Adesão à terapêutica antirretroviral de pessoas vivendo com HIV/aids em um município do interior paulista Adhesión a la terapia antirretroviral de personas viviendo con VIH/SIDA en un municipio del interior ABSTRACTObjective: To assess adherence to antiretroviral drugs by people living with HIV/AIDS and identify its association with sociodemographic and clinical variables. Methods:Cross-sectional analytical study using a sociodemographic instrument and CEAT-HIV, with data collected in the period from 2014-2015.Results: A 75.0% was identified as having a good/proper adhesion. It was found that individuals between ages 40 and 59 (p = 0.029) and with morethan eight years of formal education (p = 0.043) had a higher level of compliance, as well as those diagnosed with HIV/AIDS for more than 10 years (p = 0.002), CD4 count >350 cells/mm3 (p<0,001) and an undetectable viral load (p=0,025). Conclusion:In this study, a good adhesion between the subjects was identified and it was observed that individuals of older age, higher level of education, delayed diagnosis, high CD4 cell counts and undetectable viral load were associated with higher treatment adherence.Keywords: Medication adherence. Antiretrovirals. HIV. Nursing. Nursing care. RESUMO Objetivo: Avaliar a adesão aos antirretrovirais de pessoas vivendo com o HIV/AIDS e identificar sua associação com variáveis sociodemográficas e clínicas.Métodos: Estudo analítico transversal que utilizou instrumento sociodemográfico e o CEAT-HIV, com dados coletados no período de 2014 a 2015.Resultados: Identificou-se 75,0% com grau de adesão bom/adequado. Verificou-se que os indivíduos com idade entre 40 e 59 anos (p=0,029) e com mais de oito anos de estudo (p=0,043) obtiveram maior grau de adesão, assim como aqueles com diagnóstico de HIV/AIDS há mais de 10 anos (p=0,002), contagem de TCD4 >350 células/mm 3 (p<0,001) e carga viral indetectável (p=0,025). Conclusão:Nesse estudo, identificou-se uma boa adesão entre os sujeitos e observou-se que indivíduos de maior faixa etária, maior grau de escolaridade, maior tempo de diagnóstico, elevada contagem de células TCD4 e carga viral indetectável estiveram associados a uma maior adesão ao tratamento.Palavras-chave: Adesão à medicação. Antirretrovirais. HIV. Enfermagem. Cuidados de enfermagem. RESUMEN Objetivo: Evaluar la adherencia a los medicamentos antirretrovirales para las personas que viven con el VIH/SIDA e identificar su asociación con variables sociodemográficas y clínicas.Métodos: Estudio transversal analítico utilizando instrumento sociodemográfico y CEAT-VIH, con los datos recogidos desde 2014 hasta 2015.Resultados: Se identificó un 75,0% con el grado de buena adherencia/adecuada. Se encontró que los individuos con edades comprendidas entre los 40 y los 59 años (p = 0,029) y más de ocho años de estudio (p = 0,043) tuvieron mayor nivel de cumplimiento, así como las personas diagnosticadas con VIH/SIDA durante más de 10 años (p = 0,002), recuento de CD4> 350 células/mm3 (p <0,001) y la carga viral indetectable (p = 0,025). Concl...
the prevalence of inconsistent condom male use among PLWHA was low, however, evidenced greater compliance among men over women with a statistically significant difference and the daily use of alcohol was associated with inconsistent condom use.
Objective: to analyze predictors of inconsistent condom use among HIV-positive people with sexual immunodeficiency virus serodifferent sexual partnership. Method: cross-sectional, analytical study with a consecutive non-probabilistic sample consisting of people living with the human immunodeficiency virus with serodifferent sexual partnership and who were in outpatient clinical follow-up. Data were collected through individual interviews guided by a semi-structured questionnaire and subsequently analyzed with bivariate analysis and logistic regression. Results: Seven variables were independently associated with inconsistent condom use. Schooling less than 11 years of schooling (4.9 [2.4-10.1]), having multiple partnerships (5.0 [1.3-19.6]), using alcohol (2.1 [1.1 -4.4]) or other drugs (2.8 [1.2-6.3]), do not receive advice from a healthcare professional (2.0 [1.1-3.9]), have no knowledge of treatment as prevention (3.0 [1,2-6,9]) and not knowing that undetectable viral load reduces the risk of human immunodeficiency virus transmission (3.8 [1,1-13,7]) were predictors for inconsistent condom use. Conclusion: The study showed that psychosocial factors interfere with consistent condom use between serodifferent partnerships. Thus, it is highlighted that there is a need for comprehensive interventions that include the integration of clinical and psychosocial care.
Abstract. [Purpose] This study attempted to assess the impact of pain on the life of breast cancer survivors using the Brief Pain Inventory (BPI). [Subjects and Methods] A cross-sectional study was conducted. Participants comprised 30 women, aged 30-80 years, who had received treatment for breast cancer (surgery and complementary treatment) at least 12 months prior to the study and had reported chronic pain related to the treatment procedures.[Results] The highest scores were found for "mood" (median: 5.00 points; first quartile: 1.00 points; third quartile: 7.25 points), "normal work" (median: 5.00 points; first quartile: 0.00 points; third quartile: 8.00 points), and "sleep" (median: 4.50 points, first quartile: 0.00 points, third quartile: 8.00 points).[Conclusion] Pain exerts a negative impact primarily on mood, normal work, and sleep among breast cancer survivors.
Objective: To analyze the somatic and affective-cognitive symptoms of depression according to the sex of people living with HIV/AIDS. Methods: Analytic study developed at specialized care services in Ribeirão Preto-SP, including a sample of 331 participants. To collect the data, a sociodemographic characterization tool and Beck's Depression Inventory (BDI) were used. Results: Among the interviewees, 50.4% were male, 52.1% of whom in the age range between 20 and 35 years. Higher education (p=0.001) and lower income (<0.001) were found for the women and more comorbidities (p=0.004) for the men. It was identified that the women presented higher mean depression scores in the somatic (p<0.001) as well as in the affective/cognitive domains (p<0.001). Conclusion: These study results appoint that the women present higher depressive symptom scores than the man, in the somatic as well as in the affective/cognitive domains of the BDI subscales. ResumoObjetivo: Analisar os sintomas somáticos e afetivo-cognitivos de depressão segundo o sexo de pessoas que vivem com HIV/AIDS. Métodos: Estudo analítico realizado em serviços de atendimento especializado em Ribeirão Preto-SP, com amostra de 331 participantes. Para coleta de dados foram utilizados instrumento de caracterização sociodemográfica e o Inventário de Depressão de Beck (BDI). Resultados: Dos entrevistados, 50,4% eram do sexo masculino e destes, 52,1% estavam na faixa etária de 20 a 35 anos. As mulheres apresentaram maior escolaridade (p=0,001) e menor renda (<0,001), e os homens apresentaram mais comorbidades (p=0,004). Identificou-se que as mulheres apresentaram maiores médias de escores de depressão, tanto no domínio somático (p<0,001) quanto no afetivo/cognitivo (p<0,001). Conclusão: Os resultados deste estudo apontam que as mulheres apresentam maiores escores de sintomatologia depressiva do que os homens, tanto no domínio somático quanto no afetivo/cognitivo das subescalas do IDB.
RESUMOTrata-se de um estudo descritivo que teve como objetivo elaborar e implementar uma proposta de intervenção para educação em saúde, de maneira interdisciplinar, por meio de atividades de grupo junto às pessoas vivendo com o vírus da imunodeficiência humana (HIV)/aids atendidas no serviço de referência, na cidade de Maceió-AL. Adotou-se como referencial metodológico a pesquisa-ação. Foram realizadas 84 oficinas de educação em saúde com 126 pessoas no período de abril de 2009 a dezembro de 2010 durante as quais foi adotada a metodologia de rodas de conversa, e diversas estratégias educativas com o enfoque na promoção da saúde e qualidade de vida. Os temas abordados valorizaram, além dos aspectos biológicos, as questões emocionais da vida social e afetiva das pessoas com a infecção pelo HIV/aids. Tal proposta é uma estratégia viável e qualifica o cuidado em saúde junto às pessoas que vivem com o HIV/aids. Palavras-chave: Educação em saúde. Infecções por HIV. Promoção da saúde.
Introduction: HIV infection as a chronic disease has emerged from treatment advances over the past three decades. From this perspective, the diseases associated with AIDS are not a main threat for patients who use Antiretroviral Therapy (ART). A new set of HIV associated complications have emerged resulting in comorbidities related to aging and ART exposure as cardiovascular disease (CVD). This study aimed to evaluate the cardiovascular risk factors in people living with HIV (PLWH) in Brazil. Methodology: This was a cross-sectional study carried out at all Specialized Care Services for people living with HIV in the Southeast of Brazil. A sociodemographic and clinical questionnaire was used and cardiovascular risk assessed through the Framingham Score. Data analysis was performed by Chi-square, Fisher’s exact test and logistic regression. Results: The majority were male, over 40 years old and they showed a mean age of 44 years. Current hypertension, diabetes, altered body mass index, presence of metabolic syndrome and altered abdominal circumference were also associated with cardiovascular risk. After regression analysis, male sex, older age, smoking, diabetes, hypertension and metabolic syndrome were related as predictive factors for a higher cardiovascular risk. Conclusions: The results demonstrate that combination of the prevention of modifiable risk factors with considerable changes in lifestyle are determining factors for success in the therapeutic of PLWH. High levels of motivation are essential for behavioral changes, and nurses are ideally position to provide safe care with nonpharmacological strategies for CVD risk reduction.
Objective: to identify the perception of the nursing team concerning pregnancy in the presence of HIV. Methods: this is aqualitative study made in a reference hospital. For data collection individual interviews were conducted and recorded with15 nurses who provide care to women during their puerperal and/or pregnancy process. The data were described accordingto thematic analysis. Results: gestation in the presence of HIV is perceived as irresponsibility, misinformation, and concernwith the risks of vertical transmission. The divergent statements of the nursing team point to the lack of understanding ofpregnancy in terms of the needs and desires of people living with HIV which may favor an improper procedure and nursingassistance limited to the behavior and technical nursing care in order to reduce vertical transmission of HIV. Conclusion:it is necessary that in the education of health, in the several levels of nursing include matters concerning the gender, sexualand reproductive rights.
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