Avaliação da adesão à terapia antirretroviral em pacientes com AIDS Evaluation of adherence to antiretroviral therapy for AIDS patients

Abstract

Objective: The objective of the present study was to evaluate adherence to antiretroviral treatment for AIDS patients. Method: This is a quantitative study, field, and descriptive, at Reference Center for infectious diseases in Natal/RN, from August 2010 to July 2011. Data were collected through medical records, interviews and the pharmacy dispensing records. Results: Participated in the study 402 patients, among whom (70.2%) were male, the mean age was 35 years, and 90.0 had been diagnosed of HIV infection between 1 to 5 years. It was observed that 30% of the patients adhered to treatment. Conclusion: The Adherence in the present study are lower than those recommended in the literature, to increase adherence to ART is essential to carry out strategies to increase awareness and user engagement. Descriptors

Adherence to antiretroviral therapy and correlation with adverse effects and coinfections in people living with HIV/AIDS in the municipality of Goiás State

“…This is the first study to describe the level of adherence to ART in the municipality of Anápolis, the third largest municipality in the State of Goiás (370,875 inhabitants/2016). Adherence is a major issue in the management of chronic diseases; for people living with HIV/AIDS, the use of ART at prescribed doses and frequencies guarantees great benefits, such as reduction in the occurrence of opportunistic diseases, reduction in the frequency of hospital admissions, reduction in mortality rates, and consequent increase in the time and treatment life quality [19][20][21][22] .Our results indicated that 85% (188/220) of the participants had good or strict adherence to ART and, considering the entire sample, 85% (77/91) of women and 86% (111/129) of men presented good or strict adherence to ART. These results were discordant compared with those of another study that used CEAT-HIV in the State of Ceará, which presented adherence rates of 14% and 48.7% 20 .…”

“…Therefore, ART can contribute to the occurrence of numerous health problems, with consequences for both the patient and the health system, as it interferes with adherence to treatment, changes prescription patterns, and causes increased costs with specialized assistance and hospitalizations. In this sense, studies that allow a better understanding of the phenomenon, investigating the influence of sociodemographic, clinical, and laboratory variables, are fundamental to the development of intervention strategies favoring a better adherence to ART 19 .…”

“…Although the policy of universal and free access to ARVs in Brazil is internationally recognized, there was still shortage of published studies that evaluate the effectiveness of the strategies implemented to guarantee adequate adherence to treatment or to improve them, as well as to identify populations with greater fragility in adherence to treatment 1,19,20 . This study aimed to evaluate the level of adherence to ART in patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and to correlate the level of adherence with the sociodemographic data, clinical-laboratory data, and development of adverse effects and confections.…”

Associação Entre Adesão À Medicação Para O Hiv E Aspectos Sociodemográficos, Econômicos, Comportamentais E Clínicos

“…Tem--se, no entanto, observado que as pessoas que apresentam um menor tempo de tratamento têm maiores chances de manter níveis elevados de adesão em relação a pessoas com longos períodos. Essa condição de temporalidade do tratamento e a adesão pode ser explicada pelo fato de que as pessoas começam a se empenhar em manter a adesão a partir da percepção de eficácia do tratamento na sua condição clínica 21 . Em contrapartida, a melhora da condição de saúde com o passar do tempo pode influenciar na diminuição dos níveis de adesão.…”

Consejería intensificada en adherencia como estrategia en sospecha al fracaso virológico en pacientes con antirretrovirales

“…Concluyeron que para incrementar la adherencia al tratamiento antirretroviral es básico llevar a cabo estrategias para aumentar el conocimiento y la participación de los usuarios. (18) Conclusión: La consejería intensificada en adherencia es una estrategia con la cual se han obtenido resultados satisfactorios en pacientes con fallo virológico, logrando así disminuir la carga viral en la mayoría de los pacientes y en algunos revertir el fallo virológico. Es necesario supervisar y monitorear diferentes aspectos para asegurar que el servicio de consejería intensificada en adherencia sea de buena calidad y se obtengan los mejores resultados con la misma.…”