Efeito do álcool em pessoas com HIV: tratamento e qualidade de vida

Santos, Vanessa da Frota; Galvão, Marli Teresinha Gimeniz; Cunha, Gilmara Holanda da; Lima, Ivana Cristina Vieira de; Gir, Elucir

doi:10.1590/1982-0194201700014

Cited by 26 publications

(31 citation statements)

References 22 publications

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“…The mean age obtained in the present study was 45.67 years, in agreement with other national studies [8][9][10] , in which the largest proportions of PLHA were aged between 30 and 49 years. However, data presented in the last HIV/AIDS epidemiological bulletin, published by the Ministry of Health in 2016, show that the highest concentration of HIV cases in Brazil is in individuals aged between 25 and 39 years, for both sexes 11 .…”

Section: Discussionsupporting

confidence: 92%

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Miyada

Garbín

Gatto

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction:In the 1990s, Brazil adopted a public policy that allowed for universal, free access to antiretroviral therapy (ART). Since then, treatment adherence has become a new challenge for administrators of sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) policies. This study quantified adherence to ART and verified whether there is an association between sociodemographic variables and clinical/laboratory data in human immunodeficiency virus (HIV)-infected patients. Methods: This was a cross-sectional, exploratory study with a quantitative approach that was conducted over 8 months.The target population contained patients who were assisted at the ambulatory care facility specialized in STD/AIDS of a mediumsize city located in Northwest São Paulo. In order to verify the level of adherence to ART, a validated CEAT-VIH (Assessment of Adherence to Antiretroviral Therapy Questionnaire) questionnaire was used. Sociodemographic aspects and clinical/laboratory data were obtained from the medical records. The results were analyzed using the Student's t-test and Pearson's coefficient. Results: Herein, 109 patients were interviewed, 56% of whom were male. The age of the population ranged 18-74 years (mean 45.67 years). Adherence to ART was classified as insufficient in 80.7% of cases. There was an association between ART adherence and presence of symptoms and/or opportunistic infection (p=0.008) and economic status (p<0.001). Conclusions: Adherence to ART among HIV carriers cared for by the public health system is low. Patients who reported a favorable economic status and those without symptoms and/or opportunistic infection demonstrated greater treatment adherence than those who needed to take more than 3 pills a day.

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Section: Discussionsupporting

confidence: 92%

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Miyada

Garbín

Gatto

et al. 2017

Rev. Soc. Bras. Med. Trop.

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“…It is known that the ingestion of alcoholic beverage negatively influences health, especially in this group, since it alters adherence to treatment and increases the risk of unprotected sex, and ethanol is also linked to greater chances of toxicity of the medication and is related to treatment inefficiency, since it competes with it, in addition to being associated with the lower CD4 + T lymphocyte count and higher viral load. [14][15] It is emphasized that smoking is associated with increased mortality in infected patients, with the risks of developing atherosclerotic disease, respiratory diseases and diverse lung diseases; furthermore, cigarette use is associated with inductions of inflammatory responses greater than would be expected in a smoker without HIV infection. 16 It is also stated that patients received from other states came from the interior of small cities, as well as patients regulated from the south or north of the state, which is equivalent to almost half of the attendances of the year 2016.…”

Section: Discussionmentioning

confidence: 99%

Perfil sociodemográfico e a evolução clínica dos pacientes com síndrome da imunodeficiência humana

Amorim

Abreu

Mendes

et al. 2019

Rev enferm UFPE on line.

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Objetivo: avaliar o perfil sociodemográfico e a evolução clínica dos pacientes com síndrome da imunodeficiência humana. Método: trata-se de pesquisa quantitativa, retrospectiva e descritiva realizada em um serviço de saúde especializado. Coletaram-se os dados no serviço de arquivamento médico e estatístico, em prontuários. Aplicou-se um formulário contendo variáveis de caracterização do perfil clínico e sociodemográfico dos pacientes. Utilizou-se amostra probabilística que totalizou 172 prontuários. Analisaram-se os dados pelo software Statistical Package for the Social Sciences. Resultados: verificou-se o predomínio de homens adultos, solteiros, na cor parda e com média de idade de 40 anos e baixo nível socioeconômico, com prevalência das coinfecções causadas por protozoários, seguidas pelas infecções bacterianas. Conclusão: percebe-se que há uma mudança do perfil das pessoas que vivem com o vírus da imunodeficiência humana com o aumento de casos entre mulheres e interiorização dessa patologia. Infere-se que tais achados podem contribuir para a adoção de ações de saúde direcionadas e adaptadas ao perfil evidenciado. Descritores: HIV; Infecções por HIV; Síndrome de Imunodeficiência Adquirida; Soroprevalência de HIV; Perfil de Saúde; Enfermagem.ABSTRACT Objective: to evaluate the sociodemographic profile and clinical evolution of patients with human immunodeficiency syndrome. Method: it is a quantitative, retrospective and descriptive research carried out in a specialized health service. The data was collected in the medical and statistical archival service, in medical records. A form containing variables characterizing the clinical and sociodemographic profile of the patients was applied. A probabilistic sample was used, which totaled 172 medical records. Data was analyzed by the software Statistical Package for the Social Sciences. Results: the prevalence of adult males, single, in the brown color and with a mean age of 40 years and low socioeconomic level, with prevalence of co-infections due to protozoa, followed by bacterial infections were observed. Conclusion: it is noticed that there is a change in the profile of people living with the human immunodeficiency virus with the increase of cases among women and the internalization of this pathology. It is inferred that such findings can contribute to the adoption of health actions directed and adapted to the profile evidenced. Descriptors: HIV; HIV Infections; Acquired Immunodeficiency Syndrome; HIV Seroprevalence; Health Profile; Nursing.RESUMENObjetivo: evaluar el perfil sociodemográfico y la evolución clínica de los pacientes con síndrome de inmunodeficiencia humana. Método: se trata de investigación cuantitativa, retrospectiva, descriptiva, realizada en un servicio de salud especializado. Se recogió los datos en el servicio de archivo médico y estadístico, en prontuarios, se aplicó un formulario conteniendo variables de caracterización del perfil clínico y sociodemográfico de los pacientes. Se utilizó muestra probabilística que totalizó 172 prontuarios. Se analizaron los datos por el software Statistical Package for the Social Sciences. Resultados: se verificó el predominio de hombres adultos, solteros, de color pardo y con promedio de edad de 40 años y bajo nivel socioeconómico, con prevalencia de las coinfecciones causadas por protozoarios, seguida por las infecciones bacterianas. Conclusión: se percibe que hay un cambio del perfil de las personas que viven con el virus de la inmunodeficiencia humana con aumento de casos entre mujeres e interiorización de esa patología. Se infiere que tales hallazgos pueden contribuir a la adopción de acciones de salud dirigidas y adaptadas al perfil evidenciado. Descriptores: VIH; Infecciones por VIH; Síndrome de Inmunodeficiencia Adquirida; Seroprevalencia de VIH; Perfil de Salud; Enfermería.

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“…Hazardous alcohol consumption is associated with reduced adherence and reduced viral suppression (21)(22) , it is thus necessary that these types of interventions include strategies that allow patients to have healthy behaviors and reduce alcohol consumption to improve adherence and quality of life (23) . According to the current technical standard of the selected health service, alcohol consumption patterns must be explored during the nursing interview protocol to "define nursing diagnoses or lead patients to propose their own solutions" (24) .…”

Section: Introductionmentioning

confidence: 99%

Validation of a counseling guide for adherence to antiretroviral therapy using implementation science

Musayón-Oblitas

Cárcamo

Gimbel

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to determine the contents that must be included in the usual counseling to improve the adherence to antiretroviral therapy (ART) of HIV patients, according to their different levels of alcohol consumption, and to determine the validity of the Counseling Guide in improving the adherence to ART in patients who consume alcohol using Implementation Science. Method: this is an observational study with formative and validation phases. The formative phase defined the content, approach and structure of the counseling. Validation included focus groups with patients and nurses, trial process by an expert and a pilot test. The criteria evaluated based on Implementation Science were: intervention source, evidence strength and quality, relative advantage, and complexity. The following criteria were also evaluated: usefulness, practicality, acceptability, sustainability, effectiveness; content consistency and congruence; procedural compliance and difficulties, and time spent in counseling. Results: the strength of evidence of the counseling is High-IIA, with strong level of recommendation and presenting usefulness, practicality, acceptability, sustainability and effectiveness. Eight in 11 experts argued that the Guide is clear, consistent and congruent. Initial counseling takes around 24 minutes; and follow-up counseling, 21. The instruments of the Guide present reliability levels between good and high (0.65 ≥ alpha ≤ 0.92). Conclusion: the Counseling Guide is valid to improve the adherence to antiretroviral therapy in patients who consume alcohol.

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Efeito do álcool em pessoas com HIV: tratamento e qualidade de vida

Cited by 26 publications

References 22 publications

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Perfil sociodemográfico e a evolução clínica dos pacientes com síndrome da imunodeficiência humana

Validation of a counseling guide for adherence to antiretroviral therapy using implementation science

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