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Antiretroviral drug adherence : what happens when patients are hospitalized to medical wards and level one wards in Dr. George Mukhari hospital, Pretoria, and they are on Highly Active Antiretroviral Therapy [HAART]

Thesis (MPhil)--Stellenbosch University, 2010.

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Main Author: Nkosi, Thandi Hazel
Other Authors: Qubuda, Thozamile
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2014
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access_status_str Open Access
author Nkosi, Thandi Hazel
author2 Qubuda, Thozamile
author_browse Nkosi, Thandi Hazel
Qubuda, Thozamile
author_facet Qubuda, Thozamile
Nkosi, Thandi Hazel
author_sort Nkosi, Thandi Hazel
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MPhil)--Stellenbosch University, 2010.
format Thesis
id oai:scholar.sun.ac.za:10019.1/86873
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:41:00.180Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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spelling oai:scholar.sun.ac.za:10019.1/86873 Antiretroviral drug adherence : what happens when patients are hospitalized to medical wards and level one wards in Dr. George Mukhari hospital, Pretoria, and they are on Highly Active Antiretroviral Therapy [HAART] Nkosi, Thandi Hazel Qubuda, Thozamile Stellenbosch University. Faculty of Economic and Management Science. Dept. of Industrial Psychology. Africa Centre for HIV/AIDS Management. Dissertations -- HIV/AIDS management Theses -- HIV/AIDS management Dissertations -- Industrial psychology Theses -- Industrial psychology HIV infections -- Treatment -- South Africa -- Pretoria Antiretroviral agents -- South Africa -- Pretoria Patient compliance -- South Africa -- Pretoria Thesis (MPhil)--Stellenbosch University, 2010. ENGLISH ABSTRACT: Purpose of the study The main purpose of the study was to investigate the antiretroviral drug adherence of patients on government HAART regimen while being hospitalized at Dr. George Mukhari hospital in medical wards and level one ward. Ensuring high levels of adherence to antiretroviral treatment is a priority in managing patients with AIDS. Research Design Qualitative and quantitative data was collected prospectively. Data was collected through interviewing patients and registered nurses using structured questionnaires. Doctors’ clinical notes from the participant’s (patients) files were audited to understand the real gaps in failing to support the patients with adherence to their treatment. Findings In investigating the antiretroviral treatment drug adherence of hospitalized patients, two indicators were used:  The percentage of patient’s drug adherence level.  The level of support that is given by registered nurses and doctors to support the patients in maintaining their adherence to treatment while admitted. The research findings from the 25 participants revealed that 28% of patients had >95% adherence level and 72% of patients had <95% adherence level. The level of support from the doctors and registered nurses was poor, there was no commitment. These findings suggest that further studies are needed to improve the adherence level of patients on antiretroviral treatment. Conclusions Adherence to antiretroviral treatment is a powerful predictor of survival for individual living with HIV and AIDS. Factors that contributed to non-adherence should be attended to without delay. AFRIKAANSE OPSOMMING: Doel van die studie Die doel van die studie was om te bapaal of pasiënte voldoen aan die regering se “HAART-regime” wat Anti-retrovilare (ARV’s) ontvang, gehospitaliseerd te Dr. George Mukhari hospital. Die voldoening aan die toediening van ARV- behandeling is prioriteit in die behandeling en bevording van pasiënte met VIGS. Studie Ontwerp Kwalitatiewe en kwantitatiewe data was prospektief ingesamel. Data was ingesamel deur onderhoudvoering met pasiënte en geregistreerde susters, deur gebruik te maak van gestruktureerde vraelyste. Kliniese notas gemaak deur dokters in die betrokke pasiënt-leers is ook bestudeer om die probleemareas vas te stel, waar toediening van ARV- behandeling nie voldoende plaasgevind het nie. Bevindinge Twee indikatore is gebruik om te bestudeer of voldoende toediening van ARV-behandeling plaasvind.  Die persentasie van pasiënte wat wel voldoen aan korrekte ARV–behandeling.  Die vlak van ondersteuning ontvang deur geregistreerde susters en mediese dokters in die toediening van ARV- behandeling. Die navorsingsresultale toon die volgende van die studiegroep (=25):  28% : >95% voldoende toediening van ARV- behandeling.  72% : <95% voldoende toediening van ARV- behandeling. Die vlak van ondersteuning ontvang deur susters en mediese dokters was swak. Die bogenoemde bevindinge toon dat verdere studies nodig is om die vlak van voldoende toediening van ARV– behandeling te bevorder en te verbeter. Gevolgtrekking Voldoende toediening van ARV–behendeling is ‘n sterk voorspeller vir die oorlewing van individue met MIV en VIGS. Faktore wat bydrae tot onvoldoende toediening van ARV–behandeling moet aangespreek word. Masters 2014-06-04T09:30:28Z 2014-06-04T09:30:28Z 2010-03 Thesis http://hdl.handle.net/10019.1/86873 en_ZA Stellenbosch University 80 p. : ill. application/pdf Stellenbosch : Stellenbosch University
spellingShingle Dissertations -- HIV/AIDS management
Theses -- HIV/AIDS management
Dissertations -- Industrial psychology
Theses -- Industrial psychology
HIV infections -- Treatment -- South Africa -- Pretoria
Antiretroviral agents -- South Africa -- Pretoria
Patient compliance -- South Africa -- Pretoria
Nkosi, Thandi Hazel
Antiretroviral drug adherence : what happens when patients are hospitalized to medical wards and level one wards in Dr. George Mukhari hospital, Pretoria, and they are on Highly Active Antiretroviral Therapy [HAART]
title Antiretroviral drug adherence : what happens when patients are hospitalized to medical wards and level one wards in Dr. George Mukhari hospital, Pretoria, and they are on Highly Active Antiretroviral Therapy [HAART]
title_full Antiretroviral drug adherence : what happens when patients are hospitalized to medical wards and level one wards in Dr. George Mukhari hospital, Pretoria, and they are on Highly Active Antiretroviral Therapy [HAART]
title_fullStr Antiretroviral drug adherence : what happens when patients are hospitalized to medical wards and level one wards in Dr. George Mukhari hospital, Pretoria, and they are on Highly Active Antiretroviral Therapy [HAART]
title_full_unstemmed Antiretroviral drug adherence : what happens when patients are hospitalized to medical wards and level one wards in Dr. George Mukhari hospital, Pretoria, and they are on Highly Active Antiretroviral Therapy [HAART]
title_short Antiretroviral drug adherence : what happens when patients are hospitalized to medical wards and level one wards in Dr. George Mukhari hospital, Pretoria, and they are on Highly Active Antiretroviral Therapy [HAART]
title_sort antiretroviral drug adherence what happens when patients are hospitalized to medical wards and level one wards in dr george mukhari hospital pretoria and they are on highly active antiretroviral therapy haart
topic Dissertations -- HIV/AIDS management
Theses -- HIV/AIDS management
Dissertations -- Industrial psychology
Theses -- Industrial psychology
HIV infections -- Treatment -- South Africa -- Pretoria
Antiretroviral agents -- South Africa -- Pretoria
Patient compliance -- South Africa -- Pretoria
url http://hdl.handle.net/10019.1/86873
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