52. FACTORS AFFECTING COMPLIANCE WITH ARV TREATMENT OF HIV-INFECTED PEOPLE AT THE HIV/AIDS SPECIALTY CLINIC, TRA VINH PROVINCIAL GENERAL HOSPITAL, 2024
Main Article Content
Abstract
Objective: Analyze factors affecting adherence to antiretroviral therapy (ARV) of HIV-infected people being treated at the HIV/AIDS Clinic, Tra Vinh Provincial General Hospital in 2024.
Research method: Using a qualitative research design combined with quantitative. Selecting a sample of all 305 patients over 18 years old and treated for over 12 months who are on ARV treatment at the Clinic in 2024. Collecting data from May to October 2024, quantitative interviews after patients receive medication on the day of re-examination, 11 in-depth interviews with medical staff, patients and their families.
Results: Age group over 40, using health insurance, knowledge about treatment, family support, counseling and positive attitude of medical staff positively affect treatment adherence. Long waiting times, drugs not being prescribed for many months, alcohol and drug use, and side effects of drugs negatively affect treatment compliance.
Conclusion: Treatment facilities need to strengthen solutions related to improving medical examination and treatment processes, ensuring drug reserves to be able to dispense drugs for many months to eligible groups, have solutions to support patients with health insurance card interruptions, and apply tools to remind patients to take medication and return for check-ups on time.
Article Details
Keywords
ARV treatment adherence, HIV/AIDS, driven factors
References
[2] Nguyen Huu Thuan, et al. “Factors associated with adherence to antiretroviral therapy among HIV-infected patients in a northern province of Vietnam.” BMC Infectious Diseases, 2013.
[3] Van Nguyen, L.; Nguyen, T.N.P.; Thach, A.N.; Lam, A.N.; Lam, D.Q.; Duong, C.X.; Pham, S.T.; Nguyen, T.H.; Perwitasari, D.A.; Taxis, K.; et al. Knowledge of Antiretroviral Treatment and Associated Factors in HIV-Infected Patients. Healthcare, 2021; 9, 483.
[4] Trần Văn Hải. Một số yếu tố liên quan đến tuân thủ điều trị ARV của người nhiễm HIV/AIDS đang được điều trị tại Trung tâm Phòng chống HIV/AIDS tỉnh Hải Dương. Luận văn Thạc sĩ Quản lý Bệnh viện, Đại học Y tế công cộng. 2016.
[5] Do, H.M., Dunne, M.P., Kato, M. et al. Factors associated with suboptimal adherence to antiretroviral therapy in Viet Nam: a cross-sectional study using audio computer-assisted self-interview (ACASI). BMC Infect Dis, 2013; 13, 154.
[6] Mills EJ, et al. “Adherence to antiretroviral therapy in sub-Saharan Africa and North America: a meta-analysis.” JAMA, 2006.
[7] Hsu, J. C., & de Lemos, J. A.. The role of troponin T in the management of patients with heart failure. Circulation 2021; 143(10), 937-945.
[8] Duko, B., Meharie, K., & Tadele, G.. The role of family and social support on adherence to antiretroviral therapy among people living with HIV/AIDS in Ethiopia: A cross-sectional study. BMC Public Health, 2020; 20(1), 1-9.
[9] Khoshnood, K., Khosravi, A., & Roshani, A. (2020). The impact of health services on the adherence to antiretroviral therapy among HIV/AIDS patients: A cross-sectional study. Journal of Health Services Research & Policy, 2020; 25(3), 145-151.
[10] Dahan, S., Koren, G., & Landau, M.. The impact of treatment duration and side effects on medication adherence: A systematic review. Journal of Pharmacy Practice, 2018; 31(3), 276-283.