Development of a measure of the patient-provider relationship in antenatal care and its importance in PMTCT.
Development of a measure of the patient-provider relationship in antenatal care and its importance in PMTCT.
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发展产前护理中患者培训关系的量度及其在PMTCT中的重要性。
DOI：
10.1080/09540121.2011.630369
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发表时间：
2012
期刊：
影响因子：
1.7
通讯作者：
Forsyth BW
中科院分区：
文献类型：
--
作者：
Barry OM;Bergh AM;Makin JD;Etsane E;Kershaw TS;Forsyth BW
在南非这样受影响严重和资源有限的环境中，预防母婴传播艾滋病毒是一项复杂的挑战。预防母婴传播的管理需要采取一系列干预措施，以有效降低艾滋病毒传染给婴儿的风险。这一预防母婴传播级联包括可以由患者-提供者关系塑造和影响的增量组件。孕妇与其护理提供者的关系可能会影响她就产前护理做出的决定，进而影响所提供护理的质量。在南非的比勒陀利亚制定了一个患者-提供者关系量表（PPRS），其目的有二：第一，在资源有限的情况下量化产前人群中的患者-提供者关系，并提供其可靠性和有效性的初步证据;第二，确定患者-提供者关系是否对预防母婴传播有影响。该仪器是在一个横断面的试点研究，一组妇女在出院后分娩（n=192）在西南茨瓦内的两个主要医院。对该工具的统计分析显示了高可靠性（α=0.91）和其有效性的初步证据，包括与参与者对诊所运作的态度和单一陈述（诊所工作人员“知道我是一个人”，R=0.47，p<0.001）的显着关联，该陈述先前已被证明与抗逆转录病毒治疗的依从性有显着关联。对于艾滋病毒阳性的参与者，PPRS与有关预防母婴传播级联的重要组成部分的声明显着相关。此外，那些产前护理严重不足（≤2次访视）和那些没有开始高效抗逆转录病毒治疗的患者，尽管符合条件，但其PPRS评分明显较差。该计划是一个潜在的有用的，适合于具体情况的工具，可以在未来的研究中发挥重要作用，重点是改善预防母婴传播和减少儿童感染艾滋病毒的风险。
The prevention of mother-to-child HIV transmission (PMTCT) is a complex challenge in heavily affected and resource-limited settings such as South Africa. Management of PMTCT requires a cascade of interventions that need to be addressed to effectively decrease the risk of HIV transmission to infants. This PMTCT cascade includes incremental components that can be shaped and influenced by the patient–provider relationship. The relationship that a pregnant woman has with her care providers may possibly affect decisions that she makes concerning her antenatal care and may, in turn, influence the quality of the care provided. A patient–provider relationship scale (PPRS) was developed in Pretoria, South Africa with two aims: first, to quantify the patient–provider relationship in an antenatal population in a resource-limited setting and provide preliminary evidence of its reliability and validity; and second, to determine whether the patient–provider relationship has an effect on PMTCT. The instrument was administrated in a cross-sectional pilot study to a group of women at discharge after delivery (n=192) at two major hospitals in South West Tshwane. Statistical analysis of the instrument showed high reliability (α=0.91) and preliminary evidence of its validity including significant associations with participants’ attitudes regarding the functioning of the clinics and a single statement (the clinic staff “know me as a person,” R=0.47, p<0.001) that has been shown previously to have a significant association with adherence to antiretroviral treatment. For HIV-positive participants, the PPRS was significantly associated with statements related to important components of the PMTCT cascade. In addition, those with substantially inadequate antenatal care (≤2 visits) and those who did not initiate highly active antiretroviral therapy, although eligible, had significantly poorer PPRS scores. The PPRS is a potentially useful, context-appropriate instrument that could have an important role in future research focused on improving PMTCT and decreasing the risk of HIV infection in children.
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影响因子：
3.6
作者：
Chasela, Charles;Chen, Ying Qing;Read, Jennifer S.
通讯作者：
Read, Jennifer S.
DOI：
10.1111/j.1440-172x.2007.00652.x
发表时间：
2007-12-01
影响因子：
1.9
作者：
Molassiotis, Alex;Morris, Kate;Trueman, Ian
通讯作者：
Trueman, Ian
DOI：
10.1080/09540121003615079
发表时间：
2010-01-01
影响因子：
1.7
作者：
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通讯作者：
Mareverwa, Joyce
影响因子：
120.7
作者：
Stringer, Elizabeth M.;Ekouevi, Didier K.;Stringer, Jeffrey S. A.
通讯作者：
Stringer, Jeffrey S. A.
影响因子：
4.4
作者：
Ingersoll, KS;Heckman, CJ
通讯作者：
Heckman, CJ