Patient-Reported Experiences of Medication Adherence at a Community-Based HIV Clinic, Ghana.
Patient-Reported Experiences of Medication Adherence at a Community-Based HIV Clinic, Ghana.
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DOI：
10.1177/23743735221107263
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发表时间：
2022
影响因子：
1.5
通讯作者：
Yendork, Joana Salifu
中科院分区：
文献类型：
--
作者：
Fosu, Morrison;Teye-Kwadjo, Enoch;Yendork, Joana Salifu
关于加纳社区诊所病人坚持服药情况的资料很少。本研究调查了参加社区艾滋病诊所的艾滋病病毒感染者（PLHIV）对抗逆转录病毒药物治疗的依从性。PLHIV（N = 349）完成了一个问卷电池的药物治疗依从性，医患沟通，艾滋病毒的耻辱，病人的一般自我效能感，感知社会支持，和病人的精神。采用线性回归方法对数据进行分析。结果显示，在该样本中，医患沟通（β = 0.38，95% CI [0.09，0.18]，P <0.001）和来自重要他人的社会支持（β = 0.46，95% CI [0.18，0.67]，P <0.001）与药物依从性呈正相关。相反，艾滋病污名化（β = -.16，95% CI [-0.58，-0.09]，P <.01），患者灵性（β =-0.22，95%CI [-0.44，-0.00]，P <0.05），患者一般自我效能（β =-0.14，95% CI [-0.17，-0.02]，P <.01）与药物依从性呈负相关。有必要采取教育干预措施，加强医患沟通和社会支持，同时减少加纳艾滋病毒感染者的耻辱感。
There is little information on patients’ medication adherence experiences at community-based clinics in Ghana. This study investigated adherence to antiretroviral medication among people living with HIV (PLHIV) attending a community-based HIV clinic. PLHIV (N = 349) completed a questionnaire battery on medication adherence, doctor–patient communication, HIV stigma, patient general self-efficacy, perceived social support, and on patient spirituality. Linear Regression was used to analyze the data. Results showed that doctor–patient communication (β = .38, 95% CI [0.09, 0.18], P <.001) and social support from significant others (β = .46, 95% CI [0.18, 0.67], P <.001) were positively associated with medication adherence in this sample. In contrast, HIV stigma (β = –.16, 95% CI [–0.58, −0.09], P <.01), patient spirituality (β = –.22, 95% CI [–0.44, −0.00], P <.05), and patient general self-efficacy (β = –.14, 95% CI [–0.17, −0.02], P <.01) were negatively associated with medication adherence. There is a need for educational interventions targeted at enhancing doctor–patient communication and social support while reducing stigma among PLHIV in Ghana.
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影响因子：
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作者：
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通讯作者：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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