{"id":76887,"date":"2018-03-09T23:22:20","date_gmt":"2018-03-09T23:22:20","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cumplimiento-del-tratamiento-antirretroviral-en-pacientes-vih-impacto-de-un-nuevos-sistema-de-dispensacion\/"},"modified":"2018-03-09T23:22:20","modified_gmt":"2018-03-09T23:22:20","slug":"cumplimiento-del-tratamiento-antirretroviral-en-pacientes-vih-impacto-de-un-nuevos-sistema-de-dispensacion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cumplimiento-del-tratamiento-antirretroviral-en-pacientes-vih-impacto-de-un-nuevos-sistema-de-dispensacion\/","title":{"rendered":"Cumplimiento del tratamiento antirretroviral en pacientes vih+: impacto de un nuevos sistema de dispensaci\u00f3n"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Margarita Beltr\u00e1n Garc\u00eda <\/strong><\/h2>\n<p>Objetivo     1,- determinar si se produce incremento en la adherencia de los pacientes vih+ seleccionados, tras una intervenci\u00f3n: nueva forma de dispensaci\u00f3n del tratamiento antirretroviral (tar).     2,- determinar si tras la intervenci\u00f3n, se produce una mejor\u00eda en las variables cl\u00ednicas de los pacientes &#8211; log copias arn vih\/ml, porcentaje de pacientes con supresi\u00f3n de carga viral (scv) y recuento linfocitos cd4\/ml-.  material y m\u00e9todo     el estudio se desarroll\u00f3 en un hospital general. Se incluyeron pacientes vih+ a los que durante los meses de enero y\/o febrero del a\u00f1o 2002 se les dispens\u00f3 uno de los tar seleccionados en el servicio de farmacia del hospital. Se seleccionaron aquellos tar que cumpl\u00edan criterios de mayor frecuencia de prescripci\u00f3n y que pudieran ser empaquetados en el modelo de bl\u00edster -bolsitas selladas e identificadas- disponibles. la intervenci\u00f3n consisti\u00f3 en la dispensaci\u00f3n de los tar seleccionados en una presentaci\u00f3n distinta a la que nos suministra la industria, agrupados por cada toma horaria y reenvasados en bl\u00edster. Para determinar el grado de cumplimiento de los pacientes se cre\u00f3 la variable: adherencia combinada, a partir de 2 medidas indirectas de adherencia: \u00edndice de cumplimiento y adherencia autoreferida. se distinguen 3 periodos de estudios: pre-intervenci\u00f3n, intervenci\u00f3n y post-intervenci\u00f3n, de 6 meses de duraci\u00f3n cada uno. se realiz\u00f3 un an\u00e1lisis descriptivo para las variables demogr\u00e1ficas. Se determin\u00f3 antes y despu\u00e9s de la intervenci\u00f3n: la adherencia combinada y variables resultado cl\u00ednicas. para comprobar las variables entre estos 2 periodos se utiliz\u00f3: prueba de mcnemar -para variables cualitativas&#8211; y la prueba de comparaci\u00f3n de medidas para muestras relacionadas  -para las cuantitativas&#8211;. se realiz\u00f3 un an\u00e1lisis de regresi\u00f3n log\u00edstica para determinar las variables asociadas con la adherencia combinada y con la respuesta cl\u00ednica en el periodo pre-intervenci\u00f3n.  resultados<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cumplimiento del tratamiento antirretroviral en pacientes vih+: impacto de un nuevos sistema de dispensaci\u00f3n<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cumplimiento del tratamiento antirretroviral en pacientes vih+: impacto de un nuevos sistema de dispensaci\u00f3n <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Margarita Beltr\u00e1n Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/10\/2005<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Joaquin Herrera Carranza<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Meg\u00edas guijo <\/li>\n<li> P\u00e9rez lozano Mar\u00eda  Jos\u00e9 (vocal)<\/li>\n<li>ricardo Oca\u00f1a riola (vocal)<\/li>\n<li> Montero torrej\u00f3n Juan  Carlos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Margarita Beltr\u00e1n Garc\u00eda Objetivo 1,- determinar si se produce incremento en la adherencia de los pacientes vih+ [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,957,3304,10715],"tags":[2946,26458,165762,49217,165763,37043],"class_list":["post-76887","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-farmacologia","category-preparacion-de-farmacos","category-sevilla","tag-joaquin-herrera-carranza","tag-manuel-megias-guijo","tag-margarita-beltran-garcia","tag-montero-torrejon-juan-carlos","tag-perez-lozano-maria-jose","tag-ricardo-ocana-riola"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76887","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=76887"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76887\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=76887"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=76887"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=76887"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}