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首页> 外文期刊>AIDS care. >Improving medication adherence in African-American women living with HIV/AIDS: Leveraging the provider role and peer involvement
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Improving medication adherence in African-American women living with HIV/AIDS: Leveraging the provider role and peer involvement

机译：改善患有艾滋病毒/艾滋病的非洲裔美国妇女的药物依从性：利用提供者的作用和同伴的参与

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African-American women continue to be disproportionately affected by HIV-related morbidity and mortality. To address the burden of HIV/AIDS among this at-risk population, there is need to gain a better understanding of the factors that influence and affect their care-seeking behavior and specifically adherence to antiretroviral treatment. A preliminary qualitative study was conducted with a sample of the target population (n=10) using grounded theory as the methodological approach. Similarly, 21 healthcare providers - physicians, pharmacists, nurses, and case managers - were then interviewed. A thematic analysis of the transcripts compared care-provider perceptions and narrated experiences with those from the patient participants. Themes related to patient care perceived to enhance medication adherence included (1) provider-patient relationship; (2) holistic and patient-centered care; (3) adequacy of patient education and counseling; (4) modeling adherence behavior; and (5) motivation. Two intervention strategies are proposed - Peer educators as an integral part of the care team and Patient Advisory Groups as a feedback mechanism to enhance effective delivery of patient care in the target population. This exploratory research lays a foundation for the design of targeted interventions to improve linkage to care and enhance medication adherence in African-American women living with HIV/AIDS.
机译：非裔美国人妇女继续受到与艾滋病毒有关的发病率和死亡率的不成比例的影响。为了解决这一高危人群中艾滋病毒/艾滋病的负担，需要更好地了解影响和影响其护理行为的因素，尤其是坚持抗逆转录病毒治疗的因素。使用扎根理论作为方法论方法，对目标人群的样本（n = 10）进行了初步的定性研究。同样，然后采访了21位医疗保健提供者-医生，药剂师，护士和病例经理。笔录的主题分析将护理提供者的看法和叙述的经历与患者参与者的经历进行了比较。与提高患者对药物依从性的患者护理有关的主题包括：（1）提供者与患者的关系; （2）以病人为中心的整体护理; （3）足够的患者教育和咨询; （4）建模依从行为; （5）动机。提出了两种干预策略-同伴教育者作为护理团队的组成部分，而患者咨询小组则作为反馈机制来增强目标人群中患者护理的有效提供。这项探索性研究为针对性干预措施的设计奠定了基础，以改善感染艾滋病毒/艾滋病的非裔美国妇女与护理的联系并增强对药物的依从性。

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