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首页> 外文期刊>AIDS care. >Caregiver role in HIV medication adherence among HIV-infected orphans in Tanzania
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Caregiver role in HIV medication adherence among HIV-infected orphans in Tanzania

机译：在坦桑尼亚的艾滋病毒感染孤儿中艾滋病毒药物粘附的护理人员的作用

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Youth living with HIV in sub-Saharan Africa face numerous challenges in adhering to HIV treatment. The AIDS epidemic has left many of these youth orphaned due to AIDS-related death of one or both parents. It is imperative to understand the family context of youth living with HIV in order to develop responsive interventions to improve adherence to antiretroviral therapy. We conducted qualitative in-depth interviews with 17 HIV-infected AIDS orphans, ages 13-24 years, screened positive for mental health difficulties according to the Patient Health Questionaire-9 (PHQ-9) or UCLA PTSD Reaction Index (PTSD-RI), and receiving outpatient HIV care at an adolescent medical clinic in Moshi, Tanzania. Treatment-related support varied by orphan status. Paternal orphans cared for by their biological mothers and maternal orphans cared for by grandmothers described adherence support such as assistance taking medication and attending clinic. Double orphans did not report adherence support. Several maternal and double orphans faced direct interference from caregivers and household members when they attempted to take their medications. Caregivers play a significant role in treatment adherence and must be considered in interventions to increase medication adherence in HIV-infected orphans. Findings from this study informed caregiver participation in Sauti ya Vijana (The Voice of Youth), a mental health intervention for youth living with HIV in Tanzania.
机译：在撒哈拉以南非洲的青年与艾滋病毒居住在遵守艾滋病毒治疗方面面临着许多挑战。艾滋病流行病留下了许多这些青少年孤儿，因父母的艾滋病相关的死亡而留下。为了了解艾滋病毒的青少年的家庭背景，必须制定敏感的干预措施，以改善抗逆转录病毒治疗的敏感性干预措施。我们对17岁的艾滋病毒感染艾滋病孤儿进行定性深入访谈，13-24岁，根据患者健康问卷调查-9（PHQ-9）或UCLA PTSD反应指数（PTSD-RI）筛选出心理健康困难的阳性，并在坦桑尼亚Moshi的青少年医疗诊所接受门诊艾滋病毒护理。与孤儿状态不同的治疗相关支持。父亲孤儿被他们的生物母亲和母亲孤儿所关心的是祖母所关心的坚持支持，例如援助服药和参加诊所。双层孤儿没有报告遵守支持。几个母亲和双层孤儿面临着在试图服用药物的照顾者和家庭成员的直接干扰。护理人员在治疗依从中发挥着重要作用，必须考虑在干预措施中增加艾滋病毒感染孤儿中的药物依从性。从本研究的调查结果了解照顾者参与Sauti Ya Vijana（青年之声），在坦桑尼亚与艾滋病毒过生的青年心理健康干预。

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