Calidad de vida relacionada con la salud en sujetos con VIH
Publicado
dic 30, 2021
Almetrics
Dimensions
Google Scholar
Carlos Jesús Canova Barrios
http://orcid.org/0000-0003-3901-6117
http://orcid.org/0000-0003-3901-6117
##plugins.themes.bootstrap3.article.details##
Resumen
Introducción: Desde la identificación del VIH se ha avanzado en el desarrollo de tratamientos más seguros y eficaces que aseguren la sobrevida de los sujetos afectados, siendo el reto de los profesionales sanitarios el mejoramiento de la calidad de vida relacionada con la salud de estos. Objetivo: Analizar la calidad de vida relacionada con la salud de una muestra de pacientes con VIH de Buenos Aires, Argentina. Método: Estudio analítico, transversal y cuantitativo realizado durante los meses de enero a marzo de 2020. Participaron un total de 144 sujetos. Se administraron los cuestionarios SF-36 y Morisky-Green. Resultados: La muestra estuvo comprendida mayoritariamente por hombres, solteros, sin hijos y con estudios universitarios. El 49,30 % presentaba una buena adherencia al tratamiento. La Función física fue la dimensión mejor evaluada (92,19), mientras que la Vitalidad fue la peor percibida (61,42). El componente mental fue el más afectado. El sexo femenino, nivel de estudios primario, edad más alta, tenencia de hijos y la presencia de complicaciones se asociaron a una peor calidad de vida. Conclusiones: Se hace importante implementar acciones tendientes a mejorar la adherencia al tratamiento de los pacientes y promover estilos de vida favorecedores de la salud. Asimismo, el abordaje de los sujetos ha de ser integral, considerando las dimensiones psíquica, emocional, social y espiritual como parte de las áreas de atención. La calidad de vida debe ser un indicador de seguimiento para los profesionales sanitarios.
Keywords
References
1. Organización Mundial de la Salud. Constitución de la OMS [Internet]. 2014. https://apps.who.int/gb/bd/PDF/bd48/basic-documents-48th-edition-sp.pdf#page=7.
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/.
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/.
Cómo citar
Canova Barrios, C. J. (2021). Calidad de vida relacionada con la salud en sujetos con VIH. Investigación En Enfermería: Imagen Y Desarrollo, 23. https://doi.org/10.11144/Javeriana.ie23.cvrs
Sección
Artículos Originales de Investigación
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.