Department of Nursing, International Maritime Hospital, Tema, Ghana.
Knutsford University College, Accra, Ghana.
J Adv Nurs. 2022 Jul;78(7):1909-1918. doi: 10.1111/jan.15245. Epub 2022 Apr 11.
To summarize recommendations from available evidence-based guidelines that enhance, address or guide antiretroviral therapy adherence among adult persons living with human immunodeficiency virus.
An integrative literature review approach.
Guidelines were accessed through Google from the databases of the Canadian Medical Association InfoBase clinical practice database, National Guidelines Clearinghouse, Writer's Guidelines database, the National Institute for Health and Clinical Excellence, UNICEF and WHO. Databases such as PubMed, Google Scholar, EBSCOhost (CINAHL, ERIC, Academic search complete, E-journals, Psych Info and MEDLINE), EMERALD INSIGHT, JSTOR, SCIENCE DIRECT and FINDPLUS were also searched, followed by a citation search. Data sources were searched between 1996 and January 2022.
The five steps of the integrative literature review process, as described by Whittemore and Knafl, were used. These steps are as follows: step one; problem identification, step two; literature search, step three; data evaluation; step four: data analysis and the final step was data presentation.
Sixteen guidelines related to antiretroviral therapy adherence were included for data extraction and synthesis. The findings revealed two themes as follows: theme 1: monitoring antiretroviral therapy adherence and theme 2: interventions to promote antiretroviral therapy adherence related to education and counselling, adherence tools, health service delivery and antiretroviral strategies.
Antiretroviral therapy adherence in adult persons requires both interventions as well as monitoring. The various contributing factors relating to antiretroviral therapy adherence should be further explored.
Evidence from the included guidelines can assist nurses in promoting a person's adherence to antiretroviral treatment, which could improve their health and well-being.
总结现有循证指南中的建议，这些建议旨在提高、解决或指导成人艾滋病毒感染者的抗逆转录病毒治疗依从性。
综合文献回顾方法。
通过 Google 从加拿大医师协会 InfoBase 临床实践数据库、国家指南清理中心、作家指南数据库、国家卫生与临床卓越研究所、联合国儿童基金会和世界卫生组织等数据库获取指南。还搜索了 PubMed、Google Scholar、EBSCOhost（CINAHL、ERIC、学术搜索全文、电子期刊、心理信息和 MEDLINE）、EMERALD INSIGHT、JSTOR、SCIENCE DIRECT 和 FINDPLUS 等数据库，然后进行了引文搜索。数据源的搜索时间为 1996 年至 2022 年 1 月。
采用 Whittemore 和 Knafl 描述的综合文献综述过程的五个步骤。这些步骤如下：步骤 1：问题识别，步骤 2：文献搜索，步骤 3：数据评估，步骤 4：数据分析和最后一步是数据呈现。
纳入了 16 项与抗逆转录病毒治疗依从性相关的指南，用于提取和综合数据。研究结果揭示了以下两个主题：主题 1：监测抗逆转录病毒治疗依从性和主题 2：促进抗逆转录病毒治疗依从性的干预措施与教育和咨询、依从性工具、卫生服务提供和抗逆转录病毒策略有关。
成人的抗逆转录病毒治疗依从性既需要干预，也需要监测。应进一步探讨与抗逆转录病毒治疗依从性相关的各种因素。
纳入指南中的证据可以帮助护士促进患者对抗逆转录病毒治疗的依从性，从而改善他们的健康和福祉。
