Social Support and Adherence: Differences Among Clients in an AIDS Day Health Care Program
Social Support and Adherence: Differences Among Clients in an AIDS Day Health Care Program
复制标题
DOI：
10.1016/j.jana.2009.06.007
复制
发表时间：
2010-01-01
影响因子：
2
通讯作者：
Fitzpatrick, Joyce J.
中科院分区：
文献类型：
--
作者：
Gardenier, Donald;Andrews, Claire M.;Fitzpatrick, Joyce J.
护理管理方面的挑战威胁到艾滋病毒携带者(PLWH)的健康结果，他们还有其他医学和精神诊断、药物使用问题或适应问题(PLWH)。综合初级保健计划已被开发，以满足共病的PLWH的多种护理需求。这些模型的有效性还没有得到经验证明，部分原因是多学科的护理方法。依从性及其与社会支持的关系是HIV良好结果的关键因素。作者在艾滋病日间保健中测量了患者的社会支持和依从性，这是一项针对共病PLWH的综合初级保健计划。据报道，坚持抗逆转录病毒治疗的艾滋病日间保健患者的社会支持水平显著高于不坚持治疗的患者。探讨和讨论了人群中社会支持和依从性差异的影响。对护理实践和未来研究的启示也被提出。
Challenges in care management threaten health outcomes in persons living with HIV (PLWH), who also have other medical and psychiatric diagnoses, substance use problems, or adjustment issues (comorbid PLWH). Integrated primary care programs have been developed to address multiple care needs in comorbid PLWH. The effectiveness of these models has not been shown empirically, in part because of multidisciplinary approaches to care. Adherence and its relationship to social support are key factors in favorable outcomes in HIV The authors measured social support and adherence among clients in AIDS day health care, an integrated primary care program for comorbid PLWH. The level of social support among AIDS day health care clients who were adherent to their antiretroviral therapy was reported to be significantly higher than social support among those who were nonadherent. Implications of the differences in social support and adherence in the population are explored and discussed. Implications for nursing practice and future research are also addressed.