The relationship of disease severity, health beliefs and medication adherence among HIV patients

被引:152
作者
Gao, X
Nau, DP
Rosenbluth, SA
Scott, V
Woodward, C
机构
[1] W Virginia Univ, Dept Pharmaceut Syst & Policy, Morgantown, WV 26506 USA
[2] W Virginia Univ Hosp, Dept Pharm Serv, Morgantown, WV USA
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2000年 / 12卷 / 04期
关键词
D O I
10.1080/09540120050123783
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The objective was to investigate the relationship of disease severity, health beliefs and medication adherence among HIV/AIDS patients. A survey was administered to 72 patients in three different stages of HIV/AIDS (CDC clinical categories A, B, C). Multivariate analyses revealed that there were no significant differences in patients' perceptions of the severity of HIV/AIDS or perceptions of the benefits and barriers for the treatment across three disease stages. However, the most severely ill patients (tn stage C) perceived a higher risk of complications if they did not take their medicine as prescribed compared to asymptomatic patients (stage A) (p = 0.01). Also, patients in stages B and C were more adherent to their medications compared to patients in stage A (p = 0. 007). Finally, perceived susceptibility inaction was positively related to medication adherence (p = 0. 005) and difficulty in following doctors' instructions was negatively related to patients' medication adherence (p = 0. 009). In conclusion, patients' illness experiences are associated with their beliefs about the chances of developing complications if they do not adhere to their medications. Patients who have experienced more complications perceive a stronger relationship between medication non-adherence and AIDS-related complications, and are also more adherent to their medication regimen when compared to patients with no prior complications.
引用
收藏
页码:387 / 404
页数:18
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