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Readiness in HIV Treatment Adherence: A Matter of Confidence. An Exploratory Study§

机译:艾滋病毒治疗依从性的准备程度:信心问题。探索性研究§

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Adherence to treatment is recognized as the essence of a successful HIV combination therapy. Optimal adherence implies a readiness to begin the treatment on the part of the patient. A better understanding of the "readiness phenomenon" will become an asset for optimizing HIV treatment. However, few studies have focused on understanding the process underlying the choice to adhere. The aim of this study is to understand the readiness process that leads to adhering to the HIV treatment, from both patient and professional perspectives. Twenty-seven in-depth interviews, with a qualitative exploratory design, were the source of our data. Participants were recruited in two hospitals in Paris. Throughout the data-collection process, analysed data were supplied to all participants and the research team, thus allowing for shared constructions. Four themes, interrelated with a constitutive pattern, emerged from the data we collected. Being ready to begin and adhere to treatment is a matter of confidence in oneself, as well as in relatives, in the treatment and in the health professional team. These themes are not constant and unvarying; instead, they constitute a picture moving across time and life events. Results of this study show that adherence that goes beyond “complying with” the medical instructions, but depends on how much of an active role the patient plays in the choice to adhere.
机译:坚持治疗被认为是成功的HIV联合疗法的本质。最佳依从性意味着准备从患者方面开始治疗。对“准备就绪现象”的更好理解将成为优化HIV治疗的资产。但是,很少有研究专注于理解选择坚持的过程。这项研究的目的是从患者和专业的角度了解导致接受HIV治疗的准备过程。我们对数据进行了二十七次深入访问,并进行了定性的探索性设计。参加者在巴黎的两家医院中招募。在整个数据收集过程中,将分析后的数据提供给所有参与者和研究团队,从而实现共享结构。我们从收集的数据中得出了与本构模式相关的四个主题。准备好开始并坚持接受治疗是对自己以及对亲戚,对治疗以及卫生专业团队的信心的问题。这些主题不是恒定不变的。相反,它们构成了跨越时间和生活事件的画面。这项研究的结果表明,依从性超出了“遵守”医学说明的范围,而是取决于患者在选择依从性方面所起的积极作用。

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