提供者对博茨瓦纳精神病医院住院患者的抗逆转录病毒疗法坚持提供观点
Maria Albin Qambayot1, Sarita Naidoo1
1School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
African journal of AIDS research : AJAR
|June 20, 2023
概括
博茨瓦纳的医疗保健提供者确定了精神病医院住院患者对抗逆转录病毒疗法 (ART) 遵守的关键障碍和促进因素. 需要量身定制的战略来改善这一脆弱群体的艾滋病毒管理.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 心理健康 心理健康
背景情况:
- 对抗逆转录病毒疗法 (ART) 的最佳坚持对于管理艾滋病毒感染至关重要.
- 同时出现的精神障碍经常会损害ART的坚持.
- 在撒哈拉以南非洲的精神病学环境中,关于ART坚持的数据有限.
研究的目的:
- 探索医疗保健提供者对精神病医院住院患者对ART坚持的看法.
- 确定促进者和策略,以提高住院精神病患者的ART坚持.
主要方法:
- 在博茨瓦纳斯布拉纳精神病医院对25名医疗保健提供者进行了深入采访.
- 专注于在精神病医院住院患者中遵守ART的障碍,促进者和策略.
- 使用主题分析进行手动数据分析.
主要成果:
- 关键的障碍包括缺乏洞察力,艾滋病污名,缺乏艾滋病知识,ART副作用和ART重新启动的延迟.
- 促进者包括出院的动机,疾病的恐惧,同行支持,更长的住院时间,良好的患者与提供者关系,饮食,隐私和单片药片方案.
- 目前的策略,如直接观察治疗和家庭支持被注意到;注射性ART和半路房被推.
结论:
- 精神病医院的住院患者面临着许多独特的因素,这些因素影响了ART的坚持.
- 量身定制的策略是必要的,以支持在这个人群中坚持ART的复杂健康需求.
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