Barriers to Follow-Up Care and Medication Adherence to HAART in Severe Mentally Ill Patients with HIV/AIDS: A Retrospective Chart Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/155949
Type:
Presentation
Title:
Barriers to Follow-Up Care and Medication Adherence to HAART in Severe Mentally Ill Patients with HIV/AIDS: A Retrospective Chart Review
Abstract:
Barriers to Follow-Up Care and Medication Adherence to HAART in Severe Mentally Ill Patients with HIV/AIDS: A Retrospective Chart Review
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Simpson, Jodi, RN, BS, MS, NPP, FNP
P.I. Institution Name:State University of New York at Stony Brook
Title:DNP Student
[22nd International Nursing Research Congress - Research Presentation] Purpose: Evidence pertaining to HIV patients with severe mental illness and adherence to medications is scant.  The purpose of this study was to explore barriers to medication adherence among severe mentally ill patients on HIV drug regimen and to provide recommendations for implementing a standard guideline resource tool for care. 
Methods:  A retrospective chart review (N=100) was conducted and factors associated with nonadherence were analyzed.  
Results: Barriers identified were gender, compliance with psychiatric appointments, and HIV appointments, and the length of time in psychiatric treatment.  Major Depression (61.0 %), Bipolar Disorder (25.0 %) and Schizophrenia (6.0 %) are the predominant psychiatric disorders.  T tests showed a relationship that females had higher Cd4 counts.  Chi square tests showed compliance to psychiatric appointments was related to adherence to psychiatric medications.  It also showed subjects that kept their psychiatric appointments are likely to keep their HIV care appointments (X²= 7.7(1), p=.006).  Pearson correlation shows a positive weak correlation between Cd4 count and the length one has been receiving psychiatric treatment (R=.318).
Conclusion: There are a number of barriers to compliance with HIV care but chart documentation is lacking in regards to the reasons for missed appointments and noncompliance with psychiatric or HIV medications.  This data give rise to the need for standard guideline and resource tool to improve treatment and medication adherence to improve health care.  Implementing this guideline will lead to decrease in the number of opportunistic infections and lessen drug resistant in patient receiving HIV therapy. 
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBarriers to Follow-Up Care and Medication Adherence to HAART in Severe Mentally Ill Patients with HIV/AIDS: A Retrospective Chart Reviewen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155949-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Barriers to Follow-Up Care and Medication Adherence to HAART in Severe Mentally Ill Patients with HIV/AIDS: A Retrospective Chart Review</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Simpson, Jodi, RN, BS, MS, NPP, FNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">State University of New York at Stony Brook</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">DNP Student</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Jodinpp@aol.com</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;Evidence pertaining to HIV patients with severe mental illness and adherence to medications is scant.&nbsp;&nbsp;The purpose of this study was to explore barriers to medication adherence among severe mentally ill patients on HIV drug regimen and to provide recommendations for implementing a standard guideline resource tool for care.&nbsp; <br/>Methods:&nbsp;&nbsp;A retrospective chart review&nbsp;(N=100) was conducted&nbsp;and factors associated with nonadherence were analyzed.&nbsp;&nbsp; <br/>Results:&nbsp;Barriers identified were&nbsp;gender, compliance with psychiatric appointments, and HIV&nbsp;appointments, and the length&nbsp;of time in&nbsp;psychiatric treatment.&nbsp;&nbsp;Major Depression (61.0 %), Bipolar Disorder (25.0 %) and Schizophrenia (6.0 %) are&nbsp;the predominant psychiatric disorders.&nbsp; T tests showed a relationship that females had higher Cd4 counts.&nbsp; Chi square tests showed compliance to psychiatric appointments was related to adherence to psychiatric medications.&nbsp; It also showed subjects that kept their psychiatric appointments are likely to keep their HIV care appointments (X&sup2;= 7.7(1), p=.006).&nbsp; Pearson correlation shows a positive weak correlation between Cd4 count and the length one has been receiving psychiatric treatment (R=.318). <br/>Conclusion:&nbsp;There are a number of barriers to compliance with HIV care but chart documentation is lacking in regards to the reasons for missed appointments and noncompliance with psychiatric or HIV medications.&nbsp; This data give rise to the need for standard guideline and resource tool to improve treatment and medication adherence to improve health care.&nbsp; Implementing this guideline will lead to decrease in the number of opportunistic infections and lessen drug resistant in patient receiving HIV therapy.&nbsp; <br/></td></tr></table>en_GB
dc.date.available2011-10-26T14:18:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:18:38Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.