Adesão à terapia antirretroviral em homens vivendo com HIV/aids no Centro Hospitalar do Sistema Penitenciário: uma proposta de intervenção

• Autor(a) principal: Reis, Sandra Regina de Oliveira Rodrigues dos
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/16689
• topic: Adesão à TARV; Terapia antirretroviral; Presos com HIV/aids; Presídio; Análise do comportamento; Adherence to antiretroviral therapy; Prisoners living with HIV/aids; Prison; Analysis of behaviour; CNPQ::CIENCIAS HUMANAS::PSICOLOGIA::PSICOLOGIA EXPERIMENTAL

The adherence to antiretroviral therapy has been highlighted in various studies as an important subject, since it concerns a long term illness which requires changes in the daily routine of the individual who lives with it. Research carried out in prisons has identified a greater incidence of persons living with HIV/aids amongst prisoners than amongst persons living in liberty. In view of that, the object of this research was to analyse a proposition for intervention amongst men living with HIV/aids in the hospital section of a prison. The process was divided into three phases Phase 1 (consultation of patients records in order to obtain CD4 and the level of the virus, the completion of questionnaires and application of research tools), Phase 2 (intervention) and Phase 3 (renewed consultation of patients records to obtain CD4 and the level of the virus and a further completion of questionnaires and application of research tools). The hypothesis was that the individuals who presented a low or insufficient adhesion (to the therapy) in Phase 1, after the intervention would present a high adhesion. As well as altered degrees of adhesion, it was hoped that there would be positive changes in the clinical data (CD4 and the level of the virus). The experimental group consisted of five participants and the control group consisted of three participants. The results obtained showed that the sample was characterized by persons with an average age of 35.25 years and low levels of education. In phase 1 they presented a low or insufficient adhesion, high levels of the virus and low immune levels. After the intervention (Phase 2) the experimental group as one presented high adhesion and better levels of clinical data in distinction to the control group which presented low or insufficient adhesion, unsatisfactory immunological levels and levels of the virus with the exception of one of the participants in the control group who since the beginning presented satisfactory levels of adhesion as well as CD4 and the level of the virus. In conclusion, some important points were demonstrated by this study. One of them is the importance of carrying out research with a focus on adhesion to antiretroviral therapy among this population since there is little research in the literature even though the incidence of the disease is high. The other point is to widen a proposition like this one, to be carried out with more participants seeing that positive results were found