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首页> 外文期刊>AIDS care. >Patient profiles as organizing HIV clinicians' ART adherence management: a qualitative analysis
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Patient profiles as organizing HIV clinicians' ART adherence management: a qualitative analysis

机译：患者概况作为组织HIV临床医生的艺术遵守管理：定性分析

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The effectiveness of antiretroviral therapy (ART) depends on optimal clinical management and patient adherence. Little is known about patient characteristics that clinicians consider in the management of ART adherence. Exploring this issue, five focus groups were conducted with 31 HIV-clinicians from across France. A qualitative typological analysis suggests that clinician management of patient adherence is based on characteristics that coalesce into seven patient profiles. For the passive patient, described as taking ART exactly as prescribed without questioning their doctor's expertise, a directive and simple management style was preferred. The misleading patient is characterized as concerned with social desirability and as reporting no adherence difficulties for fear of displeasing their doctor. If clinical outcomes are suboptimal, the clinicians' strategy is to remind them of the importance of open patient-clinician communication. The stoic patient is described as requesting and adequately taking the most potent ART available. Here, clinicians emphasize assessment of side effects, which the patient may minimize. The hedonistic patient's festive lifestyle and sexual risk-taking are seen as compromising adherence; with them, clinicians stress the patient's responsibility for their own health and that of their sexual partners. The obsessive patient is portrayed as having an irrational fear of ART failure and an inability to distinguish illusory from genuine adherence barriers. With this patient, clinicians seek to identify the latter. The overburdened patient is recognized as coping with life priorities that interfere with adherence and, with them, a forgiving ART is favored. The underprivileged patient is presented as having limited education, income and housing. In this case, clinicians seek to improve the patient's living conditions and access to care. These results shed light on HIV clinicians' ART adherence management. The value of these profiles for HIV care and patients should be investigated.
机译：抗逆转录病毒治疗（ART）的有效性取决于最佳临床管理和患者依从性。关于临床医生在艺术遵守管理中考虑的患者特征令人着眼。探索这一问题，来自法国跨国公司的31名艾滋病毒诊所的患者进行了五个焦点小组。定性的类型分析表明，患者遵守的临床医生管理是基于将其结合成七个患者概况的特征。对于被动患者而言，被描述为艺术品完全按照规定而不质疑他们的医生的专业知识，优先考虑和简单的管理风格。误导性患者的特征是涉及社会渴望，并且报告不会因为害怕不满的医生而没有粘附困难。如果临床结果是次优，临床医生的战略是提醒他们开放患者临床沟通的重要性。斯托科患者被描述为请求和充分考虑最有效的艺术。在这里，临床医生强调评估患者可能最小化的副作用。 HEDONISTICAST患者的节日生活方式和性风险采取措施被视为妥善依赖;与他们一起，临床医生强调患者对自己的健康和他们的性伴侣的责任。痴迷的患者被描绘成具有非理性恐惧的艺术失败，无法区分虚幻粘附障碍的虚幻。通过本病人，临床医生寻求识别后者。负担过剩的患者被认为是应对生活的优先事项，这些优先事项干扰遵守依从性，并与他们在一起，一个原谅的艺术受到青睐。贫困的患者被呈现为有限的教育，收入和住房。在这种情况下，临床医生寻求改善患者的生活条件并获得护理。这些结果揭示了艾滋病临床医生的艺术崇拜管理。应调查这些杂皮护理和患者的这些谱的价值。

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