Qualidade de vida relacionada à saúde em sujeitos com HIV
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Dec 30, 2021
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Carlos Jesús Canova Barrios
http://orcid.org/0000-0003-3901-6117
http://orcid.org/0000-0003-3901-6117
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Resumo
Introdução: Desde a identificação do VIH houve avanços no desenvolvimento de tratamentos mais seguros e eficazes que garantam a sobrevivência dos sujeitos acometidos, sendo o desafio para os profissionais sanitários o melhoramento da qualidade de vida relacionada à saúde destes. Objetivo: Analisar a qualidade de vida relacionada à saúde de uma amostra de pacientes com HIV de Buenos Aires, Argentina. Método: Estudo analítico, transversal e quantitativo realizado durante os meses de janeiro a março de 2020. Participara um total de 144 sujeitos. Foram aplicados os questionários SF-36 e Morisky-Green. Resultados: a amostra foi composta principalmente por homens, solteiros, sem filhos e com estudos universitários. 49,30% tiveram boa adesão ao tratamento. A Função física foi a dimensão melhor avaliada (92,19), enquanto Vitalidade foi a pior percebida (61,42). O componente mental foi o mais afeitado. O sexo feminino, nível de escolaridade fundamental, idade mais avançada, tenência de filhos e presença de complicações foram associadas à pior qualidade de vida. Conclusões: É importante implementar ações que visem melhorar a adesão ao tratamento dos pacientes e promover estilos de vida saudáveis. Da mesma forma, a abordagem dos sujeitos deve ser integral, considerando as dimensões psíquica, emocional, social e espiritual como parte das áreas de atenção. A qualidade de vida deve ser um indicador de monitoramento para os profissionais sanitários.
Keywords
References
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3. Shumaker SA, Ellis S, Naughton MJ. Assessing health-related quality of life in HIV disease: key measurement issues. Quality of Life Research. 1997;6:475–80. https://doi.org/10.1023/A:1018499813912.
4. Mokhatri-Hesari P, Montazeri A. Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health Qual Life Outcomes. 2020:18,338. https://doi.org/10.1186/s12955-020-01591-x.
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10. Lifson AR, Grandits GA, Gardner EM, Wolff MJ, Pulik P, Williams I, et al. Quality of life assessment among HIV-positive persons entering the INSIGHT Strategic Timing of AntiRetroviral Treatment (START) trial. HIV Med. 2015;16(Suppl. 1):88-96. https://doi.org/10.1111/hiv.12237.
11. Ballester-Arnal R, Gómez-Martínez S, Fumaz CR, González-García M, Remor E, Fuster MJ. A spanish study on psychological predictors of quality of life in people with HIV. AIDS Behav. 2016;20(2):281-91. https://doi.org/10.1007/s10461-015-1208-6.
12. da Cunha GH, Fiuza ML, Gir E, Aquino P, Pinheiro AK, Galvão MT. Quality of life of men with AIDS and the model of social determinants of health. Rev Lat Am Enfermagem. 2015;23(2):183-91. https://doi.org/10.1590/0104-1169.0120.2541.
13. Liping M, Peng X, Haijiang L, Lahong J, Fan L. Quality of life of people living with HIV/AIDS: a cross-sectional study in Zhejiang Province, China. PLoS One. 2015;10(8):e0135705. https://doi.org/10.1371/journal.pone.0135705.
14. Lan G-L, Yuan ZK, Clements-Nolle KD, Cook A, Yuan LL, Xu QY, et al. Social capital and quality of life among people living with HIV/AIDS in Southeast China. Asia Pacific J Public Health. 2016;28(4):325–35. https://doi.org/10.1177/1010539516641490.
15. Zhakipbayeva BT, Nugmanova ZS, Tracy M, Birkhead GS, Akhmetova GM, DeHovitz J. Factors influencing the quality of life in persons living with human immunodeficiency virus infection in Almaty, Kazakhstan. Int J STD AIDS. 2019;30(13):1318-28. https://doi.org/10.1177/0956462419876484.
16. Dessie ZG, Zewotir T, Mwambi H, North D. Multivariate multilevel modeling of quality of life dynamics of HIV infected patients. Health Qual Life Outcomes. 2020;18(1):80. https://doi.org/10.1186/s12955-020-01330-2
17. Vo QT, Hoffman S, Nash D, El-Sadr WM, Tymejczyk OA, Gadisa T, et al. Gender differences and psychosocial factors associated with quality of life among ART initiators in Oromia, Ethiopia. AIDS Behav. 2016;20(8):1682-91. https://doi.org/10.1007/s10461-016-1396-8.
18. Mutabazi-Mwesigire DM, Martin F, Seeley J, Katamba A. Relationship between CD4 count and quality of life over time among HIV patients in Uganda: a cohort study. Health Qual Life Outcomes. 2015;13:144. https://doi.org/10.1186/s12955-015-0332-3.
19. Bucciardini R, Pugliese K, Weimer L, Digregorio M, Fragola V, Mancini M, et al. Relationship between health-related quality of life measures and high HIV viral load in HIV-infected triple-class-experienced patients. HIV Clin Trials. 2014;15(4):176-83. https://doi.org/10.1310/hct1504-176.
20. Gutiérrez-Gabriel I, Godoy-Guinto J, Lucas-Alvarado H, Pineda-Germán B, Vázquez-Cruz E, Hernández-De la Rosa M, Sosa-Jurado F. Calidad de vida y variables psicológicas que afectan la adherencia al tratamiento anti-retroviral en pacientes mexicanos con infección por VIH/SIDA. Rev Chilena Infectol. 2019;36(3):331-339. https://doi.org/10.4067/S0716-10182019000300331.
21. Mutabazi-Mwesigire D, Katamba A, Martin F, Seeley J, Wu AW. Factors that affect quality of life among people living with HIV attending an urban clinic in Uganda: a cohort study. PLoS One. 2015;10(6). https://doi.org/10.1371/journal.pone.0126810.
22. Karkashadze E, Gates MA, Chkhartishvili N, DeHovitz J, Tsertsvadze T. Assessment of quality of life in people living with HIV in Georgia. Int J STD AIDS. 2017;28(7):672-8. https://doi.org/10.1177/0956462416662379.
23. Pérez-Rodríguez I, Pérez-Salgado D, Compeán-Dardón MS, Staines-Orozco MG, Ortiz-Hernández L. Efectos secundarios del tratamiento antirretroviral y apego en pacientes con VIH de dos instituciones públicas. Med Int Méx. 2016;32(4):396-406. https://www.medigraphic.com/pdfs/medintmex/mim-2016/mim164d.pdf.
24. Zubaran C, Medeiros G, Foresti K, May W, Michelim L, Madi JM, et al. Quality of life and adherence to antiretroviral therapy in Southern Brazil. AIDS Care. 2014;26(5):619-25. https://doi.org/10.1080/09540121.2013.841838.
25. Augustovski F, Lewin G, Elorrio E, Rubinstein A. The Argentine–Spanish SF-36 Health Survey was successfully validated for local outcome research. J Clin Epidemiol. 2008;61(12):1279-84. https://doi.org/10.1016/j.jclinepi.2008.05.004.
26. Canova-Barrios C, Oviedo-Santamaría P. Health-related quality of life among intensive care unit workers. Enferm Intensiva. 2021;32(4):181-188. https://doi.org/10.1016/j.enfi.2020.11.002.
27. Wickersham K, Sereika S, Kang H, Tamres L, Erlen J. Use of a Self-Report Medication Adherence Scale for Measuring Adherence to Antiretroviral Therapy in Patients With HIV/AIDS. J Nurs Meas. 2018;26(2):E72-E88. https://doi.org/10.1891/1061-3749.26.2.E72.
28. Cardona-Duque D, Medina-Pérez O, Herrera-Castaño S, Orozco-Gómez P. Adherence to antiretroviral treatment and associated factors in people living with HIV/AIDS in Quindío, Colombia. Rev Fac Med. 2017;65(3):403-410. https://doi.org/10.15446/revfacmed.v65n3.55535
29. Instituto Nacional de estadísticas y Censos, República Argentina. Cuarta Encuesta Nacional de Factores de Riesgo (ENFR): Resultados definitivos [Internet]. 2018. https://www.indec.gob.ar/indec/web/Nivel4-Tema-4-32-68.
30. Guzmán VE, Echazu A, Vinciguerra M, Edelcopp A. Adherencia al tratamiento antirretroviral en pacientes trans [Internet]. 2019. https://infectologia.info/abstracts/adherencia-al-tratamiento-antirretroviral-en-pacientes-trans/.
2. Organización Mundial de la Salud. ¿Qué calidad de vida? [Internet]. 1996. https://apps.who.int/iris/bitstream/handle/10665/55264/whf_1996_17_n4_p38;jsessionid=AD1C4EA5EBBA1032E5A14F26AE5415D5?sequence=1
3. Shumaker SA, Ellis S, Naughton MJ. Assessing health-related quality of life in HIV disease: key measurement issues. Quality of Life Research. 1997;6:475–80. https://doi.org/10.1023/A:1018499813912.
4. Mokhatri-Hesari P, Montazeri A. Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health Qual Life Outcomes. 2020:18,338. https://doi.org/10.1186/s12955-020-01591-x.
5. Reinius M, Wiklander M, Wettergren L, Svedhem V, Eriksson LE. The Relationship Between Stigma and Health-Related Quality of Life in People Living with HIV Who Have Full Access to Antiretroviral Treatment: An Assessment of Earnshaw and Chaudoir’s HIV Stigma Framework Using Empirical Data. AIDS Behav. 2018;22:3795–3806. https://doi.org/10.1007/s10461-018-2041-5.
6. Ministerio de Salud de la Nación, Argentina. Boletín Oficial Sobre VIH, SIDA y ITS N°37, año XXIII, diciembre 2020 [Internet]. Disponible en: https://bancos.salud.gob.ar/recurso/boletin-sobre-el-vih-sida-e-its-en-la-argentina-ndeg-37.
7. Cabrera S, Arteta Z, Meré J, Cavalleri F. Calidad de vida relacionada a la salud en personas con VIH y factores asociados. Rev Méd Urug. 2018;34(1):7-19. https://doi.org/10.29193/rmu.34.1.1
8. Cooper V, Clatworthy J, Harding R, Whetham J; Emerge Consortium. Measuring quality of life among people living with HIV: a systematic review of reviews. Health Qual Life Outcomes. 2017;15(1):220. https://doi.org/10.1186/s12955-017-0778-6.
9. Ghiasvand H, Waye KM, Noroozi M, Ghaedamini Harouni G, Armoon B, Bayani A. Clinical determinants associated with quality of life for people who live with HIV/AIDS: a Meta-analysis. BMC Health Serv Res. 2019;19:768. https://doi.org/10.1186/s12913-019-4659-z
10. Lifson AR, Grandits GA, Gardner EM, Wolff MJ, Pulik P, Williams I, et al. Quality of life assessment among HIV-positive persons entering the INSIGHT Strategic Timing of AntiRetroviral Treatment (START) trial. HIV Med. 2015;16(Suppl. 1):88-96. https://doi.org/10.1111/hiv.12237.
11. Ballester-Arnal R, Gómez-Martínez S, Fumaz CR, González-García M, Remor E, Fuster MJ. A spanish study on psychological predictors of quality of life in people with HIV. AIDS Behav. 2016;20(2):281-91. https://doi.org/10.1007/s10461-015-1208-6.
12. da Cunha GH, Fiuza ML, Gir E, Aquino P, Pinheiro AK, Galvão MT. Quality of life of men with AIDS and the model of social determinants of health. Rev Lat Am Enfermagem. 2015;23(2):183-91. https://doi.org/10.1590/0104-1169.0120.2541.
13. Liping M, Peng X, Haijiang L, Lahong J, Fan L. Quality of life of people living with HIV/AIDS: a cross-sectional study in Zhejiang Province, China. PLoS One. 2015;10(8):e0135705. https://doi.org/10.1371/journal.pone.0135705.
14. Lan G-L, Yuan ZK, Clements-Nolle KD, Cook A, Yuan LL, Xu QY, et al. Social capital and quality of life among people living with HIV/AIDS in Southeast China. Asia Pacific J Public Health. 2016;28(4):325–35. https://doi.org/10.1177/1010539516641490.
15. Zhakipbayeva BT, Nugmanova ZS, Tracy M, Birkhead GS, Akhmetova GM, DeHovitz J. Factors influencing the quality of life in persons living with human immunodeficiency virus infection in Almaty, Kazakhstan. Int J STD AIDS. 2019;30(13):1318-28. https://doi.org/10.1177/0956462419876484.
16. Dessie ZG, Zewotir T, Mwambi H, North D. Multivariate multilevel modeling of quality of life dynamics of HIV infected patients. Health Qual Life Outcomes. 2020;18(1):80. https://doi.org/10.1186/s12955-020-01330-2
17. Vo QT, Hoffman S, Nash D, El-Sadr WM, Tymejczyk OA, Gadisa T, et al. Gender differences and psychosocial factors associated with quality of life among ART initiators in Oromia, Ethiopia. AIDS Behav. 2016;20(8):1682-91. https://doi.org/10.1007/s10461-016-1396-8.
18. Mutabazi-Mwesigire DM, Martin F, Seeley J, Katamba A. Relationship between CD4 count and quality of life over time among HIV patients in Uganda: a cohort study. Health Qual Life Outcomes. 2015;13:144. https://doi.org/10.1186/s12955-015-0332-3.
19. Bucciardini R, Pugliese K, Weimer L, Digregorio M, Fragola V, Mancini M, et al. Relationship between health-related quality of life measures and high HIV viral load in HIV-infected triple-class-experienced patients. HIV Clin Trials. 2014;15(4):176-83. https://doi.org/10.1310/hct1504-176.
20. Gutiérrez-Gabriel I, Godoy-Guinto J, Lucas-Alvarado H, Pineda-Germán B, Vázquez-Cruz E, Hernández-De la Rosa M, Sosa-Jurado F. Calidad de vida y variables psicológicas que afectan la adherencia al tratamiento anti-retroviral en pacientes mexicanos con infección por VIH/SIDA. Rev Chilena Infectol. 2019;36(3):331-339. https://doi.org/10.4067/S0716-10182019000300331.
21. Mutabazi-Mwesigire D, Katamba A, Martin F, Seeley J, Wu AW. Factors that affect quality of life among people living with HIV attending an urban clinic in Uganda: a cohort study. PLoS One. 2015;10(6). https://doi.org/10.1371/journal.pone.0126810.
22. Karkashadze E, Gates MA, Chkhartishvili N, DeHovitz J, Tsertsvadze T. Assessment of quality of life in people living with HIV in Georgia. Int J STD AIDS. 2017;28(7):672-8. https://doi.org/10.1177/0956462416662379.
23. Pérez-Rodríguez I, Pérez-Salgado D, Compeán-Dardón MS, Staines-Orozco MG, Ortiz-Hernández L. Efectos secundarios del tratamiento antirretroviral y apego en pacientes con VIH de dos instituciones públicas. Med Int Méx. 2016;32(4):396-406. https://www.medigraphic.com/pdfs/medintmex/mim-2016/mim164d.pdf.
24. Zubaran C, Medeiros G, Foresti K, May W, Michelim L, Madi JM, et al. Quality of life and adherence to antiretroviral therapy in Southern Brazil. AIDS Care. 2014;26(5):619-25. https://doi.org/10.1080/09540121.2013.841838.
25. Augustovski F, Lewin G, Elorrio E, Rubinstein A. The Argentine–Spanish SF-36 Health Survey was successfully validated for local outcome research. J Clin Epidemiol. 2008;61(12):1279-84. https://doi.org/10.1016/j.jclinepi.2008.05.004.
26. Canova-Barrios C, Oviedo-Santamaría P. Health-related quality of life among intensive care unit workers. Enferm Intensiva. 2021;32(4):181-188. https://doi.org/10.1016/j.enfi.2020.11.002.
27. Wickersham K, Sereika S, Kang H, Tamres L, Erlen J. Use of a Self-Report Medication Adherence Scale for Measuring Adherence to Antiretroviral Therapy in Patients With HIV/AIDS. J Nurs Meas. 2018;26(2):E72-E88. https://doi.org/10.1891/1061-3749.26.2.E72.
28. Cardona-Duque D, Medina-Pérez O, Herrera-Castaño S, Orozco-Gómez P. Adherence to antiretroviral treatment and associated factors in people living with HIV/AIDS in Quindío, Colombia. Rev Fac Med. 2017;65(3):403-410. https://doi.org/10.15446/revfacmed.v65n3.55535
29. Instituto Nacional de estadísticas y Censos, República Argentina. Cuarta Encuesta Nacional de Factores de Riesgo (ENFR): Resultados definitivos [Internet]. 2018. https://www.indec.gob.ar/indec/web/Nivel4-Tema-4-32-68.
30. Guzmán VE, Echazu A, Vinciguerra M, Edelcopp A. Adherencia al tratamiento antirretroviral en pacientes trans [Internet]. 2019. https://infectologia.info/abstracts/adherencia-al-tratamiento-antirretroviral-en-pacientes-trans/.
Como Citar
Canova Barrios, C. J. (2021). Qualidade de vida relacionada à saúde em sujeitos com HIV. Investigación En Enfermería: Imagen Y Desarrollo, 23. https://doi.org/10.11144/Javeriana.ie23.cvrs
Seção
Artículos Originales de Investigación
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