People living with AIDS: Association between nursing diagnoses and sociodemographic/clinical characteristics

Abstract

Objective: To analyze the association between nursing diagnoses and sociodemographic and clinical characteristics in people living with AIDS. Method: Cross-sectional study with 100 people living with AIDS in a University Hospital. Data collection took place between January and July 2015, using an interview script and physical examination. The association occurred through Pearson's Chi-Square Test and Fisher's Exact Test. Results: The most prevalent nursing diagnoses were: ineffective protection, poor knowledge, lack of adherence and sexual dysfunction. Significant associations were observed among nursing diagnoses with the following sociodemographic and clinical characteristics: marital status, place of residence, level of schooling, family income, modes of transmission of acquired immunodeficiency virus, current opportunistic infection, abandonment of treatment, difficulty of access to health services and use of alcohol and illicit drugs. Conclusion: The diagnoses presented significant associations with sociodemographic and clinical aspects.

HIV Care Continuum from diagnosis in a Counseling and Testing Center

“…These percentages do not contemplate the 90-90-90 goal proposed by UNAIDS to achieve 90% of VL suppression among individuals using ART. Some factors contribute to low adherence to ART, as younger individuals (24,30) , lower education (24,(30)(31) , adverse reactions to medication (24) , alcohol and drug use (24,31) , history of treatment abandonment, exposure to HIV and difficulty in accessing the service (31) . In analyzing adherence in two aspects, a study shows that the interruption of ART for three months was significantly related to older age, while the loss of doses (interruption for one week) was related to younger individuals, and may reflect aspects of the lifestyle of this population.…”

Dificuldades do enfermeiro na atenção básica no cuidado às pessoas que vivem com HIV/AIDS

“…Neste estudo os enfermeiros que participaram da entrevista afirmam que a falta de insumos de testagem prejudica, de forma significativa, o rastreamento das pessoas que vivem com HIV, em quantidade limitada dificultando o acesso das populações ao exame (Valença et al, 2017). Para Da Silva et al (2017), a equipe de enfermagem precisa de materiais e insumos para ter o controle da infecção, realizando o acompanhamento adequado dos pacientes antes e durante o diagnóstico, estando a frente do uso da TARV evitando abandono e futuras infecções oportunistas.…”

“…Para Da Silva et al (2020), as barreiras que os enfermeiros relatam para a implementação da assistência aos pacientes tem uma ligação com a gestão da unidade básica de saúde e sistema público na entrega dos insumos e materiais que auxiliam na prevenção e tratamento, a relação da estrutura física que implica diretamente aos testes rápidos, prejudicando no rastreamento e controle, a segurança do profissional na aplicação do aconselhamento pré e pós-teste, sobrecarga que atrapalha o planejamento e realização de ações educativas. Sendo assim Da Silva et al (2017), justifica a necessidade que o enfermeiro atue na atenção primária, promovendo ações que trabalhe a prática do sexo seguro, sinais e sintomas da infecção, tratamento da doença no uso dos antirretrovirais de forma continua, orientação sobre a qualidade de vida das pessoas vivendo com HIV/Aids, tendo consequência da diminuição das comorbidades secundárias.…”

Diagnostic indicators of risk‐prone health behaviors in pregnant adolescents

“…The nursing diagnosis risk-prone health behavior ( 00188) is present in the NANDA International (NANDA-I) Taxonomy II, in the domain of health promotion (Herdman & Kamitsuru, 2017). In clinical practice, there are many difficulties in recognizing nursing diagnosis because individuals' behaviors transcend clinical aspects and may be influenced by sociodemographic factors (Silva et al, 2018), and there are many factors that contribute to the occurrence of risk-prone health behavior.…”