Adherence practices among people living with HIV
Adherence practices among people living with HIV
复制标题
DOI：
10.1080/0954012031000068407
复制
发表时间：
2003-04-01
影响因子：
1.7
通讯作者：
Cohen, JJ
中科院分区：
文献类型：
--
作者：
Adam, BD;Maticka-Tyndale, E;Cohen, JJ
本文提供了一个批判的病人赤字模型的遵守检查的衔接的给药方案和食物禁令与日常生活的结构。对31名男性和4名女性服用HAART的采访显示，与日常生活事件相关的剂量最一致，但许多人围绕时间和食物消费重新制定官方剂量指南。坚持的障碍往往来自于工作时间表，不同的药物，食物禁令，甚至是美国移民政策中的公然歧视所带来的相互冲突的要求。依从性可能是为了解决相互矛盾的需求而做出的妥协的结果，可能是情境性的，与特定药物的质量有关，也与人格特征有关。自传体叙事，使一个人的自我意识提供了基础上，坚持决策发生。最后，对药物有效性的看法可能会导致自我强化的坚持做法。
This paper offers a critique of patient-deficit models of adherence by examining the articulation of dosing schedules and food prohibitions with the structure of everyday lives. Interviews with 31 men and 4 women taking HAART show that doses associated with regular daily life events are most consistently taken, but many individuals rework official dosing guidelines around timing and food consumption. Barriers to adherence often arise from conflicting demands imposed by work schedules, different medications, food prohibitions, and even outright discrimination as in the case of US immigration policy. Adherence may be the outcome of compromises made in an effort to solve contradictory demands, and may be situational and related to the qualities of particular drugs, as much as to personality traits. Autobiographical narratives that give order to one's sense of self provide foundations upon which adherence decision making occurs. Finally, perceptions of drug effectiveness may lead to self-reinforcing adherence practices.