关键词: HIV/AIDS Patient-centred care antiretroviral drugs attitude knowledge

Mesh : Humans Cross-Sectional Studies Male Female Nigeria Adult HIV Infections / drug therapy therapy psychology Patient Satisfaction / statistics & numerical data Health Knowledge, Attitudes, Practice Quality of Health Care Middle Aged Patient-Centered Care Surveys and Questionnaires Tertiary Healthcare Acquired Immunodeficiency Syndrome / drug therapy therapy Young Adult Hospitals, Teaching

来  源:   DOI:10.4314/ahs.v23i4.27   PDF(Pubmed)

Abstract:
UNASSIGNED: The provision of patient-centred care by clinicians is believed to improve patient satisfaction with care as well as the outcome of treatment.
UNASSIGNED: To assess the quality of personalized care provided to people living with HIV/AIDS in a typical Nigerian health care setting and its association with patients\' knowledge and attitude towards HIV/AIDS and patients\' knowledge and attitude towards antiretroviral therapy.
UNASSIGNED: The study was a cross sectional study carried out in the HIV/AIDS clinic of the University of Uyo Teaching Hospital, Nigeria. Data on the demographic and clinical details of the patients were obtained from patients\' case notes using a suitably designed, pre-piloted data collection instrument. Furthermore, data on the quality of patient-centred care, patients\' knowledge and attitude towards HIV/AIDS, and patients\' knowledge and attitude towards antiretroviral therapy was obtained using \'Patient Assessment of Quality of Individualized care for Chronic Illness Scale\', \'Patient knowledge and attitude towards HIV/AIDS questionnaire; and \'Patient knowledge and attitude towards antiretroviral therapy questionnaire\', respectively.Quantitative data were analysed using Statistical Program and Service Solutions (SPSS) version 25.0 computer package. Descriptive statistics were used to summarize data, while inferential statistics were used where applicable with statistical significance set at p<0.05.
UNASSIGNED: The overall mean patients\' satisfaction with individualized care score was 3.54 (SD = ±0.86; Max. = 5). The mean scores of the patients\' knowledge and attitude towards HIV/AIDS were 6.80 (SD = ± 1.079; Max. = 8) and 5.5 (SD = ± 0.924; Max. = 7) respectively, while the mean scores of the patients\' knowledge and attitude toward antiretroviral therapy were 5.7 (SD = ± 1.103; Max. = 10) and 4.2 (SD = ± 0.874; Max. = 6). Multivariate linear regression revealed that the quality of patient centred care was a predictor of knowledge and attitude towards antiretroviral therapy (B=0.511; CI = 95%, p = 0.024).
UNASSIGNED: The quality of patient-centred care provided to persons living with HIV/AIDS in the facility is satisfactory. Patients perceived quality of care appear to be a predictor of knowledge and attitude towards antiretroviral therapy.
摘要:
临床医生提供以患者为中心的护理被认为可以提高患者对护理的满意度以及治疗结果。
评估在尼日利亚典型的医疗机构中,为HIV/AIDS患者提供个性化护理的质量及其与患者对HIV/AIDS的知识和态度以及患者对抗逆转录病毒疗法的知识和态度的关系。
这项研究是在Uyo大学教学医院的HIV/AIDS诊所进行的一项横断面研究,尼日利亚。患者的人口统计和临床细节数据是从患者病例记录中获得的,使用适当设计的,预试验数据收集仪器。此外,关于以患者为中心的护理质量的数据,患者对艾滋病毒/艾滋病的知识和态度,患者对抗逆转录病毒治疗的知识和态度是使用“慢性病个体化护理质量患者评估量表”获得的,“患者对艾滋病毒/艾滋病的知识和态度问卷”;和“患者对抗逆转录病毒治疗的知识和态度问卷”,分别。使用统计程序和服务解决方案(SPSS)版本25.0计算机软件包分析定量数据。描述性统计用于汇总数据,而在适用的情况下使用推论统计学,统计学意义设置为p<0.05。
患者对个性化护理的总体平均满意度评分为3.54(SD=±0.86;最大值。=5)。患者对HIV/AIDS的知识和态度的平均得分为6.80(SD=±1.079;Max。=8)和5.5(SD=±0.924;最大值。=7)分别,而患者对抗逆转录病毒治疗的知识和态度的平均得分为5.7(SD=±1.103;最大值。=10)和4.2(SD=±0.874;最大值。=6)。多元线性回归显示,以患者为中心的护理质量是抗逆转录病毒治疗知识和态度的预测因素(B=0.511;CI=95%,p=0.024)。
该机构为艾滋病毒/艾滋病患者提供的以患者为中心的护理质量令人满意。患者感知的护理质量似乎可以预测抗逆转录病毒治疗的知识和态度。
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