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The old problem of adherence: research on treatment adherence and its relevance for HIV/AIDS.

机译：依从性的老问题：对治疗依从性及其与HIV / AIDS相关性的研究。

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The international published research on patient adherence was selectively reviewed with the goal of determining its relevance for the treatment of HIV/AIDS. Results show that not adhering to treatment regimes is so widespread that no combination of sociodemographic variables is reliably predictive of patients' not following doctors' orders. Achieving 100% adherence for any treatment or patient group does not appear to be realistic. Characteristics of the patient's situation, of the given therapy, and of the disease itself affect adherence. In addition, the patient-doctor relationship and the context of the treatment are important. Often overlooked are the existential dimensions of meaning, self-determination and quality of life which are particularly important for the chronically ill. Treatment needs to be negotiated individually with each patient on the basis of an open therapeutic relationship and with the help of multidimensional interventions. Lessons from the discourse on safer sex can steer adherence research and practice away from a behavioural and reductionist approach toward the context and meaning of treatment.
机译：有选择地审查了有关患者依从性的国际公开研究，目的是确定其与艾滋病毒/艾滋病治疗的相关性。结果表明，不遵守治疗方案的情况如此普遍，以至于没有社会人口统计学变量的组合能够可靠地预测患者是否遵从医生的指示。在任何治疗或患者组中实现100％的依从性似乎都是不现实的。患者情况，给定疗法以及疾病本身的特征会影响依从性。此外，医患关系和治疗环境也很重要。常常被忽视的是意义，自我决定和生活质量的存在维度，这些维度对于慢性病尤为重要。需要在开放的治疗关系的基础上并在多维干预的帮助下，与每个患者分别协商治疗方案。关于安全性行为的论述可以使依从性研究和实践从行为和还原主义的方法转向治疗的背景和意义。

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