Dissertação
A importância da atenção farmacêutica na adesão a terapia antirretroviral no HIV/AIDS
Fecha
2013-07-23Registro en:
VIELMO, Laura. THE IMPORTANCE OF PHARMACEUTICAL CARE IN ADHERENCE TO
ANTIRETROVIRAL THERAPY ON HIV / AIDS. 2013. 69 f. Dissertação (Mestrado em Medicina) - Universidade Federal de Santa Maria, Santa Maria, 2013.
Autor
Vielmo, Laura
Institución
Resumen
With chronicity of AIDS and the increasing number of patients on Antiretroviral
Therapy (ART) monitoring of adherence to treatment has become a priority in public health,
for maintenance of high rates of adherence depends on the success of treatment.
In front of a situation of chronic disease, challenges arise, determining the need for
new practices related to adherence monitoring of People Living with HIV/AIDS (PLWHA)
and before this context, the Pharmaceutical Care presents itself as an instrument to improve
adherence to TARV, since studies show that the Pharmaceutical Care is able to improve
adherence.
So, the objective was to evaluate the influence of Pharmaceutical Care on adherence to
antiretrovirals in PVHA starting treatment in a Dispenser Unit Antiretroviral Drugs (UDM).
The longitudinal study has been realized with convenience sampling where included
patients starting TARV in naïve patients, were divided into two study groups. The
intervention group received Pharmaceutical care and monitoring, while the control group
followed the routine care of the service. Adherence to treatment was confirmed by self-report,
regular withdrawals of ARV and evolution of viral load.
The profile of PLHA included in this study presented social demographic
characteristics that follow the national epidemiological trends. Adherence to antiretroviral
therapy showed better results in the intervention group. It was found that the highest number
of dropouts in the control group occurred when patients given medical follow-up in public
health services compared with individuals.
The results of the study allowed the development of a protocol for application in
Pharmaceutical care routine UDM.