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[提高人类免疫缺陷病毒感染治疗中患者对抗病毒治疗依从性的方法进展]

[Development of approaches to enhancing of patient adherence to antivirus therapy in the treatment of human immunodeficiency virus infection].

作者信息

Beliaeva V V, Kravchenko A V, Pokrovskiĭ V V

出版信息

Ter Arkh. 2003;75(11):36-8.

Abstract

AIM

To study approaches to enhancing adherence of HIV-infected patients receiving antiretrovirus therapy.

MATERIALS AND METHODS

25 patients (including 3 females) aged 18 to 45 years receiving VAART (fortovasa + norvir + videx, and viramun) were examined. While treating the patients, group classes were conducted to enhance their adherence to the therapy, followed by individual consultations in order to consolidate the obtained effect. The adherence to the therapy was rated by the patients' self-reports.

RESULTS

There was an increase in the activity and openness of those who attended group classes and positive changes in their self-assessment. Approaches to enhancing adherence and a model of school for HIV-infected individuals were developed.

CONCLUSION

It has been shown that a combination of patients' awareness of different HIV-infection-associated problems with consulting allows treatment motivation to be increased.

摘要

目的

研究提高接受抗逆转录病毒治疗的HIV感染患者依从性的方法。

材料与方法

对25例年龄在18至45岁之间接受高效抗逆转录病毒治疗(福替沙 + 诺维拉平 + 去羟肌苷,以及司他夫定)的患者(包括3名女性)进行了检查。在治疗患者的同时,开展了小组课程以提高他们对治疗的依从性,随后进行个别咨询以巩固所取得的效果。治疗依从性通过患者的自我报告进行评估。

结果

参加小组课程的患者的积极性和开放性有所提高,其自我评估也出现了积极变化。开发了提高依从性的方法以及针对HIV感染者的学校模式。

结论

研究表明,将患者对不同HIV感染相关问题的认识与咨询相结合可提高治疗动机。

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