Ceccato Maria das Graças Braga, Acurcio Francisco A, Bonolo Palmira de Fátima, Rocha Gustavo M, Guimarães Mark D C
Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Cad Saude Publica. 2004 Sep-Oct;20(5):1388-97. doi: 10.1590/s0102-311x2004000500034. Epub 2004 Oct 13.
To assess the understanding of information related to antiretroviral therapy among HIV-infected patients enrolled in public AIDS services (Belo Horizonte, Minas Gerais State, Brazil), a cross-sectional analysis was carried out, based on interviews with patients after initial provision of antiretroviral drugs. The study evaluated the information on antiretroviral therapy provided by healthcare professionals and the patients' level of understanding in relation to prescription information. This level was classified as insufficient if there was disagreement of more than 30.0% between the information reported by the patient and the written prescription. Divergence between prescriptions and information reported by 358 interviewed patients was observed. The level of understanding regarding the prescribed antiretroviral was obtained, and 26.3% of patients displayed insufficient understanding. The results show an important proportion of patients with misunderstanding of information regarding antiretroviral therapy, mainly those with limited schooling and low income. It is necessary to bolster strategies to increase quality of recommendations provided to these patients. Improving the multidisciplinary team approach to patient care should help reverse the observed situation.
为评估在巴西米纳斯吉拉斯州贝洛奥里藏特市接受公共艾滋病服务的HIV感染患者对抗逆转录病毒疗法相关信息的理解情况,在首次提供抗逆转录病毒药物后对患者进行访谈的基础上开展了一项横断面分析。该研究评估了医疗保健专业人员提供的抗逆转录病毒疗法信息以及患者对处方信息的理解程度。如果患者报告的信息与书面处方之间的差异超过30.0%,则该理解程度被归类为不足。观察到358名受访患者的处方与报告信息之间存在差异。获取了患者对所开抗逆转录病毒药物的理解程度,26.3%的患者表现出理解不足。结果显示,有相当一部分患者对抗逆转录病毒疗法信息存在误解,主要是那些受教育程度有限和低收入的患者。有必要加强策略以提高向这些患者提供建议的质量。改善多学科团队的患者护理方法应有助于扭转观察到的这种情况。