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The role of family caregivers in HIV medication adherence.

机译：家庭照顾者在艾滋病毒药物依从性中的作用。

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This study examines the role that mid-life and older wives and mothers play in promoting medication adherence among their HIV-infected husbands or adult sons who require daily living assistance. Interviews were conducted with 112 caregiving dyads, with caregivers reporting on their own behaviours and attitudes towards medications, and care-recipients (persons living with HIV [PLH]) providing information about their own adherence practices. By examining how caregiver characteristics, behaviours, and attitudes may influence PLH adherence it is explicitly recognized that caregivers and PLH are linked within a caregiving dyad. Findings indicate that caregivers often remind PLH to take medications, but these reminders are not significantly associated with adherence. Caregivers also report strong attitudes about medication hassles, concerns over treatment failure and general concerns about adherence. Controlling for background characteristics, high perceived adherence hassles on the part of the caregiver were associated with low PLH adherence, providing evidence of shared influence within the caregiving dyad. Adherence interventions may maximize their effectiveness if they consider the role of the family caregiver because these data suggest that caregiver attitudes are linked with PLH adherence behaviours.
机译：这项研究调查了中年和较年长的妻子和母亲在促进需要日常生活帮助的艾滋病毒感染丈夫或成年儿子之间促进药物依从性方面的作用。采访了112名照顾者，其中照顾者报告了他们对药物的行为和态度，接受护理者（艾滋病毒携带者[PLH]）提供了有关其依从性做法的信息。通过检查看护者的特征，行为和态度如何影响PLH的依从性，可以明确地认识到看护者和PLH在看护二元组中是相互联系的。结果表明，护理人员经常提醒PLH服药，但这些提醒与依从性没有显着相关。护理人员还报告对药物治疗的强烈态度，对治疗失败的担忧以及对依从性的普遍担忧。控制背景特征后，护理人员感觉到的依从性困扰较高，而PLH依从性较低，这提供了在护理双体中共有影响的证据。如果依从性干预措施考虑了家庭看护者的作用，则可能会最大化其有效性，因为这些数据表明看护者的态度与PLH依从性行为相关。

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