Titel | Telefonisk sygeplejerskerådgivning forbedrer overholdelse af HIV-medicin: En effektivitetsundersøgelse |
Publikationstype | Tidsskriftsartikel |
Udgivelsesår | 2009 |
Forfattere | Cook, PF, McCabe, MM, Emiliozzi, S, Pointer, L |
tidsskrift | Journal of Association of Nurses in AIDS Care |
Bind | 20 |
Paginering | 316-325 |
Dato offentliggjort | jul-aug |
Udgivelsessprog | eng |
ISBN nummer | 1552-6917 (Elektronisk)1055-3290 (Linking) |
Adgangsnummer | 19576548 |
nøgleord | *HIV-infektioner/medicinsk behandling/sygepleje/psykologi, *Medication Adherence/psychology/statistics & numerical data, Voksen, Aged, Antiretroviral Therapy, Highly Active/psychology, Directive Counseling/*organization & administration, Kvinde, Opfølgende undersøgelser, Mennesker, Mand, Midaldrende, Motivation, Sygeplejeevalueringsforskning, Patientuddannelse som emne, Program evaluering, spørgeskemaer, Selveffektivitet, Social støtte, Telenursing/*organization & administration, Telefon, Forenede Stater |
Abstrakt | Antiretroviral therapy remains a challenge for persons living with HIV (PLWH), who must maintain high levels of adherence to prevent viral resistance and treatment failure. This effectiveness study examined a telephonic nursing program to translate well-validated cognitive-behavioral and motivational interviewing adherence counseling into routine clinical care. Participants were 98 PLWH who were followed for up to 6 months after recruitment from HIV care settings across the United States. Each participant received telephone counseling (Mdn =three sessions) from a trained nurse who followed up with the participant over time. Nurses assessed participants' readiness for adherence, provided support to overcome identified barriers, and offered information based on participants' questions. At 6 months after the start of treatment, a greater percentage of participants had adherence at or above 95% than expected for this population, based on a clinical interview. Self-efficacy was related to baseline medication adherence, whereas other clinical and demographic variables were not. Attrition was a concern but was unrelated to adherence, self-efficacy, or clinical severity measures. Telephone counseling was associated with a relatively high percentage of participants reaching target antiretroviral therapy adherence levels and may be an effective method to disseminate psychologically based counseling into a broad range of care settings. |
URL | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=19576548 |