IMPORTANCE OF MULTIDISCIPLINARY CARE TO RESCUE THE PATIENT WITH HIV/AIDS PRESENTING POOR ADHERENCE TO ANTIRETROVIRAL THERAPY

Authors

  • Natália Raguzzoni Cancian Universidade Federal de Santa Maria
  • Sandra Trevisan Beck Universidade Federal de Santa Maria
  • Gilvane Souza dos Santos Universidade Federal de Santa Maria
  • Danieli Bandeira Universidade Federal de Santa Maria

DOI:

https://doi.org/10.13037/ras.vol13n45.2910

Keywords:

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

Download data is not yet available.

Author Biographies

Natália Raguzzoni Cancian, Universidade Federal de Santa Maria

Farmacêutica Especialista, Residente do Programa de Residência Multiprofissional Integrada em Sistema Público de Saúde (ênfase: Vigilância em Saúde)

Sandra Trevisan Beck, Universidade Federal de Santa Maria

Farmacêutica Doutora, Professora Associada do curso de Farmácia

Gilvane Souza dos Santos, Universidade Federal de Santa Maria

Nutricionista, Especialista em Sistema Público de Saúde

Danieli Bandeira, Universidade Federal de Santa Maria

Enfermeira Especialista, Mestranda em Enfermagem PPGENF/UFSM

Downloads

Published

2015-09-29

Issue

Vol. 13 No. 45 (2015): Revista de Atenção à Saúde

Section

ARTIGOS ORIGINAIS

License

Policy Proposal for Journals offering Free Delayed Access

 

Authors who publish in this magazine agree to the following terms:

  1. 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.
  2. 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.
  3. 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).