Voss Joachim G, Cesan Annushka, Jensen Kelly, Yahiaoui Anella, Steiner Cassandra, Bajwa Sundeep, Eilers Kristi, Applin Shauna
University of Washington, Seattle, USA
University of Washington, Seattle, USA.
Clin Nurs Res. 2015 Jun;24(3):318-36. doi: 10.1177/1054773814526753. Epub 2014 Apr 8.
People living with HIV (PLWH) see their providers quarterly to go over their laboratory results and discuss problems with antiretroviral treatment (ART) regimens. Our purpose was to determine whether socially and economically marginalized PLWH were accurate in self-reporting their most recent CD4 count, viral load, and ART regimen, and whether demographic differences influenced self-reporting. We conducted a secondary data analysis based on results from (N = 200) PLWH. We found moderate agreement for CD4 count (k = .58), and viral load (k = .43), but only 43% were able to recall their ART regimens accurately. PLWH ≥ age 50 (k = .77) and those with health insurance coverage (k = .61) were more accurate to self-report CD4. Women were more accurate in reporting viral load than men (k = .53, p = .003 vs. k = .38). These findings suggest that PLWH need multiple modalities of education to relate CD4 counts, viral load, and ART regimens to their personal health understanding.
感染艾滋病毒的人（PLWH）每季度会去看他们的医疗服务提供者，以了解他们的实验室检查结果，并讨论抗逆转录病毒治疗（ART）方案中存在的问题。我们的目的是确定社会和经济上处于边缘地位的PLWH在自我报告其最近的CD4细胞计数、病毒载量和ART方案方面是否准确，以及人口统计学差异是否会影响自我报告。我们基于200名PLWH的结果进行了二次数据分析。我们发现CD4细胞计数（k = 0.58）和病毒载量（k = 0.43）的一致性中等，但只有43%的人能够准确回忆起他们的ART方案。年龄≥50岁的PLWH（k = 0.77）和有医疗保险的人（k = 0.61）在自我报告CD4方面更准确。女性在报告病毒载量方面比男性更准确（k = 0.53，p = 0.003，而男性为k = 0.38）。这些发现表明，PLWH需要多种教育方式来将CD4细胞计数、病毒载量和ART方案与他们对个人健康的理解联系起来。
