Andersen Marcia, Hockman Elaine, Smereck Geoffrey, Tinsley Jannie, Milfort Dollie, Wilcox Robert, Smith Teresa, Connelly Christopher, Adams Latonia, Thomas Richard
Well-Being Institute, Ann Arbor, MI, USA.
J Assoc Nurses AIDS Care. 2007 May-Jun;18(3):33-41. doi: 10.1016/j.jana.2007.03.007.
This study evaluated the effectiveness of an ancillary service assignment protocol to improve women's retention in HIV medical care. HIV-positive women with acknowledged difficulty in keeping regularly scheduled HIV clinic appointments were assigned to an intervention based on presenting characteristics: 6 months transportation plus nursing case management followed by 6 months transportation only for women currently using heroin and/or showing mental illness problems or transportation only for 12 months. Self-report and HIV clinic data provided measures of kept and missed appointments. Results were as hypothesized. The Transportation Only sample maintained number of kept appointments and significantly decreased number of missed appointments. The Transportation Plus sample significantly increased number of appointments kept and significantly decreased number of missed appointments. When intensive intervention was reduced to transportation only, charted HIV medical appointments significantly decreased. Positive influence on retention in HIV medical care requires level of intervention to be determined by current relevant client characteristics.
本研究评估了一项辅助服务分配方案在提高感染HIV的女性坚持接受医疗护理方面的有效性。那些承认在按时前往HIV诊所就诊方面存在困难的HIV阳性女性，根据其呈现出的特征被分配到不同干预措施组：为目前使用海洛因和/或有精神疾病问题的女性提供6个月的交通服务加护理个案管理，之后仅提供6个月的交通服务；或者为所有女性仅提供12个月的交通服务。自我报告和HIV诊所数据提供了就诊和未就诊的相关指标。结果与假设相符。仅提供交通服务组保持了就诊次数，且显著减少了未就诊次数。交通服务加护理个案管理组显著增加了就诊次数，并显著减少了未就诊次数。当强化干预措施减少到仅提供交通服务时，记录的HIV医疗预约显著减少。对坚持接受HIV医疗护理产生积极影响需要根据当前相关的客户特征来确定干预水平。
