Roberts K J
Department of Sociology, University of California, Los Angeles, USA.
AIDS Patient Care STDS. 2000 Sep;14(9):477-84. doi: 10.1089/108729100438854.
Adherence to antiretroviral regimens is thought to be imperative for HIV-positive patients. However, little is known about health care professionals' willingness to discuss adherence with patients, nor what barriers, if any, may impede their adherence communication. The aims of the study were to examine physicians' beliefs regarding: (1) the efficacy of adherence communication, (2) the barriers which impede such communication, and (3) their roles and responsibilities regarding adherence communication. Semi-structured interviews were conducted with 15 physicians who specialize in providing care to HIV-positive patients. Results showed that most physicians believed that communicating with patients about adherence issues was important, even though doing so may not have an immediate impact on patients' behaviors. Physicians believed that adherence communication was a good use of their time and fell within their role as a primary care professional. However, time constraints were cited as a barrier to performing adherence communication, indicating that physicians may do less communicating about adherence than may be optimal if they are burdened with other tasks. Results highlight the need to develop innovative strategies, such as the use of multi-disciplinary adherence teams, to ensure that each HIV-positive patient receives the optimal amount of information about and support for adherence.
对于艾滋病毒呈阳性的患者而言，坚持抗逆转录病毒治疗方案被认为是至关重要的。然而，对于医护人员与患者讨论治疗依从性的意愿，以及是否存在阻碍他们进行依从性沟通的障碍，人们却知之甚少。该研究的目的是考察医生对于以下方面的看法：（1）依从性沟通的效果；（2）阻碍此类沟通的障碍；（3）他们在依从性沟通方面的角色和责任。对15名专门为艾滋病毒呈阳性患者提供护理的医生进行了半结构化访谈。结果显示，大多数医生认为与患者就依从性问题进行沟通很重要，尽管这样做可能不会立即对患者的行为产生影响。医生们认为依从性沟通是对他们时间的有效利用，并且属于他们作为初级保健专业人员的职责范围。然而，时间限制被认为是进行依从性沟通的一个障碍，这表明如果医生们承担着其他任务，那么他们在依从性沟通方面可能做得比最佳情况要少。研究结果凸显了制定创新策略的必要性，比如使用多学科依从性团队，以确保每位艾滋病毒呈阳性患者都能获得关于依从性的最佳信息量以及相应支持。
