Lis Aparecida de Souza Neves

Qualidade de vida de mulheres vivendo com o HIV/aids de um município do interior paulista

A terapia antirretroviral de alta potencia beneficia os individuos com HIV/aids na sobrevida, cronicidade e qualidade de vida. Este estudo de corte transversal, com abordagem quantitativa, objetivou avaliar a qualidade de vida de mulheres com HIV/aids, utilizando o WHOQOL - HIV bref e sua associacao com variaveis sociodemograficas. Foi realizado em dois ambulatorios especializados no atendimento a individuos com HIV/aids. De 106 mulheres participantes, 99,1% eram heterossexuais e 92,4% foram infectadas por via sexual. Dentre os dominios de qualidade de vida, espiritualidade obteve maior escore (65,7), seguido pelo fisico (64,7), psicologico (60,6), relacoes sociais (59,5). Menores escores foram atingidos nos dominios nivel de independencia (58,6) e meio ambiente (54,5). Evidenciou-se que os fatores baixo nivel socioeconomico e educacional tiveram associacao com diferentes dominios, denotando a relacao entre qualidade de vida e condicoes de vida. Concluiu-se que persistem os desafios no âmbito das relacoes sociais, afetivas, financeiras, requerendo intervencoes efetivas focando o empoderamento das mulheres com HIV/aids.High potency antiretroviral therapy brings benefits to people with HIV/AIDS, related to survival, chronicity and quality of life. The objective of this quantitative and cross-sectional study was to assess the quality of life of women with HIV/AIDS, using the WHOQOL--HIV bref and its association with sociodemographic variables. The study was performed in outpatient clinics specialized in care to HIV/AIDS patients. Of the 106 interviewed women, 99.1% were heterosexual and 92.4% were infected sexually. Among the domains of quality of life, spirituality had the highest score (65.7), followed by physical (64.7), psychological (60.6), social relationships (59.5). Level of independence (58.6) and environment (54.5) scored the lowest. The factors low socioeconomic and educational levels were associated with different domains of quality of life, showing the relationship between quality of life and living conditions. Challenges persist in the scope of social, affective and financial relations, which require effective interventions regarding empowerment of women with HIV/AIDS.

Adesão ao tratamento por indivíduos com a co-infecção HIV/tuberculose: revisão integrativa da literatura

This is an integrative review whose objective was to evaluate the evidences available in the literature about the factors associated to the compliance with the treatment by patients with the co-infection HIV/TB. Articles published in the period from 2002 to 2008, in the databases LILACS and MEDLINE were analyzed. The material was categorized according to the year of publication, periodical, study location and factors related to the compliance. The final sample included eight articles. The factors found, associated to the compliance with the treatment of the co-infection HIV/TB, related to: the individual and his lifestyle (previous TB treatment, fear of stigma and discrimination, use of chemical substances, depression, social support); the disease and the medication (type of medication regime, use of other medication, adverse effects, difficulty to diagnose TB in these patients); and the health services (operational problems to follow up the treatment, training of the professionals, supervision, different locations to treat TB and HIV).Trata-se de revisao integrativa cujo objetivo foi avaliar as evidencias disponiveis na literatura sobre os fatores associados a adesao ao tratamento por pacientes com a co-infeccao HIV/TB. Foram levantados artigos publicados no periodo de 2002 a 2008, nas bases de dados LILACS e MEDLINE. O material foi categorizado de acordo com ano de publicacao, periodico, local do estudo e fatores relacionados a adesao. A amostra final foi composta por oito artigos. Os fatores encontrados, associados a adesao ao tratamento da co-infeccao HIV/TB, relacionam-se: ao individuo e ao estilo de vida (tratamento previo de TB, receio de estigma e discriminacao, uso de substâncias quimicas, depressao, suporte social), a doenca e aos medicamentos (tipo de regime medicamentoso, uso de outros medicamentos, efeitos colaterais, dificuldade de diagnostico de TB nestes pacientes), e aos servicos de saude (problemas operacionais para acompanhar o tratamento, treinamento dos profissionais, supervisao, locais distintos para atendimento de TB e de HIV).

Aids e tuberculose: a coinfecção vista pela perspectiva da qualidade de vida dos indivíduos

Tuberculosis (TB) and HIV coinfection adversely affects the lives of individuals in both the biological and psychosocial aspects. Aiming to describe the quality of life of individuals with HIV/TB coinfection, this descriptive cross-sectional study was conducted in Ribeirão Preto-SP. Participants were HIV-seropositive individuals with and without TB, using the WHOQOL HIV BREF. 115 individuals who were HIV-positive participated: 57 were coinfected and 58 were not; most were male heterosexuals, predominantly aged 40-49 years. Of those coinfected, most had lower education and income. In assessing the quality of life the coinfected individuals showed lower results in all areas, with significant differences in the Physical, Psychological, Level of Independence and Social Relations areas. TB and HIV / AIDS are stigmatized diseases, and overlap of the two may have severe consequences on the physical and psychosocial health of the individual.A coinfeccao tuberculose (TB) e HIV afeta negativamente a vida dos individuos, tanto nos aspectos biologicos como nos psicossociais. Com o objetivo de descrever a qualidade de vida de individuos com coinfeccao HIV/TB, foi realizado este estudo descritivo, de corte transversal, no municipio de Ribeirao Preto-SP. Foram entrevistados individuos soropositivos para o HIV, com e sem TB, por meio do instrumento WHOQOL-HIV bref. Participaram 115 individuos soropositivos para o HIV - 57 coinfectados e 58 nao coinfectados; a maioria do sexo masculino, heterossexuais, faixa etaria predominante de 40-49 anos, com os coinfectados apresentando baixas escolaridade e renda; na avaliacao da qualidade de vida os coinfectados apresentaram resultados mais baixos em todos os dominios, com diferenca importante no Fisico, Psicologico, Nivel de Independencia e Relacoes Sociais. TB e HIV/aids sao doencas estigmatizadas historicamente e a sobreposicao das duas pode ter consequencias graves na saude fisica e psicossocial do individuo.

HIV positive mothers' beliefs about mother-to-child transmission

Las creencias son capaces de influenciar el comportamiento del hombre. El objetivo de este estudiocualitativo fue comprender las creencias que influencian el comportamiento de las madres HIV respecto a lasmedidas profilacticas de la transmision vertical. Fueron entrevistadas 14 mujeres portadoras de HIV. Los datosfueron analizados utilizando como referencial teorico el Modelo de Creencias de la Salud, que es compuestopor las dimensiones de susceptibilidad percibida, severidad percibida, beneficios percibidos y barreras percibidas.Fueron observadas las contradicciones de la epidemia de SIDA: el conocimiento no muda comportamiento;miedo de la muerte; subestimacion del HIV; dificultades financieras; no creer en la existencia del virus.Identificar y comprender las creencias puede ayudar los servicios de salud a promover la adhesion de laclientela.DESCRIPTORES: VIH, sindrome de inmunodeficiencia adquirida, transmision vertical de enfermedad

Coordenação da assistência prestada às pessoas que vivem com HIV/AIDS em um município do Estado de São Paulo, Brasil

Objetivou-se analisar a coordenacao das acoes e servicos de saude na assistencia as pessoas que vivem com HIV/AIDS. Trata-se de um estudo seccional com 301 pessoas que vivem com HIV/AIDS. A analise foi feita por tecnicas descritivas, analise de variância e comparacao multiplas de medias. Encontrou-se que a coordenacao da assistencia foi satisfatoria (media = 3,69 e DP = 1,74). As pessoas que vivem com HIV/AIDS utilizavam outros servicos de saude alem dos Servicos de Assistencia Especializada em HIV/AIDS – SAE (Pronto Atendimento: 67%; atencao basica: 43,2%; outros servicos especializados: 23,6%; servicos privados: 15%). Os cinco SAE apresentaram diferentes desempenhos, bem como distintos contextos e composicoes assistenciais, entretanto adequado manejo dos aspectos clinicos em detrimento dos sociais. O fornecimento da guia de referencia foi tido como satisfatorio, entretanto a guia de contrarreferencia insatisfatorio. Ha necessidade de estrategias que favorecam o desenvolvimento de acoes compartilhadas e cooperadas dentro das equipes dos SAE e entre os diferentes servicos com o intuito de fortalecer a producao de cuidado resolutivo.The aim of this study was to analyze the coordination of health activities and services for persons living with AIDS. This was a cross-sectional study of 301 persons living with AIDS. The analysis used descriptive techniques, analysis of variance, and multiple comparisons of means. Coordination of care was found to be satisfactory (mean = 3.69 and SD = 1.74). Persons living with AIDS used other health services in addition to the Services for Specialized HIV/AIDS Care (67.0% emergency departments, 43.2% primary care, 23.6% other specialized services, 15% private services). The five specialized HIV/AIDS clinics showed different performance levels as well as distinct contexts and healthcare configurations, but adequate clinical management (comparatively better than management of social issues). Provision of the referral guide was considered satisfactory, but the counter-referral guide was found to be unsatisfactory. Strategies are needed to promote the development of shared and cooperative actions within the healthcare teams in the specialized HIV/AIDS clinics and between the different services in order to strengthen the provision of care with case-resolution capacity.

Compliance with the treatment by patients with the co-infection HIV/tuberculosis: integrative literature review

This is an integrative review whose objective was to evaluate the evidences available in the literature about the factors associated to the compliance with the treatment by patients with the co-infection HIV/TB. Articles published in the period from 2002 to 2008, in the databases LILACS and MEDLINE were analyzed. The material was categorized according to the year of publication, periodical, study location and factors related to the compliance. The final sample included eight articles. The factors found, associated to the compliance with the treatment of the co-infection HIV/TB, related to: the individual and his lifestyle (previous TB treatment, fear of stigma and discrimination, use of chemical substances, depression, social support); the disease and the medication (type of medication regime, use of other medication, adverse effects, difficulty to diagnose TB in these patients); and the health services (operational problems to follow up the treatment, training of the professionals, supervision, different locations to treat TB and HIV).Trata-se de revisao integrativa cujo objetivo foi avaliar as evidencias disponiveis na literatura sobre os fatores associados a adesao ao tratamento por pacientes com a co-infeccao HIV/TB. Foram levantados artigos publicados no periodo de 2002 a 2008, nas bases de dados LILACS e MEDLINE. O material foi categorizado de acordo com ano de publicacao, periodico, local do estudo e fatores relacionados a adesao. A amostra final foi composta por oito artigos. Os fatores encontrados, associados a adesao ao tratamento da co-infeccao HIV/TB, relacionam-se: ao individuo e ao estilo de vida (tratamento previo de TB, receio de estigma e discriminacao, uso de substâncias quimicas, depressao, suporte social), a doenca e aos medicamentos (tipo de regime medicamentoso, uso de outros medicamentos, efeitos colaterais, dificuldade de diagnostico de TB nestes pacientes), e aos servicos de saude (problemas operacionais para acompanhar o tratamento, treinamento dos profissionais, supervisao, locais distintos para atendimento de TB e de HIV).

Crenças das mães soropositivas ao HIV acerca da transmissão vertical da doença

Las creencias son capaces de influenciar el comportamiento del hombre. El objetivo de este estudiocualitativo fue comprender las creencias que influencian el comportamiento de las madres HIV respecto a lasmedidas profilacticas de la transmision vertical. Fueron entrevistadas 14 mujeres portadoras de HIV. Los datosfueron analizados utilizando como referencial teorico el Modelo de Creencias de la Salud, que es compuestopor las dimensiones de susceptibilidad percibida, severidad percibida, beneficios percibidos y barreras percibidas.Fueron observadas las contradicciones de la epidemia de SIDA: el conocimiento no muda comportamiento;miedo de la muerte; subestimacion del HIV; dificultades financieras; no creer en la existencia del virus.Identificar y comprender las creencias puede ayudar los servicios de salud a promover la adhesion de laclientela.DESCRIPTORES: VIH, sindrome de inmunodeficiencia adquirida, transmision vertical de enfermedad

Avaliação da autoestima em pessoas vivendo com HIV/aids no município de Ribeirão Preto-SP

Esse estudo de corte transversal teve como objetivo avaliar a autoestima de pessoas com HIV/aids e relaciona-la com fatores sociodemograficos e clinicos. Participaram 331 pessoas com HIV/aids, que faziam acompanhamento em dois servicos de referencia de um municipio do interior paulista, entre 2007 e 2010. Os dados foram coletados por meio de entrevistas individuais, utilizando-se Escala de autoestima de Rosenberg. Dos entrevistados, 167 (50,5%) eram do sexo masculino, faixa etaria predominante entre 30 e 39 anos (42,0%). Com referencia as variaveis relacionadas a sexualidade, 82,2% declararam-se heterossexuais e 84,6% referiram ter se infectado por via sexual. Quanto a avaliacao da autoestima, a media obtida foi de 25,25. Os impactos negativos quer fisico, social ou emocional da infeccao pelo HIV, revelaram a necessidade dos servicos de saude estarem preparados para oferecer assistencia integral as pessoas com HIV/aids, valorizando os fatores psicossociais.This cross-sectional study aimed evaluate self-esteem individuals with HIV/AIDS and relate it to sociodemographic and clinical factors. 331 people with HIV/AIDS, who were assisted at two referral centers in a city of the interior of Sao Paulo state between 2007 and 2010, participated of the study. Data were collected through individual interviews, using self-esteem scale of Rosenberg. 167 (50.5%) of the respondents were male, mostly between 30 and 39 years old (42.0%). Considering the variables related to sexuality, 82.2% reported being heterosexual and 84.6% referred to have been infected by sexual intercourse. Regarding the evaluation of self-esteem, the avarage score was 25.25. The negative impacts whether physical, social or emotional of HIV infection revealed the need for health services prepared to offer comprehensive care for people with HIV/AIDS, valuing the psychosocial factors. DESCRIPTORS: Acquired Immunodeficiency Syndrome. Self-esteem. Self image.

Depression and self-esteem of patients positive for HIV/AIDS in an inland city of Brazil

Background Psychiatric disorders are common in the course of HIV infection, and depression is one of the most prevalent. Another consequence is the decrease in self-esteem of the individual, marked by the accumulation and fat loss in areas of the body, one of the side effects of drugs. This study aims to characterize aspects demographics, economics, clinical and epidemiological and identify symptoms of depression and assess self-esteem in individuals with HIV/AIDS at different stages of infection.

Aids and tuberculosis: coinfection from the perspective of the quality of life of patients

Tuberculosis (TB) and HIV coinfection adversely affects the lives of individuals in both the biological and psychosocial aspects. Aiming to describe the quality of life of individuals with HIV/TB coinfection, this descriptive cross-sectional study was conducted in Ribeirão Preto-SP. Participants were HIV-seropositive individuals with and without TB, using the WHOQOL HIV BREF. 115 individuals who were HIV-positive participated: 57 were coinfected and 58 were not; most were male heterosexuals, predominantly aged 40-49 years. Of those coinfected, most had lower education and income. In assessing the quality of life the coinfected individuals showed lower results in all areas, with significant differences in the Physical, Psychological, Level of Independence and Social Relations areas. TB and HIV / AIDS are stigmatized diseases, and overlap of the two may have severe consequences on the physical and psychosocial health of the individual.A coinfeccao tuberculose (TB) e HIV afeta negativamente a vida dos individuos, tanto nos aspectos biologicos como nos psicossociais. Com o objetivo de descrever a qualidade de vida de individuos com coinfeccao HIV/TB, foi realizado este estudo descritivo, de corte transversal, no municipio de Ribeirao Preto-SP. Foram entrevistados individuos soropositivos para o HIV, com e sem TB, por meio do instrumento WHOQOL-HIV bref. Participaram 115 individuos soropositivos para o HIV - 57 coinfectados e 58 nao coinfectados; a maioria do sexo masculino, heterossexuais, faixa etaria predominante de 40-49 anos, com os coinfectados apresentando baixas escolaridade e renda; na avaliacao da qualidade de vida os coinfectados apresentaram resultados mais baixos em todos os dominios, com diferenca importante no Fisico, Psicologico, Nivel de Independencia e Relacoes Sociais. TB e HIV/aids sao doencas estigmatizadas historicamente e a sobreposicao das duas pode ter consequencias graves na saude fisica e psicossocial do individuo.