Evaluation of knowledge among Interns in a medical college regarding palliative care in people living with HIV/AIDS and the impact of a structured intervention

Background: People living with HIV/AIDS (PLWHA) manifest a wide range of stress responses ranging from disbelief, denial, fear to extreme conditions of anxiety disorders, depression and even suicidal thoughts. These complications can have a significant impact on daily functioning and greatly diminish quality of life. Mental wellbeing and Quality of Life can help in better management of stress and facilitate adaptive coping among PLWHA. Aim: The research examined the impact of mental wellbeing and Quality of Life on Depression, Anxiety and Stress among people living with HIV/AIDS infection. Research Design: Cross sectional survey design was used. Sample: A sample of 60 people (males and females of equal number) over the age of 18 years and with the diagnosis for HIV/AIDS for more than six months participated in the study. Tools used: To assess the depression, anxiety and stress among PLWHA, DASS scale was used and to assess their psychological wellbeing, Warwick Edinburgh Mental Well-Being scale was used. In order to assess their present status of QOL regarding the illness, WHO’s QOL HIV-BREF Scale was used. Results: Majority of the PLWHA had moderate level of anxiety and mild level of depression after being diagnosed. Most of the participants have positive mental well-being and had enhanced quality of life. Conclusion: A direct effect of mental wellbeing has been found on the depression, anxiety and stress among PLWHA indicating that higher the mental wellbeing of the PLWHA, the greater is the likelihood that they do not suffer from depression, exhibit less anxiety and are living a stress free life and vice versa. The study also found direct impact of QOL on psychological distress, depression and anxiety among PLWHA i.e. poor QOL of PLWHA makes them more prone to and vulnerable to stress, depression and anxiety and vice versa.

Download Full-text

Socio demographic and clinical profile of people living with HIV/AIDS registered at ART centre of Government Medical College, Nagpur

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181700 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1929

Author(s):

Uday W. Narlawar ◽

Rushali Rajan Lilare ◽

Ganpat Mirdude

Keyword(s):

Opportunistic Infection ◽

Clinical Profile ◽

People Living With Hiv ◽

Government Medical College ◽

Age Group ◽

Medical College ◽

Common Opportunistic Infection ◽

Mode Of Transmission ◽

Living With Hiv ◽

Hiv Aids

Background: The human immunodeficiency virus (HIV), a lentivirus, subgroup of retrovirus causes HIV infection and over time acquired immunodeficiency syndrome (AIDS). Objective was to study socio demographic and clinical profile of people living with HIV/AIDS (PLHIV) registered at ART centre of Government Medical College, Nagpur.Methods: The present was cross sectional record based among the people living with HIV/AIDS registered from 1st January 2011 to 31st December 2013 at ART centre of the hospital.Results: There were total 2042 PLHIV subjects with Majority of subjects 37.76% were in age group 35-44 years with 80.26% were from urban area. Almost 46.34% study subjects were educated up to secondary class. Maximum subjects 38.29% belonged to IV socioeconomic class. The sexual mode of transmission being most common mode of transmission with 79.97 % subjects possibly acquiring infection through heterosexual route. About, 24.94% study subjects had opportunistic infections, out of that tuberculosis being was the most common opportunistic infection in 67.48% of study subjects. About 42.12% of the deaths of subjects were registered in year 2011.Conclusions: The study found that most of the subjects were from age group 15 to 54 years and sexual route being the commonest possible mode of transmission. Tuberculosis was the most common opportunistic infection. Deaths were reported more in the year 2011 as compare to 2012 and 2013.

Download Full-text

The Impact of HIV/AIDS Regarding Informal Social Security: Issues and Perspectives from a South African Context

Potchefstroom Electronic Law Journal/Potchefstroomse Elektroniese Regsblad ◽

10.17159/1727-3781/2010/v13i3a2693 ◽

2017 ◽

Vol 13 (3) ◽

pp. 407

Author(s):

Clarence Itumeleng Tshoose

Keyword(s):

South Africa ◽

Social Security ◽

South African ◽

Social Impact ◽

Social Assistance ◽

People Living With Hiv ◽

Social Reciprocity ◽

Living With Hiv ◽

The Impact ◽

Hiv Aids

The purpose of the article is to examine the right to social assistance for households living with HIV/AIDS in South Africa. In particular, the article focuses on the impact of this pandemic on households' access to social assistance benefits in the wake of the HIV/AIDS pandemic, which has wrought untold sorrow and suffering to the overwhelming majority of households in South Africa. The article analyses the consequences of HIV/AIDS in relation to households' support systems, care and dependency burdens, and the extent to which the household members either acknowledge the illness (enabling them to better engage with treatment options) or alternatively, deny its existence. The article commences by reviewing the literature concerning the effects and social impact of HIV/AIDS on the livelihoods of households and their families. The social reciprocity that underpins households' livelihoods is briefly recapitulated. The article concludes that, while recent policy developments are to be welcomed, the current South African legal system of social security does not provide adequate cover for both people living with HIV/AIDS and their families. More remains to be done in order to provide a more comprehensive social security system for the excluded and marginalised people who are living with HIV/AIDS and their families.

Download Full-text

ANTIRETROVIRAL SIDE EFFECT ON ADHERENCE IN PEOPLE LIVING WITH HIV AIDS AT DR. KARIADI GENERAL REFFERAL HOSPITAL SEMARANG CENTRAL JAVA

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v8i2.20742 ◽

2019 ◽

Vol 8 (2) ◽

pp. 79 ◽

Cited By ~ 1

Author(s):

Gede Arya Bagus Arisudhana ◽

Muchlis Achsan Udji Sofro ◽

Untung Sujianto

Keyword(s):

Health Care ◽

Side Effects ◽

Side Effect ◽

People Living With Hiv ◽

Drug Adherence ◽

Cross Sectional ◽

Central Java ◽

Living With Hiv ◽

The Impact ◽

Hiv Aids

Background: Antiretroviral (ARV) therapy is a lifelong treatment in people living with HIV/AIDS (PLWHA). Adherence is the key to the effectiveness of antiretroviral therapy. ARV have side effects that may affect patient adherence.Purpose: The purpose of this study was to examine the impact of ARV side effects on drug adherence in PLWHA.Methods: This study used cross-sectional approach. Sample size in this study was 78 consist of people who were recruited by purposive sampling. These subjects received ARV therapy in Tropical Disease and Infection Polyclinic at General Hospital of Dr. Kariadi SemarangResult : Result showed that eta2 is 0,525625. It means that ARV side effect has impact on ARV adherence. Most of the side effects reported by the respondents were nausea and dizziness. Some respondents also reported experiencing weakness, difficult to concentrate, and diarrhea. Conclusion : Side effects have impact on patient’s ARV therapy adherence. Therefore health care provider for PLWHA should be able to recognize and concern on ARV side effect management.

Download Full-text

The health literacy needs of women living with HIV/AIDS

Health SA Gesondheid ◽

10.4102/hsag.v20i1.916 ◽

2015 ◽

Vol 20 (1) ◽

Author(s):

Judy Thompson ◽

Yolanda Havenga ◽

Susan Naude

Keyword(s):

Health Literacy ◽

Hiv Transmission ◽

Qualitative Content Analysis ◽

Sub Saharan Africa ◽

People Living With Hiv ◽

Structured Interviews ◽

Women Living With Hiv ◽

Living With Hiv ◽

The Impact ◽

Hiv Aids

Women in Sub-Saharan Africa are disproportionately affected by the virus and constitute 60% of the total HIV/AIDS infections in this region. Current recommendations endorse the involvement of people living with HIV in the development of programmes for people living with the virus. The purpose of the study was to explore and describe the health literacy needs of women living with HIV. The research design was qualitative, explorative, descriptive and contextual. After women living with HIV/AIDS were sampled purposively, semi-structured interviews were conducted with eight women and qualitative content analysis done. The findings revealed that the women expressed a need to increase their knowledge about HIV/AIDS. The knowledge they needed ranged from basic pathophysiology about HIV/AIDS, to the impact of HIV/AIDS on their health, to an awareness of the modes of HIV transmission and methods of protecting others from being infected. Other important health literacy needs related to self-care and correct antiretroviral use. A need for psychosocial skills was also identified in order for women to build and maintain their relationships. Recommendations were made for nursing practice, education and further research, based on these findings.

Download Full-text