Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa
Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa
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DOI：
10.1016/j.ijnurstu.2008.06.006
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发表时间：
2008-12-01
影响因子：
8.1
通讯作者：
Davis, Sheila M.
中科院分区：
文献类型：
--
作者：
Ncama, Busisiwe P.;McInerney, Patricia A.;Davis, Sheila M.
一个支持性的社会环境对HIV/AIDS患者至关重要。在夸祖鲁-纳塔尔。在南非，一些艾滋病毒抗体阳性者可以得到抗逆转录病毒疗法。抗逆转录病毒治疗依从性是限制HIV感染的重要问题。对治疗的坚持可能与社会支持有关。目的：本研究的目的是探讨与社会支持和抗逆转录病毒药物依从性相关的特征。描述性研究探讨了社会支持与其他变量之间的关系。包括社会人口学变量，生活质量，和adherence.Settings：伦理审查委员会批准后，艾滋病毒感染者的样本接受护理生病门诊招募和完成自我报告instruments.Participants：样本包括英语和/或isiZulu说（n = 149）的人年龄在18岁以上接受治疗的艾滋病毒/艾滋病。共有149例诊断为HIV/AIDS的患者同意参与研究，并在完成知情同意程序后完成问卷调查。研究参与者是在德班的四个门诊机构招募的。方法：采用描述性、探索性、横断面设计，探讨南非夸祖鲁-纳塔尔省社会支持的特点及其与抗逆转录病毒治疗依从性的关系。结果：资料分析表明，医学结局研究社会支持调查问卷的社会支持得分为中等水平（M = 64.4; S.D. = 14.7）。亲密朋友和家人的数量与更大的社会支持感显着相关。尽管如此，最低分数的生活质量的措施，使用医疗成果研究简表36项调查报告的社会功能Scaling.Conclusions：总之，研究结果表明，一个支持性的社会网络是必不可少的艾滋病毒/艾滋病患者。然而.在南非，艾滋病毒感染者的耻辱感可能会影响社会功能和生活质量，这可能是一个令人关切的问题，需要进一步调查。(C)2008爱思唯尔有限公司保留所有权利。
Background A supportive social environment is critical for those with HlV/AIDS. In KwaZulu-Natal. ill South Africa, antiretroviral therapy is available to some HIV-positive individuals. Antiretrovial adherence is an important issue for limiting HIV infection. Adherence to therapy may be linked to social support. particularly amidst the stigma prevalent in HIV.Objective: The purpose of this study was to examine characteristics related to Social Support and antiretroviral medication adherence.Design: This cross-sectional. descriptive Study explored the nature of the relationships among social Support and other selected variables. including sociodemographic variables, quality of life, and adherence.Settings: After ethical review board approval, the sample of HIV-infected individuals who received care ill outpatient clinics were recruited and completed the self-report instruments.Participants: The sample included English and/or isiZulu-speaking (n = 149) individuals over the age of 18 years receiving treatment for HIV/AIDS. A total of 149 patient,; with a diagnosis of HIV/AIDS agreed to participate and completed questionnaires after completing informed consent procedures. The study participants were recruited at four outpatient settings in Durban. KwaZulu-Natal province of South Africa.Methods: A descriptive, exploratory, cross-sectional design was utilized to explore the research questions: What lire the characteristics of social support and the relationship to antiretroviral adherence in KwaZulu-Natal, South Africa? Descriptive statistics and regression analyses were used to answer the research questions.Results: Data analyses indicated that social support scores oil the Medical Outcomes Study Social Support Survey were moderate (M = 64.4; S.D. = 14.7) among the study participants. The number of close friends and family were significantly correlated with a greater sense of social support. Despite this, the lowest scores on the quality-of-life measure using the Medical Outcomes Study Short Form 36 item survey were reported on the Social Functioning Scale.Conclusions: In summary, the Study findings suggest that a supportive social network is essential for those living with HIV/AIDS. However. social functioning and quality of life amidst the stigma of living with HIV in South Africa may be a concern and require further investigation. (C) 2008 Elsevier Ltd. All rights reserved.