开普敦一个卫生分区的护士对结核病合并艾滋病病毒依从性咨询技能的认知：一项定性研究。

Perceptions of nurses on TB with HIV adherence counselling skills in a health sub-district, Cape Town: A qualitative study.

作者信息

Ticha Victoire, Bimerew Million, Phetlhu Deliwe R

机构信息

Department of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.

Department of Nursing, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

出版信息

Health SA. 2022 Jul 26;27:1859. doi: 10.4102/hsag.v27i0.1859. eCollection 2022.

DOI:10.4102/hsag.v27i0.1859

PMID:35937422

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9350481/

Abstract

BACKGROUND

People living with HIV (PLHIV) co-infected with Tuberculosis (TB) account for one in three HIV-related deaths. Retention in care and adherence to medication remain key behaviours that PLHIV co-infected with TB must adopt to achieve better health outcomes. Nevertheless, TB with HIV adherence-counselling services provided by nurses designed to enhance these behaviours remain inadequate. Additionally, limited information is found in the literature on the perceptions of nurses regarding their TB with HIV adherence counselling skills pertaining to PLHIV co-infected with TB.

AIM

To explore and describe the perceptions of nurses regarding their TB with HIV adherence counselling skills of PLHIV co-infected with TB.

SETTING

The study was conducted in a health sub-district of Cape Town.

METHOD

An exploratory, descriptive qualitative design was followed. A total of 14 purposively sampled nurses were interviewed individually. Nurses caring for PLHIV co-infected with TB were included and nurses not offering care to PLHIV co-infected with TB were excluded. All interviews were audio recorded with the participants' permission followed by verbatim transcriptions. Thematic analysis was done using ATLASti.8 electronic software.

RESULTS

It was established that the varied roles of these nurses increased their workload. Nonetheless, despite the gap in their counselling skills, the majority still maintained work expertise, professionalism and empathy towards the patients. Additionally, there were perceived barriers impacting patients' attendance of their follow up appointments.

CONCLUSION

Based on the findings of this study, there is a need to equip nurses caring for PLHIV co-infected with TB with adherence counselling skills to improve practice.

CONTRIBUTION

The findings were synthesised with results from an in-depth literature review to stand as the backbone for the development of a training programme for nurses to improve adherence counselling.

摘要

背景

合并感染结核病（TB）的艾滋病毒感染者（PLHIV）占与艾滋病毒相关死亡人数的三分之一。持续接受治疗和坚持服药仍然是合并感染结核病的艾滋病毒感染者为实现更好的健康结果必须采取的关键行为。然而，由护士提供的旨在增强这些行为的艾滋病毒合并结核病依从性咨询服务仍然不足。此外，关于护士对其针对合并感染结核病的艾滋病毒感染者的艾滋病毒合并结核病依从性咨询技能的看法，文献中发现的信息有限。