Chronic disease self-management and adherence to HIV medications

被引:73
|
作者
Gifford, AL
Groessl, EJ
机构
[1] VA San Diego Healthcare Syst, Ctr Res Patient Oriented Care, San Diego, CA 92161 USA
[2] VA San Diego Healthcare Syst, QUERI HIV, San Diego, CA 92161 USA
[3] Univ Calif San Diego, Sch Med, La Jolla, CA 92093 USA
关键词
patient self-management; HIV infection; patient compliance; patient participation;
D O I
10.1097/00126334-200212153-00016
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Although it is widely recognized that potent antiretroviral therapies have transformed HIV from an acute to a chronic illness, it is less often recognized that with this change, a different model of care is appropriate. People living with chronic HIV must function independently, taking personal long-term, day-to-day responsibility for care. The role of doctors and the healthcare system is to help them do this. The authors present a conceptual framework for the self-management of chronic HIV disease and discuss the components of an HIV self-management program. The ability to take antiretroviral medications well and consistently is a key part of self-management but should be nested within an array of important skills, including symptom-management skills, goal setting and planning, communication, and accessing information and resources.
引用
收藏
页码:S163 / S166
页数:4
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