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首页> 外文期刊>AIDS care. >Barriers and successful strategies to antiretroviral adherence among HIV-infected monolingual Spanish-speaking patients.
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Barriers and successful strategies to antiretroviral adherence among HIV-infected monolingual Spanish-speaking patients.

机译：HIV感染说西班牙语的单语患者中抗逆转录病毒依从性的障碍和成功策略。

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Focus groups were conducted with HIV-infected, monolingual Spanish-speaking patients (N = 81) taking antiretrovirals in order to: (1) determine what barriers impede medication adherence; (2) determine what strategies facilitate adherence; and (3) investigate the health care provider-patient relationship and whether it impacts adherence. Both quantitative and qualitative information was gathered. Participants were prescribed an average of 11 pills per day (M = 11.4, SD = 7.0, range = 1-30). Only 32% of participants were consistently adherent when self-report of medication taking (yesterday, the day before yesterday, and last Saturday) was compared to prescribed regimen. The most frequently reported strategies were: learning more about the medications (77%), accepting the need to take them (75%) and refilling prescriptions early or on time (70%). Barriers most often reported were: feeling depressed or overwhelmed (21%), simply forgetting (19%) and sleeping through a dose (17%). From the qualitative data,four main issues emerged: patient characteristics, the health care professional-patient relationship, language and cultural barriers within the health care system, and the medication regimen. Among this Latino sample, having someone to live for was extremely important in terms of patient adherence. Language barriers were reported, and the use of translators was not always seen as a sufficient remedy. Differences between monolingual Spanish-speaking patients' and English-speaking patients' strategies and barriers are discussed.
机译：焦点小组针对服用抗逆转录病毒药物的感染了艾滋病毒的，会说西班牙语的西班牙语（N = 81）患者进行，以：（1）确定哪些障碍阻碍了药物依从性; （2）确定哪些策略可促进遵守; （3）调查医护人员与患者之间的关系以及它是否影响依从性。收集了定量和定性信息。参与者平均每天要开11片药（M = 11.4，SD = 7.0，范围= 1-30）。将服用药物的自我报告（昨天，前天和最后一个星期六）与处方方案进行比较时，只有32％的参与者坚持服用。最常报告的策略是：了解有关药物的更多信息（77％），接受需要服用药物的需求（75％），及早或按时补充处方（70％）。最常报告的障碍是：感到沮丧或不知所措（21％），简单地忘记（19％）和大剂量睡觉（17％）。从定性数据来看，出现了四个主要问题：患者特征，卫生保健专业人员与患者的关系，卫生保健系统中的语言和文化障碍以及药物治疗方案。在这个拉丁裔样本中，就患者的依从性而言，拥有一个可以居住的人非常重要。据报告存在语言障碍，使用翻译者并不总是被视为一种充分的补救措施。讨论了会说英语的西班牙语患者和说英语的患者在策略和障碍方面的差异。

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