Limits and obstacles in the adherence to antiretroviral therapy

Objective: To analyze and list factors and monitoring techniques related to the adherence to antiretroviral treatment. Method: study of integrative review of the literature from the electronic bases LILACS and MEDLINE, conducted in April and May, 2013. Results: factors such as education level, complexity of treatment, psychological aggravating and the relationship between health professional and the user were highlighted in adherence to ART. In this context, to monitor and measure adherence to antiretroviral therapy with the use of appropriate techniques can contribute to a significant increase of these values. Conclusion: it is true that there is no gold standard to ensure ideal adhesion, however, the use of correct and combined monitoring techniques, can significantly decrease the impact of several factors that predispose the ineffective adherence to AIDS treatment

Adolescent students knowledge about transmition, prevention and risky behavior related to STD/HIV/AIDS

Objective: To evaluate adolescents' knowledge, public school students in the city of Natal/RN, about transmission, prevention and risk behavior regarding STD/HIV/AIDS. Methods: Descriptive study with a quantitative approach carried out from March to December 2013 with 222 students of a public school in the city of Natal, Northeastern Brazil. Data were collected from a semi-structured questionnaire answered in the classroom. This study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte, CAAE: 13831113.6.0000.5537. Prior written consent was obtained from parents or caregivers and adolescents. The inclusion criteria consisted of the student being regularly enrolled in school, in high school, and agree to participate voluntarily in the research. Results: The study found significant levels of ignorance about transmission, prevention and treatment of AIDS, and elucidated some risk behaviors that make young people vulnerable to STD/AIDS. Conclusion: Sexual orientation programs in schools are needed to encourage adolescents for a safe sexual behavior, healthier and less exposed to risk

Evaluation of adherence to antiretroviral therapy for AIDS patients

Objective: The objective of the present study was to evaluate adherence to antiretroviral treatment for AIDS patients. Method: This is a quantitative study, field, and descriptive, at Reference Center for infectious diseases in Natal/RN, from August 2010 to July 2011. Data were collected through medical records, interviews and the pharmacy dispensing records. Results: Participated in the study 402 patients, among whom (70,2%) were male, the mean age was 35 years, and 90,0 had been diagnosed of HIV infection between 1 to 5 years. It was observed that 30% of the patients adhered to treatment. Conclusion: The Adherence in the present study are lower than those recommended in the literature, to increase adherence to ART is essential to carry out strategies to increase awareness and user engagement

Adolescent students knowledge about transmition, prevention and risky behavior related to STD/HIV/AIDS

Objective: To evaluate adolescents' knowledge, public school students in the city of Natal/RN, about transmission, prevention and risk behavior regarding STD/HIV/AIDS. Methods: Descriptive study with a quantitative approach carried out from March to December 2013 with 222 students of a public school in the city of Natal, Northeastern Brazil. Data were collected from a semi-structured questionnaire answered in the classroom. This study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte, CAAE: 13831113.6.0000.5537. Prior written consent was obtained from parents or caregivers and adolescents. The inclusion criteria consisted of the student being regularly enrolled in school, in high school, and agree to participate voluntarily in the research. Results: The study found significant levels of ignorance about transmission, prevention and treatment of AIDS, and elucidated some risk behaviors that make young people vulnerable to STD/AIDS. Conclusion: Sexual orientation programs in schools are needed to encourage adolescents for a safe sexual behavior, healthier and less exposed to risk

Percepção de usuários e profissionais de saúde sobre a qualidade dos cuidados prestados a pacientes com AIDS

Objective: Identify the perception of users and health professionals about the quality of care for patients with AIDS. Material and methods: Quantitative study, conducted at the outpatient clinic of a public hospital in northeastern Brazil. Participated in the survey 626 patients and 34 health professionals. Data were collected through structured between August 2009 to July 2010, and analyzed using descriptive and inferential statistical form. The research was approved by the Ethics Committee under C.A.A.E. nº. 0063.0.051.000-07. Results: It was identified that the majority of users (85,6%) showed dissatisfaction, while most of the professionals interviewed (58,8%) are satisfied with the care provided in the service searched. Conclusions: It is opinion mister consider both users of health professionals in the assessment of health servicesObjetivo: Identificar la percepción de los usuarios y los profesionales de la salud acerca de la calidad de la atención para los pacientes con SIDA. Material y métodos: Estudio cuantitativo, realizado en el ambulatorio de un hospital público en el noreste de Brasil. En la encuesta participaron 626 pacientes y 34 profesionales de la salud. Los datos fueron recolectados a través de un formulario estructurado entre agosto 2009 y julio 2010, y se analizaron de forma estadística descriptiva e inferencial. La investigación fue aprobada por el Comité de Ética en virtud del CAAE. n.º. 0063.0.051.000-07. Resultados: Se identificó que la mayoría de los usuarios (85,6%) mostraron insatisfacción, mientras que la mayoría de los profesionales entrevistados (58,8%) están satisfechos con la atención recibida en el servicio buscado. Conclusiones: Es preciso considerar la opinión tanto de los usuarios como de los profesionales sanitarios en la evaluación de los servicios de saludObjetivo: Identificar a percepção de usuários e profissionais de saúde sobre a qualidade dos cuidados prestados a pacientes com AIDS.  Material e métodos: Estudo quantitativo, realizado no serviço ambulatorial de um hospital público do Nordeste do Brasil. Participaram da pesquisa 626 pacientes e 34 profissionais de saúde. Os dados foram coletados através de formulário estruturado entre agosto de 2009 a julho de 2010, e analisados pela estatística descritiva e inferencial. A pesquisa obteve aprovação do Comitê de Ética sob o C.A.A.E nº. 0063.0.051.000-07. Resultados: Identificou-se que a maioria dos usuários (85,6%) mostrou insatisfação, enquanto que a maior parte dos profissionais entrevistados (58,8%) está satisfeita com os cuidados prestados no serviço pesquisado. Conclusões: Faz-se mister considerar a opinião tanto dos usuários quanto dos profissionais de saúde na avaliação dos serviços de saúde

Quality of health care for HIV patients: health professionals' view

Objective: To evaluate the quality of care provided for people with HIV/AIDS at the Reference Center for the treatment of AIDS in Natal-RN, in the health professionals’ perspective. Methods: Evaluative and quantitative research conducted in a public hospital in Natal/RN, from August 2010 to July 2011, through structured interviews with professionals who provide care for people with HIV. Results: The evaluation of the service was considered satisfactory by 58.8% of respondents, standing on nine indicators: support offered by the service, convenience of service hours, host, provided guidance on treatment, timeliness of health professionals, availability of antiretroviral drugs, availability of laboratory tests, professional/user relationship and ease of access to service. Conclusion: There was no significant difference in satisfaction with the indicators: punctuality of professionals, convenience of service timetables and availability of laboratory tests

Health care for people with HIV: evaluation of users

Objective: This is it an evaluative study with a quantitative approach that aimed to assess the user satisfaction for outpatient care, conducted in a referral hospital in the treatment of AIDS in Natal/RN. Method: The target population consisted of all 626 patients with HIV in monitoring. As an instrument of data collection used a structured form. The data were analyzed using descriptive and inferential statistics. Results: was observed that males with a mean age of 38 years, characterize the profile of HIV carriers coming from metropolis, with basic education and family income of up to two minimum wages, and type of heterosexual exposure. Most users deemed the service of assessment unsatisfactory. Was observed a significant difference (ρ < 0,001) between the variable of satisfaction and the predictor variables. Conclusion: We conclude that the health care service was appointed as being unsatisfactory by respondents demonstrated this by statistical tests

Degree of satisfaction of puerperal women about the quality of care in Rooming-in of a Public Maternity

Objective: to identify the degree of satisfaction of puerperal women regarding the Quality of Care (QOC) in Rooming-in (RI) of a public maternity. Method: descriptive quantitative research with 351 women who answered a structured interview that obeyed legal procedures for research involving human beings. Data analysis was performed by means of the Likert scale. The study was approved by Ethics Research Committee of the Federal University of Rio Grande do Norte, under the Protocol No. 034/11-P and certificate presentation to Ethics Assessment nº. 0043.0.051.000-11. Results: there was satisfaction with the care, multidisciplinary team, guidelines, visiting hours and dissatisfaction for the indicators: physical structure, privacy, comfort and ventilation. Conclusion: it is concluded that most users are satisfied with the health services although there were complaints with the ambiance. The opinion of the mothers is important and reflects the actions that have been developed in the health sector, directing to a planning that offers quality, once that the RI is characterized as a hospital system and should provide cozy space with comfort, privacy, infrastructure to have adequate assistance

Avaliação da adesão à terapia antirretroviral em pacientes com AIDS Evaluation of adherence to antiretroviral therapy for AIDS patients

RESUMO:Objetivo: Avaliar a adesão ao tratamento antirretroviral de pacientes com AIDS. Método: Trata-se de um estudo transversal e descritivo, com abordagem quantitativa realizado em um Centro de referência de doenças infectocontagiosas em Natal/RN, no período de agosto de 2010 a julho de 2011. Coletaram-se os dados por meio dos prontuários, questionário, e registro de dispensação da farmácia. Resultados: Dos 402 pacientes estudados, 70,2% eram do gênero masculino, com média de 35 anos, e 90,0% apresentou tempo de contaminação de 1 a 5 anos. Observou-se que apenas 30% dos pacientes aderiram adequadamente ao tratamento. Conclusão: A adesão encontrada está aquém do preconizado na literatura, para aumentar a adesão à terapia antirretroviral (TARV) é indispensável a realização de estratégias de conscientização e envolvimento do usuário. Descritores: Adesão à Medicação; Terapia Antirretroviral de Alta Atividade; Infecções por HIV.  ABSTRACT:Objective: The objective of the present study was to evaluate adherence to antiretroviral treatment for AIDS patients. Method: This is a quantitative study, field,and descriptive, at Reference Center for infectious diseases in Natal/RN, from August 2010 to July 2011. Data were collected through medical records, interviews and the pharmacy dispensing records.Results: Participated in the study 402 patients, among whom (70.2%) were male, the mean age was 35 years, and 90.0 had been diagnosed of HIV infection between 1 to 5 years. It was observed that 30% of the patients adhered to treatment. Conclusion: The Adherence in the present study are lower than those recommended in the literature, to increase adherence to ART is essential to carry out strategies to increase awareness and user engagement. Descriptors: Medication Adherence; Antiretroviral Therapy; HIV Infections. RESUMEN: Objetivo: Este estudio tuvo como objetivo evaluar la adherencia al tratamiento antirretroviral para pacientes con SIDA.Método: Estudio de carácter cuantitativo, campo, llevado a cabo en un centro de referencia para las enfermedades infecciosas en Natal / RN, de agosto 2010 a julio 2011. Se recogieron los datos a través de gráficos, cuestionarios y registros de farmacia dispensadora.Resultados: De los 402 pacientes estudiados (70,2%) eran varones, con una media de 35 años, y el 90,0% mostraron contaminación momento 1-5 años. Se observó que el 30% de los pacientes se adhirió al tratamiento. Conclusión: La adherencia se encuentra más baja que las recomendadas en la literatura, para aumentar la adherencia al tratamiento antirretroviral es esencial para llevar a cabo las estrategias para aumentar el conocimiento y la participación de los usuarios. Descriptores:Cumplimiento de la Medicación; Terapia Antirretroviral Altamente Activa; Infecciones por VIH.

Avaliação da adesão à terapia antirretroviral em pacientes com AIDS Evaluation of adherence to antiretroviral therapy for AIDS patients

RESUMO: Objetivo: Avaliar a adesão ao tratamento antirretroviral de pacientes com AIDS. Método: Trata-se de um estudo transversal e descritivo, com abordagem quantitativa realizado em um Centro de referência de doenças infectocontagiosas em Natal/RN, no período de agosto de 2010 a julho de 2011. Coletaram-se os dados por meio dos prontuários, questionário, e registro de dispensação da farmácia. Resultados: Dos 402 pacientes estudados, 70,2% eram do gênero masculino, com média de 35 anos, e 90,0% apresentou tempo de contaminação de 1 a 5 anos. Observou-se que apenas 30% dos pacientes aderiram adequadamente ao tratamento. Conclusão: A adesão encontrada está aquém do preconizado na literatura, para aumentar a adesão à terapia antirretroviral (TARV) é indispensável a realização de estratégias de conscientização e envolvimento do usuário. Descritores: Adesão à Medicação; Terapia Antirretroviral de Alta Atividade; Infecções por HIV.   ABSTRACT: Objective: The objective of the present study was to evaluate adherence to antiretroviral treatment for AIDS patients. Method: This is a quantitative study, field,and descriptive, at Reference Center for infectious diseases in Natal/RN, from August 2010 to July 2011. Data were collected through medical records, interviews and the pharmacy dispensing records.Results: Participated in the study 402 patients, among whom (70.2%) were male, the mean age was 35 years, and 90.0 had been diagnosed of HIV infection between 1 to 5 years. It was observed that 30% of the patients adhered to treatment. Conclusion: The Adherence in the present study are lower than those recommended in the literature, to increase adherence to ART is essential to carry out strategies to increase awareness and user engagement. Descriptors: Medication Adherence; Antiretroviral Therapy; HIV Infections.   RESUMEN: Objetivo: Este estudio tuvo como objetivo evaluar la adherencia al tratamiento antirretroviral para pacientes con SIDA.Método: Estudio de carácter cuantitativo, campo, llevado a cabo en un centro de referencia para las enfermedades infecciosas en Natal / RN, de agosto 2010 a julio 2011. Se recogieron los datos a través de gráficos, cuestionarios y registros de farmacia dispensadora.Resultados: De los 402 pacientes estudiados (70,2%) eran varones, con una media de 35 años, y el 90,0% mostraron contaminación momento 1-5 años. Se observó que el 30% de los pacientes se adhirió al tratamiento. Conclusión: La adherencia se encuentra más baja que las recomendadas en la literatura, para aumentar la adherencia al tratamiento antirretroviral es esencial para llevar a cabo las estrategias para aumentar el conocimiento y la participación de los usuarios. Descriptores:Cumplimiento de la Medicación; Terapia Antirretroviral Altamente Activa; Infecciones por VIH.