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Nurses' perceptions about Botswana patients' anti-retroviral therapy adherence

التفاصيل البيبلوغرافية
العنوان: Nurses' perceptions about Botswana patients' anti-retroviral therapy adherence
المؤلفون: Esther Kip, Valerie J. Ehlers, Dirk M. van der Wal
المصدر: Health SA Gesondheid: Journal of Interdisciplinary Health Sciences, Vol 14, Iss 1, Pp e1-e8 (2009)
بيانات النشر: AOSIS, 2009.
سنة النشر: 2009
المجموعة: LCC:Public aspects of medicine
مصطلحات موضوعية: HIV nursing, ARVs (anti-retrovirals), ART (anti-retroviral therapy) adherence, Botswana, HIV/AIDS, Public aspects of medicine, RA1-1270
الوصف: Anti-retroviral drugs (ARVs) are supplied free of charge in Botswana. Lifelong adherence to anti-retroviral therapy (ART) is vital to improve the patient’s state of well-being and to prevent the development of strains of the human immunodef ciency virus (HIV) that are resistant to ART. Persons with ART-resistant strains of HIV can spread these to other people, requiring more expensive ART with more severe side-effects and poorer health outcomes. The purpose of this exploratory, descriptive, qualitative study was to determine nurses’ perspectives on Botswana patients’ anti-retroviral therapy (ART) adherence, and to identify factors which could promote or hinder ART adherence. Four ART sites were randomly selected and all 16 nurses providing ART services at these sites participated in semi-structured interviews. These nurses indicated that patients’ ART adherence was inf uenced by service-related and patient-related factors. Service-related factors included the inaccessibility of ART clinics, limited clinic hours, health workers’ inability to communicate in patients’ local languages, long waiting times at clinics and delays in being informed about their CD4 and viral load results. Nurses could not trace defaulters nor contact them by phone, and also had to work night shifts, disrupting nurse-patient relationships. Patient-related factors included patients’ lack of education, inability to understand the significance of CD4 and viral load results, financial hardships, non-disclosure and non-acceptance of their HIV positive status, alcohol abuse, the utilisation of traditional medicines and side effects of ART. The challenges of lifelong ART adherence are multifaceted involving both patient-related and service-related factors. Supplying free ARVs does not ensure high levels of ART adherence. Opsomming Anti-retrovirale middels (ARMs) word gratis verskaf in Botswana. Lewenslange getroue nakoming van ARM voorskrifte is noodsaaklik om die pasiënt se algehele staat van welsyn te verbeter en om die ontwikkeling te voorkom van stamme van die menslike immuun-gebrek virus (MIV) wat weerstand bied teen anti-retrovirale behandeling (ARB). Persone met ARB-weerstandbiedende MIV stamme kan dit versprei na ander mense toe, wat duurder ARB vereis met swakker gesondheidsuitkomste. Die doel van hierdie verkennende, beskrywende, kwalitatiewe studie was om te bepaal wat verpleegkundiges se sienings is oor pasiënte in Botswana se nakoming van ARB, en om faktore te identifiseer wat die ARB-nakoming kan bevorder of benadeel. Vier ARB terreine was ewekansig gekies en al 16 verpleegkundiges wat ARB dienste by die terreine verskaf, het deelgeneem aan semi-gestruktureerde onderhoude. Hierdie verleegkundiges het aangedui dat pasiënte se ARB handhawing beïnvloed word deur diens-verwante en pasiënt-verwante faktore. Diens-verwante faktore behels die ontoeganklikheid van ARB klinieke, beperkte kliniekure, gesondheidswerkers se onvermoë om in pasiënte se plaaslike tale te kommunikeer, lang wagtye by klinieke en vertragings om ingelig te word oor uitslae van CD4 en virale tellings. Verpleegkundiges kan nie pasiënte opvolg of telefonies kontak wat versuim om op te daag vir behandeling nie. Verpleegkundiges moet nagskofte werk wat pasiënt-verpleegkundige verhoudings onderbreek. Pasiënt-verwante faktore behels pasiënte se gebrekkige opvoeding, hulle onvermoë om die belangrikheid van uitslae van CD4 en virale tellings te verstaan, finansiële ontberinge, nie-openbaarmaking en nie-aanvaarding van hulle MIV positiewe status, alkohol misbruik, die gebruik van tradisionele medisynes en die newe-effekte van ARB. Die uitdagings van lewenslange ARB handhawing is veelsydig en behels beide pasiënt-verwante en diens-verwante faktore. Die verskaffing van gratis ARMs verseker nie ARB handhawing nie.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: Afrikaans
English
تدمد: 1025-9848
2071-9736
Relation: https://hsag.co.za/index.php/hsag/article/view/466; https://doaj.org/toc/1025-9848; https://doaj.org/toc/2071-9736
DOI: 10.4102/hsag.v14i1.466
URL الوصول: https://doaj.org/article/606db92bf0854f43aef45b1b2c41f921
رقم الانضمام: edsdoj.606db92bf0854f43aef45b1b2c41f921
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:10259848
20719736
DOI:10.4102/hsag.v14i1.466