Response to pharmacological and clinical compliance monitoring of HIV-exposed children

• Published in: Avances en enfermería Vol. 39; no. 3; pp. 356 - 365
• Main Authors: Rolim de Holanda, Eliane, Silva do Nascimento, Karina, Gimeniz Galvão, Marli Teresinha, Bezerra Silva, Carolina Luiza, Moura Barroso, Léa Maria
• Format: Journal Article
• Language: Portuguese; English
• Published: Universidad Nacional de Colombia 01.12.2021
• Subjects: Caregivers; Cooperação e Adesão ao Tratamento; Cuidadores; Cumplimiento y Adherencia al Tratamiento; Enfermagem Pediátrica; Enfermería Pediátrica; HIV; Infectious Disease Vertical Transmission; NURSING; Pediatric Nursing; Transmisión Vertical de Enfermedad Infecciosa; Transmissão Vertical de Doença Infecciosa; Treatment Adherence and Compliance; ViH; Transmisión Vertical de Enfermedad Infecciosa; Enfermería Pediátrica; Caregivers; Cuidadores; Treatment Adherence and Compliance (source: DeCS, BIREME); Pediatric Nursing; Cumplimiento y Adherencia al Tratamiento (fuente: DeCS, BIREME); Infectious Disease Vertical Transmission; Transmissão Vertical de Doença Infecciosa; Enfermagem Pediátrica; Cooperação e Adesão ao Tratamento (fonte: DeCS, BIREME); VIH; HIV
• ISSN: 0121-4500; 2346-0261; 2346-0261
• DOI: 10.15446/av.enferm.v39n3.87987

Abstract Objective: To establish the degree of pharmacological and clinical compliance of family caregivers of HIV-exposed children as well as the sociodemographic factors associated with care performance. Materials and methods: Cross-sectional study conducted with 40 caregivers of children exposed to HIV and under specialized care service. The Ability Assessment Scale for the Care of HIV-exposed Children was used. Data were analyzed according to descriptive statistics and bivariate analysis using the Chi-square and Fisher's exact tests. Results: Caregivers' high ability for drug administration and clinical monitoring of HIV-exposed children was verified. There was a statistically significant difference between the care ability and infants' age. In the group with high care ability, there was a higher prevalence of young mothers with partners, unemployed, high school equivalent education, living with four to seven people, and receiving family support. Conclusion: Health services should consider sociodemographic factors and family support in the follow-up of HIV-exposed children by developing an expanded care plan and longitudinal interventions aimed at monitoring the ability of family caregivers to provide medication and clinical follow-up for children. Incorporating these strategies will contribute to improve pharmacological and clinical adherence of HIV-exposed children and to enhance the quality of health care.