The importance of the patient-clinician relationship in adherence to antiretroviral medication.
The importance of the patient-clinician relationship in adherence to antiretroviral medication.
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DOI：
10.1111/j.1440-172x.2007.00652.x
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发表时间：
2007-12-01
影响因子：
1.9
通讯作者：
Trueman, Ian
中科院分区：
文献类型：
--
作者：
Molassiotis, Alex;Morris, Kate;Trueman, Ian
本研究的目的是评估艾滋病患者样本中患者-临床医生关系与抗逆转录病毒药物依从性的维度。这是一个相关性评价，采用横断面设计。英国两个艾滋病毒单位的38名艾滋病毒患者提供了完整的数据。分析表明，患者与临床医生的关系，有助于坚持用药的因素是患者的感知被重视和尊重的临床医生，患者的能力，开始讨论有关的治疗，授权和信任程度放在护士。后者和开始抗逆转录病毒治疗的时间是回归模型中唯一可以预测依从性的两个变量，解释了依从性的41%的方差。与患者建立可信赖的关系，并投资于教育和沟通技术，以改善治疗关系，可以大大有助于艾滋病毒患者保持高依从率。
The aim of the study was to assess dimensions of the patient-clinician relationship in relation to adherence with antiretroviral medication in a sample of HIV patients. This was a correlational evaluation, using a cross-sectional design. Thirty-eight HIV patients in two UK HIV units provided complete data. Analysis suggested that the elements of the patient-clinician relationship contributing to adherence with medication were the patient perception of being valued and respected by the clinician, the patients' ability to initiate discussions about the treatment, empowerment and level of trust placed in the nurse. The latter, and the time since starting antiretroviral treatment, were the only two variables that could predict adherence in a regression model, explaining 41% of the variance in adherence. Building trusted relationships with the patients and investing in educational and communication techniques to improve the therapeutic relationship could strongly contribute to HIV patients to maintaining high adherence rates.