ผลของโปรแกรมการส่งเสริมสมรรถนะแห่งตนและการสนับสนุนทางสังคมโดยเภสัชกรผ่านไลน์แอพพลิเคชั่นต่อความร่วมมือในการใช้ยาต้านไวรัสในผู้ป่วยติดเชื้อเอชไอวี/ เอดส์ โรงพยาบาลหัวหิน

Abstract

This quasi-experimental research was designed to determine the effects of Self-efficacy and Social Support Enhancement Program by Pharmacists through Line Application (SSPLA) on antiretroviral adherence and patient satisfaction. The study samples were 34 HIV/AIDS patients with uncontrolled viral load who received antiretroviral drugs from the HIV/AIDS Clinic, Hua Hin Hospital. They were enrolled and were allocated by simple random sampling in to 2 groups,17 patients in study group individually received SSPLA for 8 weeks, and 17 patients in control group receiving usual care. The study measured medication adherence in the 1st,4th and 8th week by pill-count method and the Medication Taking Behavior in Thai (MTB-Thai) questionnaire. In addition, assess patient satisfaction in SSPLA outcomes by interview in the 8th week. Data were analyzed using descriptive statistics and inferential statistics.

The study results revealed that the mean score of medication adherence when assessed by pill-count method and the MTB-Thai questionnaire in the study group at week 1 were 86.24±9.98 (out of 100) and 19.94±2.49 (out of 24), respectively, while those at week 4 were 93.12±4.01 and 22.06±1.52, respectively, and those at week 8 were 98.94±1.71 and 23.53±0.51, respectively, These two outcomes in study group were significantly higher than those of the control group at week 4 and at week 8 (P<0.05), 52.9% of patients receiving SSPLA had a high level of satisfaction.

The study findings show that SSPLA developed in the study significantly increased antiretroviral medication adherence, and patients received SSPLA were highly satisfied with the intervention. Therefore, should be applied routine health service incorporated with SSPLA for HIV/AIDS patients to maximize the quality of care to this group of patients.