药剂师主导的抗逆转录病毒治疗患者教育:是否足以提高依从性?

Ana Clara Fulanetti Squilanti, Fernanda Marina de Oliveira, P. Mastroianni
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摘要

病例介绍:一名58岁男性艾滋病患者,接受抗逆转录病毒治疗12年,由于药物治疗复杂,缺乏对疾病和治疗的知识,出现不依从性。在7个月的随访期间,制定了包括药物和教育干预在内的护理计划。该计划主要考虑个人教育干预,并对药物治疗进行一些调整。在干预结束时,依从性的改善和生活质量的提高,但没有观察到临床影响。结论:虽然提高了患者的自我保健水平和抗逆转录病毒治疗依从性,但药师与医师合作确定的较简单的治疗方案可以取得较好的效果,并解决一些不良反应。
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PHARMACIST-LED PATIENT EDUCATION ON ANTIRETROVIRAL THERAPY: IS IT ENOUGH TO IMPROVE ADHERENCE?
Case presentation: A 58-year-old man with AIDS, under ART treatment for 12 years, presenting non-compliance due pharmacotherapy complexity and lack of knowledge regarding disease and treatment. A care plan including pharmaceutical and educational interventions was established during a 7-month follow up. The plan mainly contemplated individual educational interventions with a few adjustments in the pharmacotherapy. Improvement of adherence and increase in quality of life where achieved in the end of the interventions, but no clinical impact was observed. Conclusion: Although increase in self-care and compliance to ART were enhanced, less complex regimens decided in cooperation between pharmacists and physicians could achieve better outcomes and solve some adverse-effects.
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