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HIV 感染者的生活质量和抗逆转录病毒治疗的依从性。

Quality of life and adherence to HAART in HIV-infected patients.

机构信息

Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Saude Publica. 2010 Aug;44(4):743-9. doi: 10.1590/s0034-89102010000400019.

Abstract

A review on adherence to highly active antiretroviral therapy and the quality of life of patients living with HIV in the scientific literature, indexed in MEDLINE between 1998 and 2008, was performed. Studies published in Portuguese, Spanish or English with patients over 18 years of age were included. Reviews, case reports and letters were excluded. Of the 21 studies found, 12 were included (three clinical trials, three prospective cohorts and six cross-sectional studies). The relationship between quality of life and treatment adherence remains controversial, despite descriptive studies indicating the possibility of a positive association. The results may have been influenced by the specific characteristics of the described clinical trials and do not show a consensus regarding the impact of treatment adherence on patients' quality of life.

摘要

对 1998 年至 2008 年间在 MEDLINE 上索引的医学文献中关于 HIV 感染者对高效抗逆转录病毒治疗的依从性和生活质量的研究进行了综述。纳入了发表在葡萄牙语、西班牙语或英语、患者年龄超过 18 岁的研究。排除了综述、病例报告和信件。在 21 项研究中,有 12 项研究(3 项临床试验、3 项前瞻性队列研究和 6 项横断面研究)被纳入。尽管描述性研究表明存在积极关联的可能性,但生活质量和治疗依从性之间的关系仍存在争议。研究结果可能受到所描述的临床试验的具体特征的影响,并且不能就治疗依从性对患者生活质量的影响达成共识。

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