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An examination of HIV/AIDS patients who have excellent adherence to HAART.

机译:检验对HAART具有良好依从性的HIV / AIDS患者。

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This paper examines the attitudes and beliefs of HIV/AIDS patients with excellent adherence to highly active antiretroviral therapy (HAART) and how they differ from those with suboptimal adherence. Forty-four persons with HIV/AIDS, 28 men and 16 women, participated in a qualitative semi-structured interview which was based on the Health Belief Model. The main outcomes were themes consistent with several dimensions of this model, reflecting differences in the health-related attitudes and beliefs of the excellent adherers compared to the suboptimal adherers. Patients with excellent adherence voiced the following themes when compared to less adherent patients: (1) believed adherence rates needed to be 90-100% for medication efficacy; (2) trusted their primary providers greatly; (3) took medications even when actively using substances of abuse; (4) were open about their HIV status and received substantial social support; (5) cited staying healthy as their key motivator; (6) were not actively depressed; allhad normal CESD scores. Our study suggests that patients with excellent adherence to HAART differ from their less adherent counterparts in terms of key health-related attitudes and beliefs. Identifying and studying excellent adherers provides new insights and strategies for enhancing adherence to HAART.
机译:本文研究了对高效抗逆转录病毒疗法(HAART)依从性极佳的HIV / AIDS患者的态度和信念,以及与依从性较差的依从性患者之间的区别。 44名艾滋病毒/艾滋病患者,其中28名男性和16名女性,参加了基于健康信念模型的定性半结构化访谈。主要结果是与该模型的几个维度一致的主题,反映出与次优坚持者相比,健康坚持者与健康相关态度和信念的差异。与依从性较差的患者相比,依从性优异的患者提出以下主题:(1)认为药物治疗的依从率必须为90-100%; (2)非常信任他们的主要提供者; (3)即使积极使用滥用药物也要服药; (4)对自己的艾滋病毒状况持开放态度,并获得了大量社会支持; (5)以保持健康为主要动机; (6)没有积极情绪低落;拥有正常的CESD分数。我们的研究表明,对HAART依从性强的患者在与健康相关的主要态度和信念方面与依从性较差的患者有所不同。识别和研究优秀的依从者为增强对HAART的依从性提供了新的见识和策略。

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