence to antiretroviral therapy (ART) is important for effective medical treatment of HIV/AIDS. We conducted a qualitative interview study in the Copperbelt Province of Zambia in 2006. The aim of the study was to explore patients' and health care professionals' perceived barriers and facilitators to patients' adherence to ART. Based on data from individual interviews and focus group interviews with a total of 60 patients and 12 health care professionals, we identified barriers and facilitators related to patients' beliefs and behaviours, the health service, and socio-economic and cultural factors. Among the barriers we identified were lack of communication and information about ART, inadequate time during consultations, lack of follow-up and counselling, forgetfulness, stigma, discrimination and disclosure of HIV status, lack of confidentiality in the treatment centres, and lack of nutritional support. Feeling better, prospects of living longer, family support, information about ART, support for income-generating activities, disclosure of HIV status, prayers and transport support were among the facilitators. Our study suggests that several issues need to be considered when providing ART. Further research is needed to study interactions between patients and their health care providers. Our findings can inform interventions to improve adherence to ART.