Les déterminants psychosociaux de l'observance thérapeutique chez les personnes infectées par le VIH : représentations et valeurs

Abstract : In 1996 with the apparition of tritherapy, patients have to learn to live with their HIV and so with a chronic illness. Many publications have shown the importance of compliance (respect of medical prescription) with HIV patients. This study intends showing to which extent the compliance is influence by social and psychological variables significant. This research executed in 2002, gathered 127 HIV patients (aged from 18-65 years) which have filled up a questionnaire at the occasion of their quaterly consultation at the Metz Hospital (France). The subjects had to answer a French Compliance Scale (Tarquinio, Fisher Grégoire, 2000), the Illness Perception Questionnaire (IPQ, Weinman), the Belief Medical Questionnaire (BMQ, Horne), a French Value System Scale (Fischer), a treatment satisfaction scale and sociodemographic variables. We made multidimensional analyses (PCA : Principal Component Analysis ; Multiple Regression Analysis, and Structural Equation), in order to show the principal variables subjacent to scales. Results reveal that the social and psychological variables significant as patients'believes, their values, environmental factors and physician-patient relation, influence compliance. The principal variables which affect compliance are patients' believes about treatment, satisfaction about treatment, confidence beside the physician, social support, duration of treatment and illness, and truthful communication. The results of this study will give to the physicians the possibility to adjust their advices and the treatments in taking into account those social and psychological variables significant, in order to increase the compliance of HIV patients.
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Aurélie Gauchet. Les déterminants psychosociaux de l'observance thérapeutique chez les personnes infectées par le VIH : représentations et valeurs. Sociologie. Université Paul Verlaine - Metz, 2005. Français. ⟨NNT : 2005METZ001L⟩. ⟨tel-01777246⟩

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