The impact of stressful life events, symptom status, and adherence concerns on quality of life in people living with HIV

Autor: Carmen J. Portillo, Anthony J. Guarino, Marta Rivero Mendez, Shahnaz Moezzi, Mary Jane Hamilton, Elizabeth Sefcik, Kenn M. Kirksey, Inge B. Corless, Joachim G. Voss, Susara Petronella Human, Patrice K. Nicholas, William L. Holzemer, Linda Robinson, Dean Wantland, Mary Maryland, María E. Rosa, Suzanne Willard, Yvette P. Cuca
Rok vydání: 2011
Předmět:
Gerontology
Male
Exacerbation
stressful life events
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
South Africa
Quality of life
7.1 Individual care needs
immune system diseases
Sickness Impact Profile
Surveys and Questionnaires
Adaptation
Psychological
adherence
skin and connective tissue diseases
Life events
virus diseases
Middle Aged
humanities
Infectious Diseases
Anti-Retroviral Agents
HIV/AIDS
Female
Public Health
Adult
Cross-Cultural Comparison
medicine.medical_specialty
Nursing
Stress
Article
Medication Adherence
Life Change Events
Young Adult
Behavioral and Social Science
medicine
Humans
Adaptation
Psychiatry
Aged
Advanced and Specialized Nursing
business.industry
Puerto Rico
HIV
Health Surveys
United States
quality of life
Socioeconomic Factors
Quality of Life
Psychological
symptoms
Management of diseases and conditions
business
Stress
Psychological
Zdroj: The Journal of the Association of Nurses in AIDS Care : JANAC, vol 24, iss 6
ISSN: 1552-6917
Popis: Studies concerning persons living with HIV (PLWH) report that stressful life events (SLEs) contribute to an exacerbation of symptoms and reduced antiretroviral (ARV) adherence and quality of life (QOL). Little is known about whether these findings are site-specific. Our study's aims were to characterize the type and frequency of SLEs for PLWH in Puerto Rico, South Africa, and the United States, and to assess the impact of SLEs by national site, symptoms, and ARV adherence concerns on QOL. The sample consisted of 704 participants. The total number of SLEs correlated significantly with the total number of symptoms, adherence concerns, and QOL (p≤.001). Overall, 27.2% of the variance in QOL was explained by the aforementioned variables. Although SLEs were of concern to PLWH, worries about ARV adherence were of even greater concern. Routine assessment of ARV concerns and SLEs can promote ongoing ARV adherence and improved QOL.
Databáze: OpenAIRE
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