Adherencia al tratamiento antirretroviral en pacientes con VIH que acuden al Hospital Darío Machuca Palacios del cantón La Troncal de octubre 2022 a marzo 2023

Abstract

Adequate adherence to antiretroviral therapy (ART) suppresses HIV replication, achieving undetectable viral loads in the blood, prevents its spread, prolongs and improves the patient's quality of life. The objective of the study was to evaluate adherence to ART in HIV patients attending the Darío Machuca Palacios Hospital in La Troncal canton from October 2022 to March 2023, being of a descriptive observational type with a population of 80 patients registered in the comprehensive care unit (UAI) of the Darío Machuca Palacios Hospital in La Troncal canton, Patient information was obtained by applying the questionnaire "Evaluation of Adherence to Antiretroviral Treatment (CEAT-HIV) prior to signing the informed consent form, and CD4 lymphocyte count and viral load were taken from the IAU matrix. SPSS v23 was used for tabulation, data processing and statistical analysis. The average age was 37.58 years, the predominant age group was 31-50 years with 51.2%, male sex 52.5%, single marital status 46.3%, the level of adherence found was 37.5% insufficient adherence to antiretroviral treatment, 26.25% had low adherence, 23.75% had adequate adherence, and only 12.5% had strict adherence to antiretroviral treatment. It was found that most of the patients had insufficient adherence to antiretroviral treatment. The duration of ART has a statistically significant relationship with adherence to antiretroviral treatment P= 0.021.