Elizabete Santos Melo

Assessing the impact of pain on the life of breast cancer survivors using the Brief Pain Inventory

[Purpose] This study attempted to assess the impact of pain on the life of breast cancer survivors using the Brief Pain Inventory (BPI). [Subjects and Methods] A cross-sectional study was conducted. Participants comprised 30 women, aged 30–80 years, who had received treatment for breast cancer (surgery and complementary treatment) at least 12 months prior to the study and had reported chronic pain related to the treatment procedures. [Results] The highest scores were found for “mood” (median: 5.00 points; first quartile: 1.00 points; third quartile: 7.25 points), “normal work” (median: 5.00 points; first quartile: 0.00 points; third quartile: 8.00 points), and “sleep” (median: 4.50 points, first quartile: 0.00 points, third quartile: 8.00 points). [Conclusion] Pain exerts a negative impact primarily on mood, normal work, and sleep among breast cancer survivors.

Adesão à terapêutica antirretroviral de pessoas vivendo com HIV/aids em um município do interior paulista

Objective To assess adherence to antiretroviral drugs by people living with HIV/AIDS and identify its association with sociodemographic and clinical variables. Methods Cross-sectional analytical study using a sociodemographic instrument and CEAT-HIV, with data collected in the period from 2014-2015. Results A 75.0% was identified as having a good/proper adhesion. It was found that individuals between ages 40 and 59 (p = 0.029) and with morethan eight years of formal education (p = 0.043) had a higher level of compliance, as well as those diagnosed with HIV/AIDS for more than 10 years (p = 0.002), CD4 count >350 cells/mm3 (p<0,001) and an undetectable viral load (p=0,025). Conclusion In this study, a good adhesion between the subjects was identified and it was observed that individuals of older age, higher level of education, delayed diagnosis, high CD4 cell counts and undetectable viral load were associated with higher treatment adherence.Objetivo: Avaliar a adesao aos antirretrovirais de pessoas vivendo com o HIV/AIDS e identificar sua associacao com variaveis sociodemograficas e clinicas. Metodos: Estudo analitico transversal que utilizou instrumento sociodemografico e o CEAT-HIV, com dados coletados no periodo de 2014 a 2015. Resultados: Identificou-se 75,0% com grau de adesao bom/adequado. Verificou-se que os individuos com idade entre 40 e 59 anos (p=0,029) e com mais de oito anos de estudo (p=0,043) obtiveram maior grau de adesao, assim como aqueles com diagnostico de HIV/AIDS ha mais de 10 anos (p=0,002), contagem de TCD4 >350 celulas/mm3 (p<0,001) e carga viral indetectavel (p=0,025). Conclusao: Nesse estudo, identificou-se uma boa adesao entre os sujeitos e observou-se que individuos de maior faixa etaria, maior grau de escolaridade, maior tempo de diagnostico, elevada contagem de celulas TCD4 e carga viral indetectavel estiveram associados a uma maior adesao ao tratamento. Palavras-chave: Adesao a medicacao. Antirretrovirais. HIV. Enfermagem. Cuidados de enfermagem.

Factors associated with inconsistent condom use among people living with HIV/Aids

OBJECTIVE to analyze the prevalence and factors associated with inconsistent use of condoms among people living with HIV/ Aids (PLWHA). METHOD it is a cross-sectional study with 228, with individual interviews conducted in 2011. A multivariate analysis was performed with a logistic regression model. RESULTS 143 participants met the inclusion criteria, and the prevalence of inconsistent condom use was 28.7%. However, there was greater adherence among men (79.3%). In the multivariate analysis, the independent variable daily use of alcohol (OR=11.02; 95% CI 1.84, 65.92; p = 0.021) was associated with inconsistent condom use. The chance of men making consistent condom use was higher than women (OR = 0.36, 95% CI 0.15, 0.81; p = 0.015). CONCLUSION the prevalence of inconsistent condom male use among PLWHA was low, however, evidenced greater compliance among men over women with a statistically significant difference and the daily use of alcohol was associated with inconsistent condom use.

Fatores associados ao uso inconsistente do preservativo entre pessoas vivendo com HIV/Aids

OBJECTIVE to analyze the prevalence and factors associated with inconsistent use of condoms among people living with HIV/ Aids (PLWHA). METHOD it is a cross-sectional study with 228, with individual interviews conducted in 2011. A multivariate analysis was performed with a logistic regression model. RESULTS 143 participants met the inclusion criteria, and the prevalence of inconsistent condom use was 28.7%. However, there was greater adherence among men (79.3%). In the multivariate analysis, the independent variable daily use of alcohol (OR=11.02; 95% CI 1.84, 65.92; p = 0.021) was associated with inconsistent condom use. The chance of men making consistent condom use was higher than women (OR = 0.36, 95% CI 0.15, 0.81; p = 0.015). CONCLUSION the prevalence of inconsistent condom male use among PLWHA was low, however, evidenced greater compliance among men over women with a statistically significant difference and the daily use of alcohol was associated with inconsistent condom use.

Prevalence and factors associated with depressive symptoms in individuals living with HIV/AIDS

Introduction . Symptoms of depression are highly prevalent among people living with HIV/AIDS in Brazil and in other countries. This situation points to the need for proper diagnosis and timely treatment by the health team. Objective . To identify the prevalence of depressive symptoms and its association with sociodemographic, clinical and behavioral disorders among PLWHA. Method . This cross-sectional study analyzed 331 people living with HIV/AIDS in the city of Sao Paulo, Southeast Brazil. The Beck Depression Inventory was used to assess depressive symptoms. To identify predictors of depression, a multiple regression model was used, with a 95% confidence interval. Results . Of the participants, 167 (50.5%) were men, with an average age of 40. Depressive symptoms were prevalent in 42.3% and the factors associated with depression were being employed, age, and immunological status. Being employed was 1.8 times more likely (95% CI [1.0, 2.8]) to develop depressive symptoms than those who were not employed. The odds ratio of individuals under the age of 40 indicates they were 1.8 times more likely (95% CI [1.1, 2.8]) to have depressive symptoms than those over 40 years old. In regard to clinical aspects, individuals with 200 CD4 cells per mm3 are 2.1 times (95% CI [1.1, 3.9]) more likely to develop depression. Discussion and conclusion . We conclude that the prevalence of depressive symptoms among people living with HIV/AIDS was 42.3% and it was associated with being employed, age and CD4 + cell count.

Factores asociados al uso inconsistente del preservativo entre personas viviendo con VIH/SIDA

OBJECTIVE to analyze the prevalence and factors associated with inconsistent use of condoms among people living with HIV/ Aids (PLWHA). METHOD it is a cross-sectional study with 228, with individual interviews conducted in 2011. A multivariate analysis was performed with a logistic regression model. RESULTS 143 participants met the inclusion criteria, and the prevalence of inconsistent condom use was 28.7%. However, there was greater adherence among men (79.3%). In the multivariate analysis, the independent variable daily use of alcohol (OR=11.02; 95% CI 1.84, 65.92; p = 0.021) was associated with inconsistent condom use. The chance of men making consistent condom use was higher than women (OR = 0.36, 95% CI 0.15, 0.81; p = 0.015). CONCLUSION the prevalence of inconsistent condom male use among PLWHA was low, however, evidenced greater compliance among men over women with a statistically significant difference and the daily use of alcohol was associated with inconsistent condom use.