J Assoc Nurses AIDS Care. 2014 Mar-Apr;25(2):123-34. doi: 10.1016/j.jana.2013.01.006. Epub 2013 Jul 1.
Qualitative interviews with 23 HIV-infected people who self-reported high-level adherence to antiretroviral therapy were used to examine the process by which they came to accept their HIV infection and engage in high-level adherence behaviors. A major theme that emerged during data analysis was the importance of the patient-provider relationship. The quality of the relationship between patient and provider emerged as an important component of working through early struggles with diagnosis and the on-going struggles of living with a chronic illness. A variety of factors impacting the patient-provider relationship emerged as subthemes. What can be taken from this study is the importance of the patient-provider relationship in the effective self-management of HIV infection. Additionally, several specific behaviors can enhance the patient-provider relationship and help assure movement toward patient acceptance of the illness and engagement in high-level adherence behaviors.
采用定性访谈的方法对 23 名自我报告抗逆转录病毒治疗依从性高的 HIV 感染者进行了研究，以探讨他们接受 HIV 感染并采取高依从性行为的过程。数据分析中出现的一个主要主题是医患关系的重要性。患者与提供者之间关系的质量是解决诊断早期困难和慢性疾病持续治疗的重要组成部分。影响医患关系的各种因素也成为了子主题。本研究的重要意义在于，医患关系在 HIV 感染的有效自我管理中起着重要作用。此外，一些具体的行为可以增强医患关系，并有助于确保患者接受疾病和采取高依从性行为。
