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Rivera-Picón C, Benavente-Cuesta MH, Quevedo-Aguado MP, Sánchez-González JL, Rodríguez-Muñoz PM. Factors Associated with Adherence to Treatment in Patients with HIV and Diabetes Mellitus. J Pers Med 2023; 13:269. [PMID: 36836503 PMCID: PMC9967318 DOI: 10.3390/jpm13020269] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 01/29/2023] [Accepted: 01/30/2023] [Indexed: 02/04/2023] Open
Abstract
We aim to identify the factors that influence the therapeutic adherence of subjects with chronic disease. The design followed in this work was empirical, not experimental, and cross-sectional with a correlational objective. The sample consisted of a total of 400 subjects (199 patients with HIV and 201 patients with diabetes mellitus). The instruments applied for data collection were a sociodemographic data questionnaire, the 4-item Morisky Medication Adherence Scale (MMAS-4) and the Coping Strategies Questionnaire. In the group of subjects with HIV, that the use of emotional coping strategies was related to lower adherence to treatment. On the other hand, in the group of subjects with diabetes mellitus, the variable related to compliance with treatment was the duration of illness. Therefore, the predictive factors of adherence to treatment were different in each chronic pathology. In the group of subjects with diabetes mellitus, this variable was related to the duration of the disease. In the group of subjects with HIV, the type of coping strategy used predicted adherence to treatment. As a result of these results, it is possible to develop health programmes to promote, from nursing consultations to adherence to treatment of patients with HIV and diabetes mellitus.
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Affiliation(s)
- Cristina Rivera-Picón
- Faculty of Health Sciences, Nursing, Pontifical University of Salamanca, 37002 Salamanca, Spain
| | | | | | | | - Pedro Manuel Rodríguez-Muñoz
- Faculty of Nursing and Physiotherapy, University of Salamanca, 37008 Salamanca, Spain
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córboda, 14005 Córdoba, Spain
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Schoenherr MR, Santos LAD, Remor E, Campanha AM. Pharmaceutical care and evaluation of adherence to antiretroviral therapy in people living with HIV/AIDS. BRAZ J PHARM SCI 2022. [DOI: 10.1590/s2175-97902022e19613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Coinfecção tuberculose/HIV: perfil sociodemográfico e saúde de usuários de um centro especializado. ACTA PAUL ENFERM 2020. [DOI: 10.37689/acta-ape/2020ao00515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Nhandara RBC, Ayele BT, Sigwadhi LN, Ozougwu LU, Nyasulu PS. Determinants of adherence to clinic appointments among tuberculosis and HIV co-infected individuals attending care at Helen Joseph Hospital, Johannesburg, South Africa. Pan Afr Med J 2020; 37:118. [PMID: 33425151 PMCID: PMC7755366 DOI: 10.11604/pamj.2020.37.118.23523] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 07/23/2020] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION tuberculosis (TB) is one of the leading causes of morbidity and mortality among people living with HIV/AIDS. The growing burden of TB/HIV co-infection continues to strain the healthcare system due to association with long duration of treatment. This is a catalyst for poor adherence to clinic appointments, which results in poor treatment adherence and patient outcome. This study evaluated the factors associated with adherence to clinic appointments among TB/HIV co-infected patients in Johannesburg, South Africa. METHODS this was a cross-sectional study that involved 10427 patients ≥18 years of age with HIV infection and co-infected with TB. We used a proxy measure "md clinic appointments" to assess adherence, then multivariable logistic regression to evaluate factors associated with adherence. RESULTS one thousand, five hundred and twenty-eight patients were co-infected with TB, of these, 17.4% attained good adherence. Patients with TB/HIV co-infection who were on treatment for a longer period were less likely to adhere to clinic appointments (AOR: 0.98 95% CI: 0.97, 0.99). CONCLUSION duration on treatment among TB/HIV co-infected patients is associated with adherence to clinic appointments. It is therefore vital to reinforce public health interventions that would enhance sustained adherence to clinic appointments and mitigate its impact on treatment adherence and patient outcome.
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Affiliation(s)
- Ruvimbo Barbara Claire Nhandara
- Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Birhanu Teshome Ayele
- Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Lovemore Nyasha Sigwadhi
- Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Lovelyn Uzoma Ozougwu
- Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Peter Suwirakwenda Nyasulu
- Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
- Division of Epidemiology and Biostatistics, Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
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Suryana K, Suharsono H, Antara IGPJ. Factors Associated With Adherence To Anti-Retroviral Therapy Among People Living With HIV/AIDS At Wangaya Hospital In Denpasar, Bali, Indonesia: A Cross-Sectional Study. HIV AIDS-RESEARCH AND PALLIATIVE CARE 2019; 11:307-312. [PMID: 31819661 PMCID: PMC6875560 DOI: 10.2147/hiv.s219695] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 10/09/2019] [Indexed: 01/23/2023]
Abstract
Background Acquired Immunodeficiency Syndrome (AIDS) is a major public health problem. Recently AIDS was considered as a manageable chronic disease. High adherence to Anti-Retroviral Therapy (ART) is necessary to achieve undetectable viral load, reduce morbidity, mortality and to improve the quality of life. It is also preventing the drug resistance, reducing the transmission and finally leading to live longer and healthier. Objectives To assess the factor associated with ART adherence among people living with HIV/AIDS (PLWHA) at Wangaya Hospital, in Denpasar, Bali, Indonesia. Methodology A cross-sectional study was carried out during January 2015–December 2017 among 202 PLWHA taking ART for at least 6 months. The participants were interviewed using a semi-structured questionnaire to obtain data on socio-demographic characteristics. The data were analyzed using SPSS software for windows version 24.0. Chi-square test was done, the precision value of 95% (p<0.05) was considered statistically to be significant. Results A total of 202 PLWHA taking ART, 170 (84.16%) were reported with high adherence (≥95%), 32 (15.84%) were low adherence (<95%). Factors found to be independently associated with high adherence to ART were employment status/occupation (p = 0.011), type of ARV (due to adverse effect of ART) (p = 0.002) and family support (p < 0.001). Conclusion This study found that the factor associated with ART adherence among PLWHA who visited Wangaya Hospital, in Denpasar, Bali, Indonesia, was employment status, type of ARV and family support.
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Affiliation(s)
- Ketut Suryana
- Department of Internal Medicine, Wangaya Hospital in Denpasar, Denpasar, Bali, Indonesia
| | - Hamong Suharsono
- Department of Biochemistry, Veterinary Faculty of Udayana University in Denpasar, Denpasar, Bali, Indonesia
| | - I Gede Putu Jarwa Antara
- Department of Internal Medicine, Medical Faculty of Udayana University-Sanglah Hospital in Denpasar, Denpasar, Bali, Indonesia
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Souza DCS, Oliveira KSD, Andrade RLDP, Scatena LM, Silva-Sobrinho RA. Aspects related to the outcomes of the treatment, in international borders, of cases of tuberculosis as associated to comorbidities. ACTA ACUST UNITED AC 2019; 40:e20190050. [PMID: 31691724 DOI: 10.1590/1983-1447.2019.20190050] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Accepted: 07/10/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE analyzing the aspects associated with case outcomes and the international border situation when it comes to patients with tuberculosis (TB) associated with comorbidities. METHOD exploratory descriptive epidemiological study, analyzing all new cases of TB with comorbidities reported in 2013 on SISNAN in the cities at the border of the state of Paraná and Paraguay. The variables used were: sociodemographic, clinical and operational. To analyze the data, descriptive analysis and the chi-square test were applied. RESULTS 227 cases of tuberculosis associated with comorbidities were reported and 70.9% were from cities bordering Paraguay. Alcoholism (22.0%) and AIDS (13.7%) were the most common comorbidities. The chi-square test presented a statistical association of border cities with negative outcomes and not performing directly observed treatments. CONCLUSION Through the study, it was possible to find that the location of border cities can be determinant for a negative outcome.
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Affiliation(s)
- Débora Christina Santos Souza
- Universidade Estadual do Oeste do Paraná (Unioeste), Programa de Pós-Graduação em Saúde Pública em Região de Fronteira. Foz do Iguaçu, Paraná, Brasil
| | - Keurilene Sutil de Oliveira
- Universidade Estadual do Oeste do Paraná (Unioeste), Programa de Pós-Graduação em Saúde Pública em Região de Fronteira. Foz do Iguaçu, Paraná, Brasil
| | | | - Lucia Marina Scatena
- Universidade Federal do Triângulo Mineiro (UFTM), Instituto de Ciências da Saúde, Departamento de Saúde Coletiva. Uberaba, Minas Gerais, Brasil
| | - Reinaldo Antonio Silva-Sobrinho
- Universidade Estadual do Oeste do Paraná (Unioeste), Programa de Pós-Graduação em Saúde Pública em Região de Fronteira. Foz do Iguaçu, Paraná, Brasil
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Carvalho PP, Barroso SM, Coelho HC, Penaforte FRDO. Factors associated with antiretroviral therapy adherence in adults: an integrative review of literature. CIENCIA & SAUDE COLETIVA 2019; 24:2543-2555. [PMID: 31340272 DOI: 10.1590/1413-81232018247.22312017] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 10/19/2017] [Indexed: 12/29/2022] Open
Abstract
AIDS is an advanced clinical manifestation of HIV infection. It generates severe immunodeficiency and associated infections that may lead to death. The antiretroviral therapy (ART) has reduced the morbimortality of HIV/AIDS, but its benefits depend on ART adherence. This integrative review followed the PICO method to identify factors associated with adult adherence to ART. Empirical papers published between January 2010 and December 2016 in the Medline, SciELO, Lilacs and PePSIC databases were included. We analyzed 125 papers regarding the characteristics of studies, adherence measures and associated factors. Results showed a wide variety in the definition of adherence and the use of measures for its monitoring, as well as several adherence-associated factors. These were categorized as follows: 1- Individual variables; 2- Treatment characteristics; 3- HIV/aids infection characteristics; 4- Relationship with the health services; 5- Social support. Health services should characterize the users' profiles, systematize adherence measures and regionally assess adherence-associated factors for the early detection of non-adherence to ART and implementation of effective intervention plans.
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Affiliation(s)
- Patrícia Paiva Carvalho
- Hospital de Clínicas, Universidade Federal do Triângulo Mineiro (UFTM). Av. Getúlio Guaritá 130, Nossa Sra. da Abadia. 38025-440 Uberaba MG Brasil.
| | | | - Heloisa Correa Coelho
- Hospital de Clínicas, Universidade Federal do Triângulo Mineiro (UFTM). Av. Getúlio Guaritá 130, Nossa Sra. da Abadia. 38025-440 Uberaba MG Brasil.
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Rossetto M, Brand ÉM, Rodrigues RM, Serrant L, Teixeira LB. Factors associated with hospitalization and death among TB/HIV co-infected persons in Porto Alegre, Brazil. PLoS One 2019; 14:e0209174. [PMID: 30601842 PMCID: PMC6314623 DOI: 10.1371/journal.pone.0209174] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2018] [Accepted: 12/02/2018] [Indexed: 12/27/2022] Open
Abstract
In locations with a high rate of tuberculosis (TB) and HIV infection, there are a number of strategies to prevent negative outcomes such as opportunistic infections, hospitalizations and death, and this article investigates risk factors for the occurrence of hospitalization and death in cases of TB/HIV co-infection in the south of Brazil. The data are taken from a population-based retrospective cohort study on cases of TB/HIV co-infection from 2009 to 2013 in Porto Alegre, Brazil. Sociodemographic, epidemiological and clinical variables were analyzed. Relative risk (RR) estimates for hospitalization and death were determined by regression models. There were 2,419 co-infection cases, of which 1,527 (63.1%) corresponded to hospitalizations, and 662 (27.4%) to death. The occurrence of hospitalization was associated with ≤ 7 years of schooling (RR = 3.47, 95%CI: 1.97–6.29), 8–11 years of schooling (RR = 2.56, 95%CI: 1.44–4.69), place of origin—district health authorities Northwest/Humaitá/Navegantes/Ilhas (RR = 2.01, 95%CI: 1.44–2.82), type of entry into the surveillance system as in cases of reentry after withdrawal (RR = 1,35, 95%CI: 1.07–1.70), closure in surveillance as in withdrawal of treatment (RR = 1.47, 95%CI: 1.18–1.83) and multidrug-resistant tuberculosis (RR = 3.94, 95%CI: 1.97–8.81). The occurrence of death was associated with age (RR = 1.07, 95%CI: 1,01–1,14), ≤ 7 years of schooling (RR = 3.94, 95%CI: 2.26–7.09), 8–11 years of schooling (RR = 2.84, 95%CI: 1.61–5.16), place of origin—district health authorities Baltazar (RR = 2.05, 95%CI: 1.48–2.86), type of entry in the surveillance system as cases of re-entry after withdrawal (RR = 1.53, 95%CI: 1.22–1.91), relapse (RR = 1.33, 95%CI: 1.03–1.73). The occurrence of hospitalizations and deaths is high among co-infected patients. Our estimation approach is important in order to identify, from the surveillance data, the risk factors for hospitalization and death in co-infected patients, so that they may receive more attention from the Brazilian national healthcare system.
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Affiliation(s)
- Maíra Rossetto
- Department of Medicine, Universidade Federal da Fronteira Sul, Chapecó, Santa Catarina, Brasil
| | - Évelin Maria Brand
- Department of Public Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
| | | | - Laura Serrant
- Faculty of Health and Wellbeing, Sheffield Hallam University, South Yorkshire, England, United Kingdom
| | - Luciana Barcellos Teixeira
- Department of Public Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
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Souza Neto VLD, Silva RARD, Rocha CCT, Costa RTDS, Nóbrega MMLD. Diagnósticos de enfermagem da CIPE® para pessoas com Síndrome da Imunodeficiência Adquirida. ACTA PAUL ENFERM 2017. [DOI: 10.1590/1982-0194201700081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/26/2023] Open
Abstract
Resumo Objetivo: Identificar diagnósticos de enfermagem da CIPE®, a partir dos fenômenos da prática de enfermagem evidenciados na avaliação da saúde de pessoas vivendo com a Síndrome da Imunodeficiência adquirida. Métodos: Estudo transversal com 120 pessoas vivendo com Aids em um hospital de doenças infectocontagiosas. Para a coleta de dados empregaram-se um roteiro de entrevista e exame físico. A elaboração dos diagnósticos foi realizada utilizando-se a CIPE®. Os dados foram analisados por meio da estatística descritiva e inferencial. Resultados: Identificaram-se 72 fenômenos da prática de enfermagem, sendo possível a elaboração de 37 diagnósticos. Destes, apenas 11 obtiveram o índice de Concordância e índice de validação de conteúdo > 0.80, sendo considerados validados; dos quais sete foram classificados dentro das necessidades psicobiologicas e quatro nas psicossociais. Conclusão: A identificação dos fenômenos da prática de enfermagem corrobora na elaboração dos diagnósticos, resultados e intervenções direcionados às necessidades prioritárias de pessoas vivendo com Aids.
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Hipolito RL, de Oliveira DC, da Costa TL, Marques SC, Pereira ER, Gomes AMT. Quality of life of people living with HIV/AIDS: temporal, socio-demographic and perceived health relationship. Rev Lat Am Enfermagem 2017; 25:e2874. [PMID: 28443995 PMCID: PMC5423764 DOI: 10.1590/1518-8345.1258.2874] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 01/16/2017] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE to analyze the quality of life of people living with HIV/AIDS and its relationship with sociodemographic variables, health satisfaction and time since diagnosis. METHOD quantitative, cross-sectional study with a sample of 100 HIV positive people monitored in a specialized service in southeastern Brazil. Sociodemographic and health forms were applied, followed by the WHOQOL-HIV BREF, a short form instrument validated to evaluate the quality of life. Descriptive and inferential statistical analysis was performed. RESULTS the perception of quality of life was intermediate in all quality of life domains. A relationship was identified between greater satisfaction with health and better quality of life, as well as statistically significant differences among the dimensions of quality of life according to gender, employment status, family income, personal income, religious beliefs and time since diagnosis. CONCLUSIONS the time since the diagnosis of HIV infection enables reconfigurations in the perception of quality of life, while spirituality and social relationships can assist in coping with living with this disease.
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Affiliation(s)
- Rodrigo Leite Hipolito
- PhD, Adjunct Professor, Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense, Niterói, RJ, Brazil
| | - Denize Cristina de Oliveira
- PhD, Full Professor, Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Tadeu Lessa da Costa
- PhD, Adjunct Professor, Faculdade de Enfermagem, Universidade Federal do Rio de Janeiro, Macaé, RJ, Brazil
| | - Sergio Corrêa Marques
- PhD, Adjunct Professor, Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Eliane Ramos Pereira
- PhD, Associate Professor, Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense, Niterói, RJ, Brazil
| | - Antonio Marcos Tosoli Gomes
- PhD, Full Professor, Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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