Causa de abandono del tratamiento antirretroviral en pacientes del Hospital de Infectología, plan educativo
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Introducción: El abandono al tratamiento retroviral es muy frecuente en nuestros días, a pesar de todas las facilidades de los programas implementados sigue siendo alto el índice de abandono y por ende alto el fracaso terapéutico. Objetivo: Determinar las causas de abandono del tratamiento retroviral en el hospital de Infectología. Metodología: Es un estudio cualitativo, observacional. Se investigaron a 60 pacientes VIH positivos que reciben tratamiento ARV en el Programa de Adherencia del Hospital de Infectologia de Guayaquil, son pacientes con antecedentes de haber abandonado el tratamiento anteriormente y que se encuentran recibiendo el tratamiento bajo supervisión de una enfermera. Se investigó las causas de su abandono. Se aplicó un cuestionario estructurado, elaborado en función de instrumentos que evalúan la adherencia y factores asociados a la misma como los son los Sociodemográficos, psicosociales y farmacológicos. Las principales medidas del resultado fue la Adherencia a los retrovirales de Gran actividad. Resultados: De los 60 pacientes a los cuales se les aplicó el cuestionario 48 fueron hombres y 12 mujeres, se concluyó que los hombres, heterosexuales, solteros y con Adicción a las drogas es la causa más frecuente por el cual abandona su tratamiento. Conclusiones: Se propone realizar un Plan de Educación para mejorar la Adherencia del paciente con charlas educativas y motivacionales, en colaboración con el personal encargado del Programa de VIH, así como la implementación de un cuestionario de adherencia para los pacientes.
Introduction: Abandonment to antiretroviral treatment is very frequent nowadays, despite all the facilities of the programs implemented remains high dropout rates and hence high treatment failure. Objective: To determine the causes of abandonment of antiretroviral treatment in the Infectious Diseases Hospital. Methodology: This is a qualitative, observational study. We investigated 60 HIV-positive patients receiving ARV treatment Adherence Program of Infectious Diseases Hospital in Guayaquil, are patients with a history of having abandoned the treatment before and who are receiving under the supervision of a nurse treatment. the causes of its abandonment was investigated. a structured questionnaire, prepared on the basis of instruments that assess adherence and factors associated with it as are socio-demographic, psychosocial and pharmacological was applied. The main outcome measures were adherence to highly active retroviral drugs. Results: Of the 60 patients who were administered the questionnaire 48 were men and 12 women, it was concluded that men, heterosexual, single and Drug addiction is the most common cause for which abandons his treatment. Conclusions: It is proposed to make a Plan of Education to improve patient compliance with educational and motivational talks, in collaboration with the personnel in charge of the HIV, as well as the implementation of an adherence questionnaire for patients
Introduction: Abandonment to antiretroviral treatment is very frequent nowadays, despite all the facilities of the programs implemented remains high dropout rates and hence high treatment failure. Objective: To determine the causes of abandonment of antiretroviral treatment in the Infectious Diseases Hospital. Methodology: This is a qualitative, observational study. We investigated 60 HIV-positive patients receiving ARV treatment Adherence Program of Infectious Diseases Hospital in Guayaquil, are patients with a history of having abandoned the treatment before and who are receiving under the supervision of a nurse treatment. the causes of its abandonment was investigated. a structured questionnaire, prepared on the basis of instruments that assess adherence and factors associated with it as are socio-demographic, psychosocial and pharmacological was applied. The main outcome measures were adherence to highly active retroviral drugs. Results: Of the 60 patients who were administered the questionnaire 48 were men and 12 women, it was concluded that men, heterosexual, single and Drug addiction is the most common cause for which abandons his treatment. Conclusions: It is proposed to make a Plan of Education to improve patient compliance with educational and motivational talks, in collaboration with the personnel in charge of the HIV, as well as the implementation of an adherence questionnaire for patients
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Antirretrovirales, Abandono del tratamiento, Virus de inmunodeficiencia humana, Planes y programas de salud, Hospital de Infectología Dr. José Daniel Rodríguez Maridueña, Cantón Guayaquil, Ecuador