Rivero-Méndez Marta, Dawson-Rose Carol S, Solís-Báez Solymar S
University of Puerto Rico, Puerto Rico, USA.
Qual Rep. 2010 Mar 1;15(2):232-251.
This study examines healthcare providers' perceptions regarding experiences and factors that contribute to adherent and non-adherent behaviors to HIV treatment among women living with HIV infection in Puerto Rico and describes strategies implemented to improve adherence. Providers' accounts revealed that women with HIV infection are living "beyond their strengths" attempting to reconcile the burden of the illness and keep adherent. Factors putting women beyond their strengths and influencing non-adherence behavior were: gender-related demands, fear of disclosure, and treatment complexity. Strategies to improve adherence included: ongoing assessment, education, collaborative work, support groups, networking, disguising pills, readiness, and seeking medications outside their towns. Provider-patient interactions are critical for women's success and must assess all these factors in developing and providing health services.
本研究调查了医疗服务提供者对波多黎各感染艾滋病毒的女性在接受艾滋病毒治疗时坚持和不坚持行为的经历及影响因素的看法，并描述了为提高依从性而实施的策略。提供者的叙述表明，感染艾滋病毒的女性正在“超能力生活”，试图调和疾病负担并保持依从性。使女性不堪重负并影响不依从行为的因素包括：与性别相关的需求、对披露信息的恐惧以及治疗复杂性。提高依从性的策略包括：持续评估、教育、合作、支持小组、建立联系、伪装药片、做好准备以及在城镇以外寻求药物。医患互动对女性的成功至关重要，在制定和提供医疗服务时必须评估所有这些因素。
