Objective: To identify and explore the dimensions of the difficulties faced by people living with HIV/Aids in the disease management. Methods: A qualitative, descriptive, exploratory study was developed in Specialized Care Services, with 26 patients. The recorded interviews were transcribed, and then processed and analyzed by means of descending hierarchical classification. Findings were based on the collective subject discourse. Results: Five classes were obtained: "Intrafamilial prejudice and its impact on coping with the disease"; "Social prejudice: macro environment impacts"; "Difficulties in managing the risk of HIV/Aids transmission and its implications on partnerships", "Maintenance of high rates of HIV/ Aids treatment adherence: qualifying the service" and "Quality of life promotion for people living with HIV/Aids". Conclusion: The difficulties experienced go far beyond the disease, with central, intimate aspects, and are linked to prejudice, which hinders their personal, professional and affective development, expanding into abstract macro-concepts such as quality of life. ResumoObjetivo: Identificar e explorar as dimensões das dificuldades enfrentadas por Pessoas Vivendo com HIV/Aids no manejo da doença. Métodos: Estudo descritivo, exploratório, de abordagem qualitativa desenvolvido em Serviços de Atendimento Especializado, com 26 pacientes. As entrevistas gravadas foram transcritas e posteriormente, processadas analisadas pela Classificação Hierárquica Descendente. Os achados foram fundamentados no Discurso do Sujeito Coletivo. Resultados: Obteve-se cinco classes: "O preconceito intrafamiliar e seu impacto no enfrentamento da doença"; "Preconceito social: os impactos do macroambiente"; "As dificuldades em gerenciar o risco de transmissão do HIV/Aids e as implicações em parcerias", "A manutenção de altas taxas de adesão ao tratamento do HIV/Aids: qualificando o serviço" e " Promovendo a qualidade de vida em pessoas vivendo com HIV/Aids". Conclusão: As dificuldades experienciadas vão muito além da doença, tomando aspectos íntimos, centrais ligadas ao preconceito, que impede seu desenvolvimento pessoal, profissional e afetivo expandindo-se a macro-conceitos abstratos como qualidade de vida.

Objective: To analyze factors related to the quality of life of elderly people living with HIV/AIDS. Method: A cross-sectional study was carried out with people aged 50 years or more in a specialized outpatient clinic. The data collection was by means of an interview. For the analysis of data and characterization of the sample, descriptive statistics and comparison tests were used. The project met the ethical requirements. Results: Participants were 81 users aged 50 to 75 years, mean age was 57.8 (± 6.1) years, 71.6% of whom were men. There was a statistically signifi cant relationship with the quality of life, the following variables: gender, children, occupation, religion, diagnosis time, HIV exposure, adverse effects, treatment interruption, viral load counts, hospitalization, dependence for daily activities and use of drugs. Conclusion: The results suggest that the quality of life defi cit is related not only to physical changes, but to the anguish and stigma related to HIV/AIDS. Descriptors: Acquired Immunodefi ciency Syndrome; HIV; HIV Seropositivity; Quality of Life; HIV Infections. RESUMO Objetivo: Analisar os fatores relacionados com a qualidade de vida de idosos vivendo com HIV/aids. Método: Estudo transversal realizado com pessoas de idade igual ou superior a 50 anos em um ambulatório especializado. A coleta de dados foi por meio de entrevista. Para a análise dos dados e caracterização da amostra, utilizou-se da estatística descritiva e testes de comparação. O projeto atendeu às exigências éticas. Resultados: Participaram 81 usuários de 50 a 75 anos, cuja média foi 57,8 (±6,1) anos, sendo 71,6% homens. Houve relação estatisticamente signifi cante com a qualidade de vida, as seguintes variáveis: sexo, fi lhos, ocupação, religião, tempo de diagnóstico, exposição ao HIV, efeitos adversos, interrupção do tratamento, contagem de carga viral, internação, dependência para atividades diárias e uso de drogas. Conclusão: Os resultados sugerem que o défi cit de qualidade de vida não está ligado apenas às mudanças físicas, mas às angustias e ao estigma relacionado ao HIV/aids. Descritores: Síndrome de Imunodefi ciência Adquirida; HIV; Soropositividade para HIV; Qualidade de Vida; Infecções por HIV. RESUMENObjetivo: Analizar los factores relacionados con la calidad de vida de ancianos que viven con VIH/SIDA. Método: Estudio transversal realizado con personas de edad igual o superior a 50 años en un ambulatorio especializado. La recolección de datos fue por medio de entrevista. Para el análisis de los datos y caracterización de la muestra, se utilizó la estadística descriptiva

Objective: Analyzing the factors related to perceived stigmatization of people living with HIV. Method: A cross-sectional study conducted from September of 2014 to December 2015 with users from a specialized service in Minas Gerais. Data were collected through individual instrument application, organized in Microsoft Office Excel® 2010 spreadsheets and processed on IBM® SPSS 23.0. Descriptive statistics and multiple linear regression method were used for data analysis, adopting statistical significance set at 5.0% (p≤0.05). The study development met research ethics standards. Results: 258 users participated in the study. Most were males between 40 and 49 years of age, single, with low educational level and income. Being between 40 and 49 years of age and having been hospitalized for complications related to HIV were positively associated predictors to increased stigmatization; while not having comorbidities and not being aware of exposure to HIV were predictors associated to reduced stigmatization. Conclusion: Given these results, we highlight that stigmatization can have an impact on the lives of people living with HIV, strengthening their feelings of guilt and shame, which can lead to depression, social isolation and abandoning treatment and clinical follow-up.

To evaluate the effect of an educational intervention on knowledge about hand hygiene in nursing students. Method: Quasi-experimental study of the pre-and post-intervention type, carried out with 23 nursing students. Knowledge about hand hygiene was evaluated using a form containing questions about the subject. In addition, a theoretical and practical 1. er Trimestre 2019 • Año XXIII-N.° 53 Conclusions: The educational intervention performed in this study proved to be efficient in improving knowledge about hand hygiene.

A tuberculose na estratégia de saúde da família: o conhecimento dos agentes comunitários de saúde ABSTRACTThe objective of this study was to identify what community health agents of the municipality of São Carlos, in the State of São Paulo knew about tuberculosis, based on the handbook "Tuberculosis: information for community health agents" recommended by the Department for Health Policies. A multiple-choice questionnaire was applied with 87 workers of the 16Family Health Units in the referred municipality, 70% of which were able to minimally recognize their activities to control this disease. Relevant frailties regarding treatment duration and abandonment, in addition to myths and misinterpretations about the forms of transmission were identified. In conclusion, there is a need for specific educational activities for these professionals, taking into consideration the key role that they have in controlling tuberculosis. It is believed that these results could support educational strategies and the implementation of tuberculosis-control policies aimed at the community agent.Descriptors: Tuberculosis; Community Health Workers; Family Health Program; Health Services; Nursing. RESUMENSe objetivó identificar el conocimiento de los agentes comunitarios de salud del municipio de São Carlos-SP sobre tuberculosis, teniendo como referencia el Manual "Tuberculosis: informaciones para agentes comunitarios de salud" recomendado por la Secretaría de Políticas de Salud. Fue aplicado un cuestionario de elección múltiple con 87 profesionales de las 16 Unidades de Salud de la Familia del municipio, habiendo sido casi 70% capaz de reconocer mínimamente sus acciones en el control de la enfermedad. Fueron identificadas debilidades importantes respecto de duración y abandono del tratamiento, además de mitos y equívocos sobre formas de contagio. Se concluye en que existe necesidad de acciones educativas específicas para estos profesionales, teniendo en cuenta el papel crucial que desempeñan en el control de la enfermedad. Se considera que los resultados del estudio puedan ser de ayuda para establecer estrategias educativas y adoptar políticas de control de la enfermedad orientadas al agente comunitario.

Objective: to develop and validate an educational technology for individuals living with the human immunodeficiency virus. Method: a methodological study, for the elaboration of educational material. The educational needs, content selection, and illustrations were defined from interviews with the target population. Afterward, we carried the writing, the material layout elaboration, and assembly and, subsequently, it was validated by specialists. The content validation was established from the Level Content Validity Index higher than 0.8. Results: the educational material was prepared for adults living with the human immunodeficiency virus, with a focus on health promotion and quality of life, and was prepared in five volumes. The validation was made by 22 multi-professional judges selected according to the criteria established in the study. All items were evaluated as relevant by the judges and the average obtained with the index was 0.97. Conclusion: the booklet has been validated in terms of content, language, and appearance by experts in the field. We believe that through this technology it is possible to contribute to the health literacy and empowerment of individuals living with the human immunodeficiency virus, strengthening their autonomy.

Objective To reveal the changes in the quality of life reported by women with Human papillomavirus (HPV)-induced lesions. Methods This is a cross-sectional, descriptive-exploratory study of a qualitative approach performed from June to August 2016. Semi-structured face-to-face interviews based on five questions on the concept of quality of life were used. The data were submitted to thematic analysis. All ethical aspects have been contemplated. Results A total of 20 women aged between 25 and 59 years old were interviewed. From the analysis of the data, the following thematic units emerged: physical and emotional changes, especially complaints of pruritus, discharge and pain, worry, fear, shame and sadness; changes in sexual and affective relationships with decreased libido, dyspareunia and interruption of sexual activity; changes in social relationships resulting in absenteeism at work. Conclusion Human papillomavirus infection impairs the quality of life of women as it significantly affects sexual, affective, physical, emotional, and everyday habits. Therefore, HPV infection can lead to exponential changes in the quality of life of women, which can be mitigated by the availability of sources of support such as family, friends and the multi-professional team, helping to improve knowledge and cope with HPV.

Objective: Identify the rate and predictive factors of the hospitalization of people living with HIV/AIDS (PLHA), aged 50 years or older. Method: A quantitative, cross-sectional study was conducted at two inpatient units specialized in infectious diseases in a teaching hospital. Data were gathered through individual interviews between August 2011 and February 2015. All ethical precepts were followed. Results: Of the 532 admitted patients, 95 were PLHA 50 years old or older; 30.5% were admitted 3 to 4 times after being diagnosed with HIV/AIDS. Conclusion: Rate of hospitalization was 17.8%, and being 50 to 60 years old was a protective factor against hospitalization.