To explore patients’ perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study  

作　　者：Sonia GULATI Hariprasath PANDURANGAN Pulin Kumar GUPTA 

机构地区：[1]Department of Health and Allied Sciences,Amity College of Nursing,Amity University,Gurugram,Haryana,India [2]Department of Medicine,Atal Bihari Vajpayee Institute of Medical Sciences and Dr.Ram Manohar Lohia Hospital,New Delhi,India

出　　处：《Journal of Integrative Nursing》2023年第4期256-265,共10页中西医结合护理杂志（英文）

摘　　要：Objective:For people living with HIV(PLHIV),strict adherence to highly active antiretroviral therapy(HAART)is the key to effective treatment and retention in human immunodeficiency virus(HIV)care.There are many factors which promote or halt the antiretroviral therapy(ART)adherence practices.Therefore,the present study aimed to examine the HAART adherence levels and to explore patients’views about barriers and facilitators to HIV treatment adherence.Methods:Semi-structured interviews were conducted among 15 PLHIV at the ART clinic of Dr.Ram Manohar Lohia Hospital,New Delhi.Interviews were audio-recorded in the local Hindi language,and bilingual experts(English and Hindi)transcribed verbatim.Qualitative data were coded for themes and subthemes and analyzed using a phenomenological approach as per thematic content analysis.Results:Feeling of hopelessness,delayed ART initiation,difficult initial phase of ART,forget to take ART on time,fear of disclosure of HIV diagnosis,lack of privacy and negative social support,and impact of lockdown due to COVID-19 were revealed as significant barriers to ART adherence.At the same time,commitment to raise and educate children,ART to increase life span,maintain oneself to be physically fit and healthy,only a single pill per day,very supportive counselors and health-care professionals,and hope to give birth to a healthy child were identified as facilitators of HIV retention.Conclusion:Understanding patient’s perception about ART adherence,its motivational and barrier factors which are directly affecting ART adherence and retention of PLHIV in HIV treatment and follow-ups are of utmost importance to improve ART adherence during HIV patient care services.

关 键 词：ADHERENCE barriers highly active antiretroviral therapy human immunodeficiency virus MOTIVATORS PERCEPTIONS 

分 类 号：R512.91[医药卫生—内科学]