A Concept Analysis of Medication Adherence in People Living with HIV
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Abstract
Medication adherence in people living with HIV (PLWH) has been an interesting concept. Medication non - adherence in PLWH leads to drug resistance; therefore, their symptoms will be worsened. However, this concept is still unclear, especially in care of PLWH. The purpose of this paper is to analyze the concept of medication adherence in PLWH, to clarify its meaning, to define the attributes of the concept, and to describe a term and a scope of the concept. To conduct this concept analysis study, the Walker and Avant’s method was employed. It was composed of eight steps including selecting of a concept of interest, setting the aims or the purposes of analysis, identifying all uses of the concept, setting the defining attributes, identifying a model case, identifying case studies, identifying antecedents and consequences, and defining empirical referents, respectively.
The findings of a concept analysis of medication adherence in PLWH yielded the definition of medication adherence in PLWH and its attributes. The five defining attributes include 1) Recognizing and agreeing to the medication, the benefit of treatment, and other recommendations from healthcare providers; 2) communicating and negotiating the treatment and making decision to follow medication taking or recommendations based on one’s limitations or context; and 3) participating actively and continuously in regimen as well as evaluating the treatment effect. A concept of medication adherence in PLWH should be utilized as a guideline to assess nursing care and to develop research instruments in nursing.
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