Nishigaki Masakazu, Shimada Megumi, Ikeda Kazuko, Kazuma Keiko, Ogane Miwa, Takeda Kenji, Yamada Yuki, Fukuyama Yumi, Ito Shoko, Kishigami Fumishi, Kimura Satoshi
Department of Adult Nursing/Palliative Care Nursing, Graduate School of Medicine, The University of Tokyo.
J Assoc Nurses AIDS Care. 2007 Nov-Dec;18(6):85-96. doi: 10.1016/j.jana.2007.06.004.
Antiviral therapy is essential for HIV/AIDS patients, but many variables impede patients' adherence to therapy. To facilitate adherence, trained registered nurses in Japan provided consultation by phone at the AIDS Clinical Center. This study describes the process and content of this intervention and explores the predictors for length of time of phone consultations. The study was completed over 1 month using a time study, checklist, and medical record inquiry. A total of 175 consultations were described. Mean time was 4.8 +/- 3.8 min, and longer for patients with complications or comorbidity. Although the contents of conversations differed according to the phase of highly active antiretroviral therapy, major identified themes included need for medical consultation, symptom control, provision of information, and active listening. The results are useful for those trying to find ways to use telephone consultation effectively to reinforce adherence.
抗病毒治疗对于艾滋病毒/艾滋病患者至关重要，但许多因素阻碍患者坚持治疗。为促进坚持治疗，日本训练有素的注册护士在艾滋病临床中心通过电话提供咨询。本研究描述了这一干预措施的过程和内容，并探讨了电话咨询时长的预测因素。该研究使用时间研究、检查表和病历查询，历时1个月完成。共描述了175次咨询。平均时长为4.8 +/- 3.8分钟，有并发症或合并症的患者咨询时间更长。尽管根据高效抗逆转录病毒治疗的阶段不同，对话内容有所差异，但主要确定的主题包括医疗咨询需求、症状控制、信息提供和积极倾听。这些结果对于那些试图找到有效利用电话咨询来加强坚持治疗方法的人很有用。
