scholarly journals ADHERENCE TO TREATMENT OF YOUNG ADULTS LIVING WITH HIV/AIDS FROM THE PERSPECTIVE OF COMPLEX THINKING

2019 ◽  
Vol 28 ◽  
Author(s):  
Veridiana Tavares Costa ◽  
Betina Hörner Schlindwein Meirelles
Keyword(s):  
Young Adults ◽  
Health Professionals ◽  
Care Service ◽  
Comparative Method ◽  
Study Data ◽  
Theory Approach ◽  
Adherence To Treatment ◽  
Complex Thinking ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objetive: to understand the adherence to treatment of young adults with HIV/AIDS treated in a specialized care service from the perspective of complex thinking. Method: a qualitative study, with the data grounded theory approach. Twelve young adults aged from 15 to 24 years old living with HIV/AIDS, nine health professionals and four mothers participated in the study. Data was obtained from interviews conducted between April and September 2016 and analyzed using the constant comparative method. Results: the adherence to treatment of young adults with HIV/AIDS has been understood as a dynamic, multifactorial and constantly changing phenomenon. This process involves multiple aspects, including fear of becoming ill, physical and social death, discrimination and stigma. It was found that even in the face of these difficulties, young adults decide to continue their treatment in search of normalization of health, a long and common life like other young people who do not live with HIV/AIDS. Conclusion: it was considered that in view of the complex and changing phenomenon, adherence to treatment of young adults with HIV/AIDS should be understood and managed by health professionals.

scholarly journals CHALLENGES IN TUBERCULOSIS COINFECTION TREATMENT IN PEOPLE WITH HIV/AIDS IN ANGOLA

2020 ◽  
Vol 29 ◽  
Author(s):  
Silvano da Silva Cameia ◽  
Betina Hörner Schlindwein Meirelles ◽  
Veridiana Tavares Costa ◽  
Sabrina da Silva de Souza
Keyword(s):  
Treatment Adherence ◽  
Health Professionals ◽  
Adherence To Treatment ◽  
Convergence Group ◽  
Tb Treatment ◽  
Conventional Content Analysis ◽  
Living With Hiv ◽  
Intervening Factors ◽  
Participatory Observation ◽  
Hiv Aids

ABSTRACT Objective: to know the challenges faced during tuberculosis coinfection treatment in people with HIV/AIDS (HIV/TB) in Huambo, Angola. Method: this is a qualitative convergent-care investigation carried out in the antituberculosis dispensary of the sanatorium hospital of Huambo, Angola. It included 18 people co-infected with HIV/TB and 11 health professionals. Data were collected from January to July 2016 through conversation interviews, participatory observation and a convergence group. In data analysis, conventional content analysis of Hsieh and Shannon was used. Results: the data originated two categories: challenges of HIV/TB coinfected people when facing the diseases and treatment adherence, and challenges due to intervening factors upon HIV/TB treatment adherence. Conclusions: people’s conception about living with HIV/TB, associated with the intervening factors upon HIV/TB treatment adherence, results in late search for health services, non-adherence to treatment and worsening of diseases, thus posing as challenges to be overcome for better control of this double epidemic.

scholarly journals [The Wife's Obligation to Fulfill Inner Maintenance to Husband Who is Infected With Hiv / Aids: According to Islamic Family Law and Case Study] Kewajipan Isteri Menunaikan Nafkah Batin Kepada Suami yang Dijangkiti Hiv/ Aids: Menurut Undang-Undang Keluarg

2015 ◽  
Vol 9 ◽  
pp. 64-75
Author(s):  
Md. Zawawi Abu Bakar ◽  
Rajwani Md. Zain ◽  
Wan Ab Rahman Khudzri Wan Abdullah
Keyword(s):  
Family Law ◽  
Study Data ◽  
People Living With Hiv ◽  
Interview Methods ◽  
Islamic Family Law ◽  
Living With Hiv ◽  
The Relationship ◽  
Husband And Wife ◽  
Hiv Aids

This paper aims to explain the dilemma that occurs in marital relationships. The issue of performing the external or internal maintenance obligation on the husband who has HIV / AIDS causes the wife to suffer. Thus, a qualitative study has been done to identify the dilemma that occurs in the relationship between husband and wife. Archival research methods such as the provisions of Islamic Family Law (UUKI), fiqh munakahat and case studies have been used. Interview methods were also performed to answer the objectives of the study. A total of 8 respondents, namely the wives of AIDS sufferers, were interviewed to obtain study data and the data was finally analyzed manually (QDA). The results show that there is discrimination against people living with HIV / AIDS (OHDHA) (wife) in the form of external and internal maintenance (husband and wife relationship). Even sadder, all respondents have been infected with HIV / AIDS as a result of intimate relationships with their husbands. The study finally concludes that OHDHA (wife) needs guidance and understanding of how to deal with the dilemma of performing duties as a wife and avoiding darar treatment from her partner (husband). Keywords: UUKI, Obligation, Wife, nafkah, HIV/AIDS. Makalah ini bertujuan menjelaskan dilema yang berlaku dalam hubungan suami isteri. Isu berkenaan melaksanakan kewajipan nafkah zahir atau batin terhadap suami yang menghidap HIV/AIDS menyebabkan isteri menderita. Justeru, satu kajian kualitatif telah dilakukan untuk mengenal pasti dilemma tersebut yang berlaku dalam hubungan suami isteri. Kaedah kajian arkib seperti peruntukan Undang-Undang Keluarga Islam (UUKI), fiqh munakahat dan kajian kes telah digunakan. Kaedah temubual juga telah dilakukan untuk menjawab objektif kajian. Responden seramai 8 orang iaitu isteri kepada penghidap AIDS telah ditemubual bagi mendapat data kajian dan data akhirnya dianalisis secara manual (QDA). Hasil kajian menunjukkan bahawa berlaku diskriminasi terhadap Orang Hidup Dengan HIV/AIDS (OHDHA) (isteri) iaitu dalam bentuk nafkah zahir dan batin (hubungan suami isteri). Lebih menyedihkan lagi semua responden telah dijangkiti HIV/AIDS hasil hubungan intim bersama suami. Kajian akhirnya menyimpulkan bahawa OHDHA (isteri) perlu kepada bimbingan dan pemahaman bagaimana menangani dilemma melaksanakan kewajipan sebagai isteri dan mengelakkan daripada perlakuan darar daripada pasangannya (suami).   Kata kunci: UUKI, kewajipan, isteri, nafkah, HIV/AIDS

scholarly journals 1309. Effects of a Pharmacist-Driven Antiretroviral Stewardship and Transitions of Care Service in Persons Living with HIV/AIDS

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S471-S472
Author(s):  
Marisa B Brizzi ◽  
Rodrigo M Burgos ◽  
Thomas D Chiampas ◽  
Sarah M Michienzi ◽  
Renata Smith ◽  
...  
Keyword(s):  
Care Service ◽  
Transitions Of Care ◽  
Hiv Care ◽  
Outpatient Clinics ◽  
Readmission Rates ◽  
Implementation Phase ◽  
Persons Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background Historical data demonstrate that PLWHA experience higher rates of medication-related errors when admitted to the inpatient setting. Prior to initiation of this program, rapid-start initiation of antiretroviral therapy (ART) was not implemented prior to discharge. The purpose of this study was to evaluate the impact of a pharmacist-driven antiretroviral stewardship and transitions of care service in persons living with HIV/AIDS (PLWHA). Methods This was a retrospective pre- and post-analysis of PLWHA hospitalized at University of Illinois Hospital (UIH). Patients included were adults following at UIH outpatient clinics for HIV care admitted to UIH for acute care. Data were collected between April 19, 2017 and October 19, 2017 for the pre-implementation phase, and between July 1, 2018 and December 31, 2018 for the post-implementation phase. The post-implementation phase included an HIV-trained clinical pharmacist (Figure 1). Primary and secondary endpoints included follow-up rates at UIH outpatient HIV clinics, 30-day readmission rates, and access to medications at hospital discharge. Statistical analysis included descriptive statistics and Fisher’s Exact test. Results A total of 119 patients were included in the analysis, 66 in the pre-implementation phase and 53 in the post-implementation phase. Patients included were mostly black males with median age of 48. In the pre-implementation phase 50 out of 65 (77%) patients attended follow-up visits for HIV care at UIH outpatient clinics, vs. 42 out of 47 (89%) patients in the post-implementation phase (P = 0.1329). Thirty-day readmission occurred in 17 of 62 (27%) patients in the pre-implementation phase vs. 5 of 52 (10%) of patients in the post-implementation phase (P = 0.0183). During the post-implementation phase, the HIV pharmacist secured access of ART and opportunistic infection medications prior to discharge for 22 patients (42%), 2 of which were new diagnoses. Conclusion A pharmacist-led antiretroviral stewardship and TOC program led to a decrease in 30-day readmission rates in PLWHA. Although not significant, the HIV-pharmacist led to higher rates of clinic follow-up. Finally, the HIV-pharmacist helped secure access to ART and initiate rapid-start therapy in newly diagnosed patients prior to leaving the hospital. Disclosures All authors: No reported disclosures.

scholarly journals Late diagnosis and vulnerabilities of the elderly living with HIV/AIDS

2015 ◽  
Vol 49 (2) ◽  
pp. 0229-0235 ◽  
Author(s):  
Rúbia Aguiar Alencar ◽  
Suely Itsuko Ciosak
Keyword(s):  
Qualitative Research ◽  
Elderly People ◽  
Health Professionals ◽  
The Elderly ◽  
Late Diagnosis ◽  
Sexual Life ◽  
Structured Interviews ◽  
Living With Hiv ◽  
Elderly Living ◽  
Hiv Aids

OBJECTIVE To identify vulnerabilities of elderly people with HIV/AIDS and the trajectory that they follow until reaching the diagnosis of the disease. METHOD Qualitative research conducted in specialized clinics in the state of São Paulo, from January to June 2011. Semi-structured interviews were conducted with 11 elderly people who were found to be infected with the virus at the age of 60 years or older. The interviews were analyzed using content analysis. RESULTS In this process four categories emerged, then analyzed with reference to the theoretical framework of vulnerability. CONCLUSION Late diagnosis of HIV infection or AIDS among the elderly happens in the secondary or tertiary service. Issues related to sexual life of the elderly are only questioned by health professionals after the diagnosis, also the time that condom use becomes absolute. It is believed that the investigation of the vulnerability of the elderly to HIV/AIDS allows for carrying out appropriate interventions for this population.

scholarly journals Sexuality of adolescents living with HIV/AIDS: sources of information defining learning

2018 ◽  
Vol 22 (1) ◽  
Author(s):  
Graciela Dutra Sehnem ◽  
Eva Neri Rubim Pedro ◽  
Lúcia Beatriz Ressel ◽  
Maria Eduarda Deitos Vasquez
Keyword(s):  
Thematic Analysis ◽  
Care Service ◽  
Structured Interview ◽  
Southern Brazil ◽  
Rio Grande Do Sul ◽  
Sources Of Information ◽  
Specialized Care ◽  
Biological Aspects ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objective: To know the sources of information of adolescents living with HIV/AIDS that define learning about sexuality. Methods: A qualitative study was performed in a Specialized Care Service of a city in the state of Rio Grande do Sul, Southern Brazil, with 15 adolescents living with HIV/AIDS. A semi-structured interview and thematic analysis were used. Results: Adolescents have built up their knowledge about sexuality, especially through relationships with friends and older family members, or through access to media sources. Schools and health services were spaces for sharing information about biological aspects of sexuality. Conclusion: Nurses need to address adolescent sexuality beyond the biological dimension and support it through critical and dialogical health education.

scholarly journals Communication with patients using negative wound pressure therapy and their adherence to treatment

2019 ◽  
Vol 28 (11) ◽  
pp. 738-756
Author(s):  
Christine J. Moffatt ◽  
Susie Murray ◽  
Aimee Aubeeluck ◽  
Isabelle Quere
Keyword(s):  
Health Professionals ◽  
Patient Adherence ◽  
Study Data ◽  
Adherence To Treatment ◽  
Structured Interviews ◽  
Pressure Therapy ◽  
Face To Face ◽  
Patient Health ◽  
Data Saturation ◽  
Ongoing Support

Objective: The purpose of this study was to explore the challenges of communication between patients and health professionals, and patient adherence to treatment for hard-to-heal wounds when using negative wound pressure therapy (NPWT). Methods: Face-to-face, semi-structured interviews were conducted with patients undergoing NPWT. Specific features of the NPWT device were the priority for discussion although other factors central to communication and adherence were also explored. Results: A total of 24 patients took part in the study. Data saturation was achieved during the analysis. Patients required ongoing support to understand complex and often protracted treatment and this was particularly important when specialist technology was used. A distinction was highlighted between those who decided not to adhere with therapy and those who did so unintentionally. Participants faced difficulties in their communications with health professionals and in ensuring their needs were listened to and addressed. Conclusion: Further research is needed to achieve a better understanding of this distinction and to evaluate interventions which can sustain adherence behaviours. Further exploration of how to establish concordant patient/health professional communications is warranted.

scholarly journals Psychosocial factors associated with adherence to treatment and quality of life in people living with HIV/AIDS in Brazil

2014 ◽  
Vol 63 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Prisla Ücker Calvetti ◽  
Grazielly Rita Marques Giovelli ◽  
Gabriel José Chittó Gauer ◽  
João Feliz Duarte de Moraes
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
South Of Brazil ◽  
Living With Hiv ◽  
Hiv Aids

Objective: The objective of this article was to investigate the biopsychosocial factors that influence adherence to treatment and the quality of life of individuals who have been successfully following the HIV/AIDS treatment. Methods: It is a cross-sectional study carried out with 120 HIV positive participants in the south of Brazil. Among the variables studied, of note are: perceived stress, social support, symptoms of anxiety and depression and quality of life. Results: The results show that a moderate to high adherence to the treatment paired with a strong sense of social support indicate a higher quality of life. Conclusion: The combination of social support and antiretroviral treatment have an impact on physical conditions, improving immune response and quality of life.

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