Unmet needs of symptom management and associated factors among the HIV-positive population in Shanghai, China: A cross-sectional study

Dong, Ning; Chen, Wei-Ti; Lu, Hongzhou; Zhu, Zheng; Hu, Yan; Bao, Meijuan

doi:10.1016/j.apnr.2020.151283

Cited by 13 publications

(13 citation statements)

References 54 publications

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“…e l s e v i e r . c o m / l o c a t e / i j i d and found that the number of years since the diagnosis of HIV was not associated with overall symptom severity (Dong et al, 2020). Zhu et al conducted a multicenter, cross-sectional study among 1116 PLWH in China and found that a longer HIV-positive duration was not associated with more severe symptoms (Zhu et al, 2019b).…”

Section: Introductionmentioning

confidence: 99%

Evolving symptom networks in relation to HIV-positive duration among people living with HIV: A network analysis

Zhu

Wen

Yang

et al. 2021

International Journal of Infectious Diseases

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To explore and visualize the relationships among multiple symptoms in people living with HIV (PLWH) and compare centrality indices and the density of symptom networks among groups of individuals with different HIV-positive durations. Methods: We conducted a secondary analysis of data from the HIV-related Symptoms Monitoring Survey conducted in China. Networks were constructed among 27 symptoms. Centrality properties, including strength and closeness, and network density were used to describe relationships among symptoms in 5 different HIV-positive duration groups. Results: The findings showed that PLWH with longer HIV-positive durations did not have more severe symptoms; instead, their symptom networks were denser than those of their newly HIV-diagnosed counterparts (F = 27.073, P < 0.001). Fatigue was the most severe and central symptom in PLWH with an HIV-positive duration <10 years (r S = 7.79-10.09, r B = 18-44, r C = 0.01). Confusion was the most central symptom across the 3 centrality indices (r S = 11.81, r B = 14.00, r C = 0.02) in PLWH who had HIV-positive durations >10 years. Conclusion:This study demonstrates a need to include an assessment of PLWH symptom networks as an essential component of HIV care. We recommended evaluating cognitive function and cognitive training as essential components of HIV care for long-term survivors, even in younger populations (aged 50 years).

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Section: Introductionmentioning

confidence: 99%

Evolving symptom networks in relation to HIV-positive duration among people living with HIV: A network analysis

Zhu

Wen

Yang

et al. 2021

International Journal of Infectious Diseases

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“…Bringsvor et al (2018) discovered that COPD patients diagnosed with high symptom burden had poorer self-management. Dong et al (2020) found that symptom burden reduced selfmanagement behaviours in a population of HIV-positive patients.…”

Section: Discussionmentioning

confidence: 98%

Factors influencing self‐management among patients diagnosed with anxiety disorders in China: A cross‐sectional study

Cao

et al. 2022

Psychiatric Ment Health Nurs

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Accessible summaryWhat is known on the subject? Self‐management comprises five core skills: “Problem Solving, Decision‐Making, Resource Utilization, Forming a Patient/Healthcare Provider Partnership and Taking Action.” Effective self‐management among patients diagnosed with anxiety can reduce the number of relapses and improve treatment outcomes. Knowledge of the impact of the family atmosphere, well‐being and illness symptoms on self‐management in patients diagnosed with anxiety disorders is limited. What does the paper add to the existing knowledge? This is the first study in China to explore whether family atmosphere and well‐being of patients diagnosed with anxiety disorders affects self‐management. This paper adds to the list of factors influencing self‐management among patients diagnosed with anxiety disorders. SAS scores are a major factor influencing self‐management among patients diagnosed with anxiety disorders. The subjective well‐being of patients diagnosed with anxiety disorders can influence their self‐management behaviour. Patients who experienced family harmony had significantly higher self‐management scores than those who experienced family disharmony. What are the implications for practice? Nurses should encourage patients diagnosed with anxiety disorders to manage their condition while receiving treatment at home. Nurses should focus on patients diagnosed with anxiety disorders who have significant anxiety symptoms and low well‐being. Nurses should emphasize the importance of the home environment in family self‐management and affirm that a good home environment promotes patient self‐management. AbstractIntroductionBetter self‐management can improve treatment outcomes and reduce the number of relapses for patients diagnosed with anxiety disorders. However, the impact of well‐being and the home environment on self‐management among patients diagnosed with anxiety disorders is unclear in China.AimThis study sought to determine the impact of the home environment, well‐being and illness symptoms on self‐management during home treatment for patients diagnosed with anxiety disorders.MethodThis cross‐sectional study was conducted with patients diagnosed with anxiety disorders. Data were collected with SAS, Self‐Management Scale for People with Anxiety Disorders and Index of Well‐being. Frequency, percentage, analysis of variance, Kruskal–Wallis and multiple linear regression analyses were used.ResultsHome environment (p < .001), self‐perceived quality of life (p = .015), well‐being index (p = .002) and SAS total score (p = .033) had a major impact on self‐management in patients diagnosed with anxiety disorders (n = 245).DiscussionFamily disharmony, poor self‐perceived quality of life, high SAS scores and low levels of well‐being were significant influences on self‐management among people diagnosed with anxiety disorders.Implications for PracticeNurses should focus on the self‐management of patients diagnosed with significant anxiety symptoms and low well‐being and value the importance of the home environment in facilitating self‐management among patients diagnosed with anxiety disorders.

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“…These results indicated that clinical practitioners should pay attention to helping PLWH improve negative moods. Previous studies indicated that PLWH showed a huge unmet need for emotional support (56,57). Timely and effective regulation of negative moods may be more efficient in helping regulate other mental health symptom dimensions, such as cognitive process symptoms and social adaptation symptoms.…”

Section: Discussionmentioning

confidence: 99%

Exploring core mental health symptoms among persons living with HIV: A network analysis

Han

Zhang²,

Yang³

et al. 2023

Front. Psychiatry

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ContextPersons living with HIV (PLWH) commonly experience mental health symptoms. However, little is known about the core mental health symptoms and their relationships.ObjectiveThis study aimed to evaluate the prevalence of various mental health symptoms and to explore their relationships in symptom networks among PLWH.MethodsFrom April to July 2022, we recruited 518 participants through convenience sampling in Beijing, China, for this cross-sectional study. Forty mental health symptoms, including six dimensions (somatization symptoms, negative affect, cognitive function, interpersonal communication, cognitive processes, and social adaptation), were assessed through paper-based or online questionnaires. Network analysis was performed in Python 3.6.0 to explore the core mental health symptoms and describe the relationships among symptoms and clusters.ResultsOf the 40 mental health symptoms, the most common symptoms were fatigue (71.2%), trouble remembering things (65.6%), and uncertainty about the future (64.0%). In the single symptom network, sadness was the most central symptom across the three centrality indices (rS = 0.59, rC = 0.61, rB = 0.06), followed by feeling discouraged about the future (rS = 0.51, rC = 0.57, rB = 0.04) and feelings of worthlessness (rS = 0.54, rC = 0.53, rB = 0.05). In the symptom cluster network, negative affect was the most central symptom cluster across the three centrality indices (rS = 1, rC = 1, rB = 0.43).ConclusionOur study provides a new perspective on the role of each mental health symptom among PLWH. To alleviate the mental health symptoms of PLWH to the greatest extent possible and comprehensively improve their mental health, we suggest that psychological professionals pay more attention to pessimistic mood and cognitive processes in PLWH. Interventions that apply positive psychology skills and cognitive behavioral therapy may be necessary components for the mental health care of PLWH.

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Unmet needs of symptom management and associated factors among the HIV-positive population in Shanghai, China: A cross-sectional study

Cited by 13 publications

References 54 publications

Evolving symptom networks in relation to HIV-positive duration among people living with HIV: A network analysis

Evolving symptom networks in relation to HIV-positive duration among people living with HIV: A network analysis

Factors influencing self‐management among patients diagnosed with anxiety disorders in China: A cross‐sectional study

Exploring core mental health symptoms among persons living with HIV: A network analysis

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