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首页> 外文期刊>AIDS care. >An evaluation of the impact of a community-based adherence support programme on ART outcomes in selected government HIV treatment sites in South Africa.
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An evaluation of the impact of a community-based adherence support programme on ART outcomes in selected government HIV treatment sites in South Africa.

机译：评估了一个社区依从性支持计划对南非某些政府HIV治疗地点的ART效果的影响。

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This study assessed the impact of a community-based adherence support service on the outcomes of patients on antiretroviral therapy (ART). The evaluation was a retrospective study based on patient clinical records. This study noted that a significantly higher proportion of patients with a community-based adherence supporter (also known as a patient advocate, PA) had viral load (VL) of less than 400 copies/ml at six months of treatment (70%, p=0.001); a significantly higher proportion of patients with PAs (89%) attained a treatment pickup rate of over 95% (67%; p=0.021). Patients at health facilities with PA services maintained a suppressed VL for a longer period as opposed to patients at health facilities without PA services (p=0.001), also patients at health facilities with PA services remained in care for longer periods (p=0.001). Therefore, the study concludes that integrated community-based adherence support is crucial in ensuring that patients remain in care, regularly pickup their treatment from ART clinics and are virologically suppressed. The study also underscores the importance of access to health services and the presence of an enabling environment in the treatment of AIDS.
机译：这项研究评估了社区依从性支持服务对抗逆转录病毒疗法（ART）患者预后的影响。该评估是一项基于患者临床记录的回顾性研究。这项研究指出，在治疗六个月后，具有社区依从性支持者（也称为患者倡导者，PA）的患者中，病毒载量（VL）低于400拷贝/ ml的比例显着更高（70％，p = 0.001）;显着更高比例的PA患者（89％）达到95％以上的治疗选择率（67％; p = 0.021）。与没有PA服务的医疗机构的患者相比，具有PA服务的医疗机构的患者可以长时间保持VL抑制（p = 0.001），具有PA服务的医疗机构的患者可以长期保持护理（p = 0.001） 。因此，研究得出结论，基于社区的综合依从性支持对于确保患者保持护理状态，定期从ART诊所接受治疗并受到病毒学抑制至关重要。该研究还强调了获得保健服务的重要性以及在治疗艾滋病方面存在有利环境的重要性。

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