关于多卢特格拉维尔的知识和看法和多卢特格拉维尔咨询:艾滋病毒感染女性的定性研究
John C Chapola1, Fan Lee2, Agatha Bula3
1University of North Carolina Project-Malawi, Lilongwe Private Bag A104, Lilongwe, Malawi. johnchapola@gmail.com.
BMC women's health
|September 9, 2023
概括
马拉维 马拉维 马拉维 马拉维
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 马拉维在2018年过渡到基于多卢特格拉维尔 (DTG) 的抗逆转录病毒疗法 (ART).
- 了解患者和提供者在ART转换期间的经验至关重要.
研究的目的:
- 探讨杜洛特格拉维尔 (DTG) 咨询方面的挑战.
- 确定影响马拉维艾滋病毒感染妇女转换ART治疗方案的因素.
主要方法:
- 定性研究涉及深入采访艾滋病毒感染妇女和艾滋病毒护理提供者在马拉维的利隆威.
- 参与者根据转换到或继续使用基于efavirenz (EFV) 的疗法进行了分类.
- 专题分析被用来从采访数据中确定关键主题.
主要成果:
- 妇女对DTG表示担忧,特别是在出生缺陷方面,但通常会被告知更快的病毒载荷抑制等好处.
- 不转换DTG的主要原因是对当前的埃法维伦兹 (EFV) 治疗方案的满意以及对耐受性的担忧.
- 医疗保健提供者报告说,由于不充分的培训和缺乏教育资源,在提供DTG咨询方面存在重大挑战.
结论:
- 虽然接受了DTG咨询,但患者对副作用和耐受性的担忧并不总是得到充分解决.
- 医疗保健提供者觉得没有能力提供有效的DTG咨询,强调需要改进培训和以患者为中心的教育材料.
- 建议加强培训和更好的资源,以加强对患者和提供者进行ART咨询.
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