aidsВИЧ-инфекция и иммуносупрессииHIV Infection and Immunosuppressive Disorders2077-9828Baltic Medical Education Center10.22328/2077-9828-2025-17-1-45-51aids-984Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL STUDIESОтношение медицинских работников, доступность медицинских услуг и приверженность к антиретровирусной терапии у пациентов с ВИЧ/СПИД: кросс-секционное исследованиеHealth worker’s attitude, accessibility of health services and compliance with antiretroviral therapy in patients with HIV/AIDS: a cross-sectional studyРахмадханиВ.RahmadhaniW.

Вулан Рахмадхани — доктор общественного здравоохранения, кафедра акушерства, факультет наук о здоровье

ул. Йос Сударсо, д. 461, Гомбонг, Кебумен, Центральная Ява

Wulan Rahmadhani — Dr. of Public Health, Department of Midwifery, Faculty of Health Sciences

Yos Sudarso Street no 461, Gombong, Kebumen, Central Java

wulanrahmadhani@unimugo.ac.idНамахЛ. У.Na’mahL. U.

Лутфия Ули Намах — магистр здравоохранения, факультет медицинских наук

ул. Йос Сударсо, д. 461, Гомбонг, Кебумен, Центральная Ява

Lutfia Uli Na’mah — Magister of Health, Faculty of Health Sciences

Yos Sudarso Street no 461, Gombong, Kebumen, Central Java

КомарУ. Л.QomarU. L.

Уми Лаелатул Комар — магистр общественного здравоохранения, факультет медицинских наук

ул. Йос Сударсо, д. 461, Гомбонг, Кебумен, Центральная Ява

Umi Laelatul Qomar — Magister of Public Health, Faculty of Health Sciences

Yos Sudarso Street no 461, Gombong, Kebumen, Central Java

ЧамроенП.ChamroenP.

Палл Чамроен — доктор общественного здравоохранения, научный сотрудник

Pall Chamroen — Doctor of Public Health

Университет Мухаммадия ГомбонгИндонезияUniversitas Muhammdiyah GombongIndonesiaЦентр исследований здоровья населения ХанаКамбоджаResearch Fellow Khana Center for Population Health ResearchCambodia2025120420251714551Copyright © Рахмадхани В., Намах Л.У., Комар У.Л., Чамроен П., 20252025Рахмадхани В., Намах Л.У., Комар У.Л., Чамроен П.Rahmadhani W., Na’mah L.U., Qomar U.L., Chamroen P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://hiv.bmoc-spb.ru/jour/article/view/984

Ключом к успеху в лечении ВИЧ-инфекции является приверженность к антиретровирусной терапии (АРТ). Это связано с тем, что непрерывная АРТ подавляет ВИЧ до неопределяемого уровня, снижает риск развития лекарственной устойчивости, улучшает качество жизни, выживаемость пациентов и общее состояние здоровья, снижает риск передачи ВИЧ. Напротив, несоблюдение режима лечения может быть основной причиной неудачи терапии.Цель исследования: выявить факторы, влияющие на соблюдение режима АРТ у пациентов с ВИЧ/СПИД.Материалы и методы. В данном исследовании использовался метод поперечных срезов. Было задействовано 289 респондентов. Размер выборки был основан на формуле HSIEH (1989). В одномерном анализе использовалось распределение частот для процентных показателей. В двумерном регрессионном анализе и многомерном анализе использовалась множественная логистическая регрессия со скорректированным OR, 95% доверительным интервалом (CI) и значением p<0,05Результаты и их обсуждение. Некоторые факторы имели значимую связь с формированием приверженности к АРТ, а именно возраст [p<0,001 (95% ДИ 4,15–134,09)], профессия [p=0,002 (95% ДИ 2,7–32,7)], знания и информированность о заболевании и состоянии здоровья [p<0,001 (95% ДИ 6,15–43,8)], доступность медицинских услуг [p=0,004 (95% ДИ 1,5–9,4)] и отношение медицинских работников [p<0,001 (95% ДИ 1,88–9,21)].Заключение. Доверительные взаимоотношения между пациентом и поставщиком медицинских услуг крайне важны Повышение доверия пациентов посредством непредвзятого и поддерживающего ухода и использование позитивных мотивационных стратегий может повлиять на соблюдение режима лечения. Рассмотрение каждой предпринятой меры важно для достижения оптимальных клинических результатов и реализации эффективной работы общественного здравоохранения в отношении лечения и профилактики ВИЧ-инфекции

The key to success in HIV treatment is compliance with antiretroviral therapy (ART). This is because continuous AR therapy can suppress HIV to undetectable levels, reduce the risk of drug resistance, improve quality of life and survival, improve overall health, and reduce the risk of HIV transmission. On the other hand, non-compliance with treatment can be a major cause of therapy failure.The aim: to identify factors influencing compliance with ART therapy in patients with HIV/AIDSMaterial and Methods. This study used a cross-sectional method. It involved 289 respondents as samples. The sample size was based on HSIEH formula (1989). Univariate analysis used frequency distribution to describe the percentage. Bivariate Logistic regression analysis (Adjusted OR and 95% confident interval) and multivariate analysis used Multiple logistic regression with Adjusted OR, 95% Confident Interval (CI), and a significant value of <0.05.Results and discussion. Some factors had a significant relationship to the outcome, namely age with a p-value of <0.001 (95% CI 4.15–134.09), Occupation with a p-value of 0.002 (95% CI 2.7–32.7), Knowledge with a p-value <0.001 (95% CI 6.15– 43.8), attitude with a p-value of <0.001 (95% CI 3.37–43.8), accessibility of health services with a p-value of 0.004 (95% CI 1.5–9.4), and health worker’s attitudes with a p-value <0.001 (95% CI 1.88–9.21).Conclusion. Another factor is also important, namely a good patient-provider relationship. Increasing patient trust through non-judgmental and supportive care and using positive motivational strategies can affect treatment compliance. Considering each measure taken is important to achieve optimal clinical outcomes and realize public health with preventive treatment

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The authors declare that there are no conflicts of interest present.