Qualidade de vida e adesão à medicação antirretroviral em pessoas com HIV

Galvão, Marli Teresinha Gimeniz; Soares, Larisse Lima; Pedrosa, Samyla Citó; Fiuza, Maria Luciana Teles; Lemos, Larissa de Araújo

doi:10.1590/1982-0194201500009

Cited by 37 publications

(66 citation statements)

References 9 publications

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“…, who observed an unsatisfying and low adherence rate in 71.3% of patients investigated, while Galvão et al 19 , found inadequate adherence in 51.3% of individuals. Jacques et al…”

mentioning

confidence: 89%

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Miyada

Garbín

Gatto

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction:In the 1990s, Brazil adopted a public policy that allowed for universal, free access to antiretroviral therapy (ART). Since then, treatment adherence has become a new challenge for administrators of sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) policies. This study quantified adherence to ART and verified whether there is an association between sociodemographic variables and clinical/laboratory data in human immunodeficiency virus (HIV)-infected patients. Methods: This was a cross-sectional, exploratory study with a quantitative approach that was conducted over 8 months.The target population contained patients who were assisted at the ambulatory care facility specialized in STD/AIDS of a mediumsize city located in Northwest São Paulo. In order to verify the level of adherence to ART, a validated CEAT-VIH (Assessment of Adherence to Antiretroviral Therapy Questionnaire) questionnaire was used. Sociodemographic aspects and clinical/laboratory data were obtained from the medical records. The results were analyzed using the Student's t-test and Pearson's coefficient. Results: Herein, 109 patients were interviewed, 56% of whom were male. The age of the population ranged 18-74 years (mean 45.67 years). Adherence to ART was classified as insufficient in 80.7% of cases. There was an association between ART adherence and presence of symptoms and/or opportunistic infection (p=0.008) and economic status (p<0.001). Conclusions: Adherence to ART among HIV carriers cared for by the public health system is low. Patients who reported a favorable economic status and those without symptoms and/or opportunistic infection demonstrated greater treatment adherence than those who needed to take more than 3 pills a day.

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“…, who observed an unsatisfying and low adherence rate in 71.3% of patients investigated, while Galvão et al 19 , found inadequate adherence in 51.3% of individuals. Jacques et al…”

mentioning

confidence: 89%

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Miyada

Garbín

Gatto

et al. 2017

Rev. Soc. Bras. Med. Trop.

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“…(23) This measure is related to the principle of nonmaleficence, that is, the intention of not causing harm and/or damage to the participants in the research. (24) In addition, clients' fear of revelation of their serological status is an aspect that affects the quality of life of PLWHA; (1) this is a reason why the confidentiality of the diagnosis must be considered as a priority in phone interventions directed to promote health in this target audience. (3) …”

Section: Sexualitymentioning

confidence: 99%

“…Considering the stigma associated with the infection, the emotional repercussions of living with the virus, and the incipient social support received after the diagnosis, (1) it is a challenge to promote health in people living with HIV/AIDS (PLWHA). To reach effective results in clinical practice, the healthcare team needs tools that strengthen ties and potentialize health education, with the aim of maintaining the client's autonomy and offering resources to appropriately manage the health condition.…”

Section: Introductionmentioning

confidence: 99%

Validação de mensagens telefônicas para promoção da saúde de pessoas com HIV

et al. 2017

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Objective: To evaluate the opinion of experts about the content of phone messages to promote health in people with HIV. Methods: Methodological development study to validate 10 phone messages, with participation of 11 experts that assessed their clarity and relevance. The content validity index of each phone message was calculated and a minimum concordance of 75% was established. Results: The messages were considered clear (79.1%) and very relevant (98.2%). The general content validity index was 0.98. Main suggested alterations: inclusion of a series of short questions about the subject at the beginning of every message; adjustment to a simpler and more interactive language; replacement of specific terms and exclusion of words or expressions related to HIV. Conclusion: The experts considered the messages clear and relevant to promote health in people with HIV. ResumoObjetivo: Avaliar a opinião de experts sobre o conteúdo de mensagens telefônicas para a promoção da saúde de pessoas vivendo com HIV. Métodos: Estudo de desenvolvimento metodológico direcionado à validação de dez mensagens telefônicas, com participação de 11 experts que avaliaram sua clareza e grau de relevância. O índice de validade de conteúdo relativo a cada mensagem foi calculado e estabeleceu-se uma concordância mínima de 75%. Resultados: Foram consideradas mensagens claras (79,1%) e muito relevantes (98,2%). O índice de validade de conteúdo geral foi 0,98. Principais alterações sugeridas: inclusão de um questionamento sobre o tema no início de cada mensagem; adequação para uma linguagem mais simples e interativa; substituição de termos específicos e exclusão de palavras ou expressões relacionadas ao HIV. Conclusão: Os experts consideraram as mensagens claras e relevantes para a promoção da saúde das pessoas vivendo com HIV.

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“…In the course of the epidemic, it showed quantitative changes, regarding the progression of reported cases, as well as qualitative changes, relating to the increased number of affected females, youth, impoverished people and rural populations, in its epidemiological characteristics 4,5 . Concerning health care for HIV-infected people, Brazil has maintained universal and free access policies to antiretroviral therapy (ART) since 1996, an initiative that provides a greater perspective of quality of life 6 , allowing those infected to maintain their life projects, such as creating and expanding a family.…”

Section: Disclosure Of the Diagnosis Of Parental Hivmentioning

confidence: 99%

“…There are many clinical and social challenges experienced by parents and children, as well as by the professionals who provide health care to this population 9,10 . Among the clinical demands are mainly: permanent monitoring of health and adherence to drug treatment 6,11 .…”

Section: Disclosure Of the Diagnosis Of Parental Hivmentioning

confidence: 99%

Revelação do diagnóstico de HIV dos pais

Zanon¹,

Almeida

Brum

et al. 2016

Rev. Bioét.

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The aim was to assess scientific evidence available in the literature about the factors that influence the decision to disclose the parents' HIV diagnosis to their children. The type study is integrative review in the Medline and Lilacs databases, using the words [HIV or aids] and [criança or adolescente] and [revelação]. 14 articles were selected. Factors influencing the decision to disclose the diagnosis were: the cognitive ability and maturity of the child, the strengthening of family ties, the information provided to the child about the disease, parental illness and death, the discovery by third parties, stigma and prejudice, negative reactions from the children, the way to talk about the disease with the child, and the fear of losing parental power. Therefore, a process of preparation for disclosure of the diagnosis, shared among family members who take care of the child and health professionals who maintain ties with the family, was identified. Keywords: HIV. Acquired immunodeficiency syndrome. Child health. Adolescent health. Truth disclosure. Family. Resumo Revelação do diagnóstico de HIV dos paisEste artigo tem o propósito de avaliar evidências científicas, disponíveis na literatura, acerca dos fatores que interferem na decisão de revelar o diagnóstico de HIV dos pais para os filhos. Trata-se de revisão integrativa, desenvolvida nas bases de dados Medline e Lilacs, utilizando os termos [HIV or aids] and [criança or adolescente] and [revelação]. Selecionaram-se 14 artigos. Os fatores que interferem na decisão de revelar o diagnóstico foram: capacidade cognitiva e maturidade da criança; fortalecimento dos laços familiares; informações para a criança acerca da doença; adoecimento e morte dos pais; descoberta por terceiros; estigma e preconceito; reações negativas da criança; modo de falar da doença com a criança; e medo de perder o poder parental. Portanto, indica-se preparo para revelação do diagnóstico, de modo compartilhado entre os familiares que cuidam da criança e os profissionais de saúde que mantêm vínculo com essa família. Palavras-chave: HIV. Síndrome da imunodeficiência adquirida. Saúde da criança. Saúde do adolescente. Revelação da verdade. Família. Resumen Revelación del diagnóstico de VIH de los padresEl objetivo de este texto fue evaluar la evidencia científica disponible en la literatura sobre los factores que influyen en la decisión de revelar el diagnóstico de VHI de los padres a los hijos. El tipo de estudio es una revisión integral en las bases de datos Medline y Lilacs, utilizando las palabras [HIV or aids] and [criança or adolescente] and [revelação]. Se seleccionaron 14 artículos. Los factores que influyen en la decisión de revelar el diagnóstico fueron: la capacidad cognitiva y la madurez del niño; el fortalecimiento de los lazos familiares; informaciones para el niño acerca de la enfermedad; enfermedad y muerte de los padres; descubrimiento por parte de terceros; estigma y prejuicio; reacciones negativas de los niños; modo de hablar sobre la enfermedad con los niños; y, ...

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Qualidade de vida e adesão à medicação antirretroviral em pessoas com HIV

Cited by 37 publications

References 9 publications

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Validação de mensagens telefônicas para promoção da saúde de pessoas com HIV

Revelação do diagnóstico de HIV dos pais

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