IMPORTANCE OF MULTIDISCIPLINARY CARE TO RESCUE THE PATIENT WITH HIV/AIDS PRESENTING POOR ADHERENCE TO ANTIRETROVIRAL THERAPY
DOI:
https://doi.org/10.13037/ras.vol13n45.2910Keywords:
IDS, health care, interdisciplinary communication.Abstract
Introduction: In Brazil, thousands of people suffer clinical consequences of HIV infection, which istackled by free distribution of antiretroviral drugs by the Ministry of Health. Objective: Identify amongpatients living with HIV/AIDS on antiretroviral therapy (ART), factors that led to nonadherence totreatment. Methods: Between April and November 2013, 637 patients were scheduled for consultation inoutpatient infectious diseases, at the University Hospital of Santa Maria and at the center for counselingand Testing House Thirteen May of Santa Maria, Rio Grande do Sul. During this period was made theactive search for 90 non-adherent patients on ART by the action of the multidisciplinary Residency inHealth. 39 patients attended the multidisciplinary consultation with pharmacist, nurse and nutritionist.Qualified hearing followed by guidelines for the different professional areas was performed. Compliancewas assessed by Cuestionario para Evaluación de la Adhesión al Tratamiento Antiretroviral (HIV-CEAT)[Assessment of Adherence to Antiretroviral Therapy Questionnaire], nutritional status by questionnaireMalnutrition Universal Screening Tool (MUST) and by semistructured interviews. Results: The 39 patientswere reappointed to ART. The factors identified as important for poor adherence are poor education and insufficient information about the used medication. The significant improvement in treatment adherenceafter multidisciplinary consultation was confirmed by the change in viral load results. Conclusion: Therestoration of the link with the patient’s healthcare team is critical to ART adherence factor.Downloads
References
1. Ministério da Saúde. Secretaria de Vigilância em Saúde. Programa Nacional de DST e Aids. Boletim Epidemiológico – HIV/AIDS. Dez 2012;1[aproximadamente 60 p.]. Disponível em: http://www.aids.gov.br/sites/default/files/ anexos/publicacao/2012/52654/boletim_2012_final_1_pdf_21822.pdf. [acesso em 14 set 2015].
2. Padoin SMM, Paula CC, Zuge SS, Primeira MR, Santos EEP, Tolentino LC. Fatores associados à não adesão ao tratamento antirretroviral em adultos acima de 50 anos que têm HIV/AIDS. DST – Jornal Brasileiro de Doenças Sexualmente Transmissíveis. 2011;23(4):194-7.
3. Coppini LZ, Ferrini MT. Síndrome da Imunodeficiência Adquirida (AIDS). In: Guia de Nutrição: Nutrição Clínica no Adulto. Editora Manole Ltda. Barueri. 2002;235-47.
4. Ministério da Saúde. Boletim Epidemiológico – AIDS, ano XVI. mar 2002;1:[aproximadamente 70 p.]. Disponível em: http://bvsms.saude.gov.br/bvs/periodicos/bol_marco_2002.pdf. [acesso em 14 set 2015].
5. Nemes MIB, Carvalho HB, Souza MFM. Antiretroviral therapy adherence in Brazil. Aids. 2004;(18):15-20.
6. Ministério da Saúde. Recomendações para a terapia anti--retroviral em adultos e adolescentes infectados pelo HIV.
Coordenação Nacional de DST e AIDS; 2004. Dísponível em: http://www.giv.org.br/publicacoes/consenso_2004.pdf. [acesso em 14 set 2015].
7. Russell CK, Bunting SM, Graney M, Hartig MT, Kisner P, Brown B. Factors that influence the medication decision making of persons with HIV/AIDS: A taxonomic exploration. Journal of the Association of Nurses in AIDS Care. 2003;14(4):46-60.
8. Kotler DP. Nutritional alterations associated with HIV infection. Journal of Acquired Immune Deficiency Syndromes. 2000;(25):81-7.
9. Martins S, Martins T. Adesão ao tratamento antirretroviral: vivências de escolares. Texto Contexto Enfermagem. 2011;20(1):111-8.
10. Cardoso GP, Arruda A. As representações sociais da soropositividade e sua relação com a observância terapêutica. Ciência e Saúde Coletiva. 2004;10(1):151-62.
11. Gallant JE. Approach to the treatment-experienced patient. Infectious Disease Clinics of North America. 2007;21(1):85-102.
12. Remor E, Milner-Moskovics J, Preussler G. Adaptação brasileira do “Cuestionario para la Evaluación de la Adhesión al Tratamiento Antiretroviral”. Revista de Saúde Pública. 2007;41(5):685-94.
13. Resende RC, Podestá MHMC, de Souza WA, Barroso TDO, Da Costa VB, Gomes OM, Ferreira EB. Adesão ao tratamento antirretroviral de pacientes vivendo com HIV/AIDS atendidos pelo Sistema Único de Saúde. Revista da Universidade Vale do Rio Verde. 2012;10(2):186-201.
14. Tuboi SH, Harrison LH, Sprinz E, Albernaz RK, Schechter M. Predictors of virologic failure in HIV-1-infected patients starting highly active antiretroviral therapy in Porto Alegre, Brazil. Journal of Acquired Immune Deficiency Syndromes. 2005;(40):324-8.
15. Nemes MIB. Aderência ao tratamento por anti-retrovirais em serviços públicos de saúde no Estado de São Paulo. 2000: Ministério da Saúde,Brasília.
16. Blatt CR, Citadin CB, Souza FGD, Mello RSD, Galato D. Avaliação da adesão aos anti-retrovirais em um município no Sul do Brasil. Rev Soc Bras Med Trop. 2009;42(2):131-6.
17. Almeida ELD, Araújo GBDS, Santos VA, Bustorff LACV, Pereira AVDL, Dias MD. Adesão dos portadores do HIV/AIDS ao tratamento: fatores intervenientes. Revista Mineira de Enfermagem. 2011;15(2):208-16.
18. Melchior R, Nemes MIB, Alencar TMD, Buchalla CM. Desafios da adesão ao tratamento de pessoas vivendo com HIV/Aids no Brasil. Revista de Saúde Pública. 2007;41(2):87-93.
19. Martinelli ML. O Trabalho do assistente social em contextos hospitalares: desafios cotidianos. Revista Serviço Social e Sociedade. Set 2011;(107):479-505.
20. Silva ALCND, Waidman MAP. Adesão e não-adesão à terapia anti-retroviral: as duas faces de uma mesma. Revista Brasileira de Enfermagem. Abr 2009;62(2):213-20.
21. Fincham JE, editor. Advancing prescription medicine compliance: new paradigms, new practices. New York: Pharmaceutical Products Press. 1995;3(2).
22. Tailor SA, Foisy MM, Tseng A, Beardsall A, Ostrop N, Khaliq Y, Hughes C. The role of the pharmacist caring for people living with HIV/AIDS: a Canadian position paper. Canadian Journal of Hospital Pharmacy. 2000;53(2):92-103.
23. Isacson D, Bingefors K. Attitudes towards drugs – a survey in the general populations. Pharmacy world and science. 2002;(24):104-10.
24. Ceccato MDGB, Acurcio FA, de Fátima Bonolo P, Rocha GM, Guimarães MD. Compreensão de informações relativas ao tratamento anti-retroviral entre indivíduos infectados pelo HIV. Cad. Saúde Pública. 2004;20(5):1388-97.
25. Ministério da Saúde. Secretaria de Vigilância em Saúde. Programa Nacional de DST e Aids. Manual de adesão ao tratamento para pessoas vivendo com HIV e aids. 2008. Disponível em: http://www.aids.gov.br/sites/default/files/Manual_de_adesao_web.pdf. [acesso
em 15 set 2015].
Downloads
Published
Issue
Section
License
Copyright (c) 2015 Natália Raguzzoni Cancian, Sandra Trevisan Beck, Gilvane Souza dos Santos, Danieli Bandeira
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Policy Proposal for Journals offering Free Delayed Access
Authors who publish in this magazine agree to the following terms:
- Authors maintain the copyright and grant the journal the right to the first publication, with the work simultaneously licensed under a Creative Commons Attribution License after publication, allowing the sharing of the work with recognition of the authorship of the work and initial publication in this journal.
- Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this magazine (eg, publishing in institutional repository or as a book chapter), with the acknowledgment of the authorship and initial publication in this journal.
- Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase impact and citation of the published work (See The Effect of Open Access).
