Department of Clinical Pharmacy and Biopharmacy, University of Uyo, Nigeria.
Afr Health Sci. 2023 Dec;23(4):247-255. doi: 10.4314/ahs.v23i4.27.
The provision of patient-centred care by clinicians is believed to improve patient satisfaction with care as well as the outcome of treatment.
To assess the quality of personalized care provided to people living with HIV/AIDS in a typical Nigerian health care setting and its association with patients' knowledge and attitude towards HIV/AIDS and patients' knowledge and attitude towards antiretroviral therapy.
The study was a cross sectional study carried out in the HIV/AIDS clinic of the University of Uyo Teaching Hospital, Nigeria. Data on the demographic and clinical details of the patients were obtained from patients' case notes using a suitably designed, pre-piloted data collection instrument. Furthermore, data on the quality of patient-centred care, patients' knowledge and attitude towards HIV/AIDS, and patients' knowledge and attitude towards antiretroviral therapy was obtained using 'Patient Assessment of Quality of Individualized care for Chronic Illness Scale', 'Patient knowledge and attitude towards HIV/AIDS questionnaire; and 'Patient knowledge and attitude towards antiretroviral therapy questionnaire', respectively.Quantitative data were analysed using Statistical Program and Service Solutions (SPSS) version 25.0 computer package. Descriptive statistics were used to summarize data, while inferential statistics were used where applicable with statistical significance set at p<0.05.
The overall mean patients' satisfaction with individualized care score was 3.54 (SD = ±0.86; Max. = 5). The mean scores of the patients' knowledge and attitude towards HIV/AIDS were 6.80 (SD = ± 1.079; Max. = 8) and 5.5 (SD = ± 0.924; Max. = 7) respectively, while the mean scores of the patients' knowledge and attitude toward antiretroviral therapy were 5.7 (SD = ± 1.103; Max. = 10) and 4.2 (SD = ± 0.874; Max. = 6). Multivariate linear regression revealed that the quality of patient centred care was a predictor of knowledge and attitude towards antiretroviral therapy (B=0.511; CI = 95%, p = 0.024).
The quality of patient-centred care provided to persons living with HIV/AIDS in the facility is satisfactory. Patients perceived quality of care appear to be a predictor of knowledge and attitude towards antiretroviral therapy.
临床医生提供以患者为中心的护理被认为可以提高患者对护理的满意度以及治疗效果。
评估在尼日利亚典型医疗保健环境中为艾滋病毒/艾滋病患者提供的个性化护理的质量，并评估其与患者对艾滋病毒/艾滋病的知识和态度以及患者对艾滋病的知识和态度的关系。
该研究是在尼日利亚 Uyo 教学医院的艾滋病毒/艾滋病诊所进行的横断面研究。使用适当设计的预试验数据收集工具从患者病历中获取患者的人口统计学和临床详细信息。此外，使用“慢性疾病个体化护理患者评估量表”、“患者对艾滋病毒/艾滋病的知识和态度问卷”和“患者对艾滋病的知识和态度问卷”，分别获得有关患者中心护理质量、患者对艾滋病毒/艾滋病的知识和态度以及患者对艾滋病的知识和态度的资料。使用统计程序和服务解决方案（SPSS）版本 25.0 计算机包对定量数据进行分析。使用描述性统计来总结数据，而在适用的情况下使用推断统计，并将统计显著性设置为 p<0.05。
患者对个体化护理满意度的总体平均得分为 3.54（SD = ±0.86；最大值= 5）。患者对艾滋病毒/艾滋病的知识和态度的平均得分为 6.80（SD = ±1.079；最大值= 8）和 5.5（SD = ±0.924；最大值= 7），而患者对艾滋病的知识和态度的平均得分为 5.7（SD = ±1.103；最大值= 10）和 4.2（SD = ±0.874；最大值= 6）。多变量线性回归显示，以患者为中心的护理质量是抗逆转录病毒治疗知识和态度的预测因子（B=0.511；CI 95%，p=0.024）。
该机构为艾滋病毒/艾滋病患者提供的以患者为中心的护理质量令人满意。患者感知的护理质量似乎是抗逆转录病毒治疗知识和态度的预测因素。
