林波波一所大学抗逆转录病毒药物病毒学失败学生的亲身经历。

Mahlodi P Maphakela, Mokoko P Kekana, Eric Maimela
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摘要

背景:林波波省一所农村大学的HIV阳性学生按照国家HIV治疗指南进行随访。血液监测显示,尽管每次就诊都强调坚持和依从性,但一些接受抗逆转录病毒治疗的学生并没有受到病毒抑制。目的:该研究试图确定阻碍病毒载量改善的学生经历。方法:采用两阶段的定性、探索性、描述性研究设计。采用方便、有针对性的抽样方法,采用半结构化访谈指南进行面对面访谈。采用专题内容分析法。结果:在研究样本中,保密、嘈杂的抗逆转录病毒药物包装、污名和服务提供在决定学生对抗逆转录病毒病毒药物的依从性和依从性方面发挥了作用。结论:研究结果为提高学生对抗逆转录病毒药物的依从性提出了切实可行的建议:向所有学生提供艾滋病毒教育,以帮助减少耻辱感,并更容易披露艾滋病毒状况;制药公司使用方便用户的无噪音包装来包装药物,如泡罩包装;超市在服务提供点的做法,以减少咨询室对ARV服务的污名化影响。贡献:有空间研究这些发现与该国其他学生的相关性,对其进行比较,并使用大型研究的材料来指导有针对性的干预措施,以提高年轻人的依从性。
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Lived experiences of students with virological failure on antiretrovirals at a university in Limpopo.

Background:  Human immunodeficiency virus (HIV)-positive students at a rural university in Limpopo province are followed-up according to the national guidelines for the treatment of HIV. Blood monitoring revealed that some students on antiretroviral (ARV) treatment were not virologically suppressed despite adherence and compliance being emphasised at every visit.

Objectives:  The study sought to identify the students' experiences that were hindering the viral load from improving.

Method:  A two-phase qualitative, explorative, descriptive study design was followed. Convenience purposive sampling methods were taken on. By means of a semi-structured interview guide, face-to-face interviews were directed. Thematic content analysis was applied.

Results:  Non-disclosure, noisy ARV packaging, stigma, and service delivery played a role in determining levels of student adherence and compliance with ARVs in the study sample.

Conclusion:  Study findings suggest practical recommendations to improve compliance among students on ARVs: provision of HIV education to all students to help reduce stigma and make it easier to disclose HIV status; use of user-friendly noise-free packaging by pharmaceutical companies to enclose medication, such as blister packs; a supermarket approach in service delivery points to reduce the stigmatising effects of consulting rooms for ARV services.Contribution: There is scope to examine the relevance of these findings for other students in the country, to compare them, and to use material from larger studies to guide targeted interventions that could improve adherence among young people.

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