Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, OH, United States of America.
Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, OH, United States of America.
Appl Nurs Res. 2019 Apr;46:31-36. doi: 10.1016/j.apnr.2019.02.009. Epub 2019 Feb 13.
(1) describe the percentage of people living with HIV (PLWH) experiencing high levels of treatment burden who are at risk for self-management non-adherence, and (2) examine the relationship between known antecedent correlates (the number of chronic conditions, social capital, and age) of self-management and treatment burden while controlling for sample socio-demographics.
Chronic condition self-management is key to maintaining optimal health in the aging population of PLWH. Despite the efforts of providers, patients, and caregivers, self-management non-adherence is still a factor contributing to poor chronic condition self-management and subsequent poor health outcomes. Recent research has identified treatment burden as a risk factor of poor chronic disease self-management adherence.
Cross-sectional, secondary analysis of a sub-sample of 103 community dwelling, men and women diagnosed with HIV/AIDS derived from a larger parent study examining physical activity patterns in PLWH.
Participants reported an overall low level of treatment burden (M = 22.84; SD = 24.57), although 16% (n = 16) of the sample indicated experiencing high treatment burden. The number of chronic conditions (r = 0.25; p ≤ .01) and social capital (r = -0.19; p = .03) were significantly correlated with treatment burden. Multivariate analysis testing known antecedent correlates of treatment burden was statistically significant (p < .05), but only explained 8% of treatment burden's variance.
Findings have implications for nursing care of PLWH demonstrating a subset of PLWH experience high treatment burden related to chronic condition self-management. Findings also identify characteristics of PLWH who may be at high risk for treatment burden and subsequent self-management non-adherence.
（1）描述经历高治疗负担且存在自我管理不依从风险的艾滋病毒感染者（PLWH）的比例；（2）在控制样本社会人口统计学特征的情况下，考察自我管理和治疗负担的已知先行相关因素（慢性疾病数量、社会资本和年龄）之间的关系。
慢性疾病自我管理是维持 PLWH 老龄化人口最佳健康的关键。尽管提供者、患者和护理人员付出了努力，但自我管理不依从仍然是导致慢性疾病自我管理不良和随后健康状况不佳的一个因素。最近的研究已经确定治疗负担是慢性疾病自我管理依从性不良的一个风险因素。
对一项更大的研究中检查 PLWH 体力活动模式的子样本（103 名被诊断为 HIV/AIDS 的社区居住的男性和女性）进行横断面、二次分析。
参与者报告的总体治疗负担水平较低（M=22.84；SD=24.57），尽管有 16%（n=16）的样本表示经历了高治疗负担。慢性疾病数量（r=0.25；p≤.01）和社会资本（r=-0.19；p=.03）与治疗负担显著相关。多元分析测试治疗负担的已知先行相关因素在统计学上是显著的（p<.05），但仅解释了 8%的治疗负担方差。
这些发现对护理 PLWH 的护理有影响，表明一部分 PLWH 经历了与慢性疾病自我管理相关的高治疗负担。这些发现还确定了可能存在治疗负担和随后自我管理不依从高风险的 PLWH 的特征。
