Can thiệp tăng cường tuân thủ điều trị ARV và nâng cao chất lượng cuộc sống của nhóm nam quan hệ tình dục đồng giới=Intervention to increase ARV adherence and improve the quality of life among homosexual male

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Tác giả: Trung Thành Bùi, Minh Giang Lê, Hồng Thắng Phạm, Minh Anh Vũ, Thị Bích Hồng Vũ, Đình Anh Tú Vương

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.222-233

Bộ sưu tập: Báo, Tạp chí

ID: 244655

Thêm vào giỏ

Randomized controlled clinical trial was conducted among men who have sex with men (MSM) at some clinics in Hanoi by interventions based on social networking Zalo, including sending media articles, short messages and make consultant calls. The study’s subject are to increase ARV adherence and improve the quality of life. The study participants had an average age of 25.5 ± 6.3 years old, 18.7% of MSM received support from a peer group, 46.7% of MSM had mild or higher anxiety levels. The results showed a significant difference in ARV treatment adherence and quality of life between the intervention group and the control group at 3 and 6 months (p-value <
0.05). The rate of high-level adherence to ART increased significantly in the intervention group from 42.1% to 53.4% after 3 months and 67.0% after 6 months, while the control group decreased from 48.6% to 36.7% after 3 months and 37.6% after 6 months. The score of quality of life among intervention group increased from 13.9 to 16.9 after 3 months and 17.1 after 6 months, with an increasing trend in most domains, except personal beliefs. The quality of life in control group did not change over time. These interventions can be considered as pilot study to extend on the different locals communities.Thử nghiệm lâm sàng đối chứng ngẫu nhiên được thực hiện trên nhóm nam có quan hệ tình dục đồng giới (MSM) tại một số phòng khám tại Hà Nội thông qua các can thiệp thực hiện trên mạng xã hội Zalo, bao gồm: gửi bài truyền thông, gửi thông điệp ngắn và thực hiện cuộc gọi tư vấn. Nghiên cứu nhằm đánh giá tác động cuả các can thiệp trong tăng cường tuân thủ điều trị ARV và nâng cao chất lượng cuộc sống. Tuổi trung bình của MSM là 25,5 ± 6,3
18,7% MSM được hỗ trợ bởi nhóm đồng đẳng, 46,7% MSM có mức độ lo âu từ mức độ nhẹ trở lên. Kết quả: có khác biệt về tuân thủ điều trị ARV và chất lượng cuộc sống giữa nhóm can thiệp và nhóm chứng vào thời điểm 3 và 6 tháng (p-value <
0,05). Tỷ lệ tuân thủ điều trị ARV mức độ cao tăng đáng kể trong nhóm can thiệp từ 42,1% lên 53,4% sau 3 tháng và 67,0% sau 6 tháng, trong khi nhóm chứng giảm từ 48,6% xuống 36,7% sau 3 tháng và 37,6% sau 6 tháng. Điểm chất lượng cuộc sống của nhóm can thiệp tăng từ 13,9 lên 16,9 sau 3 tháng và 17,1 sau 6 tháng, có chiều hướng tăng trên hầu hết các lĩnh vực, trừ niềm tin cá nhân. Nhóm chứng không có sự thay đổi về điểm chất lượng cuộc sống qua thời gian. Các can thiệp này có thể được cân nhắc, làm cơ sở để triển khai mở rộng thí điểm trên quy mô rộng hơn, phù hợp với tình hình địa phương.

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