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HIV 相关非艾滋病状况患者应对不良症状的自我管理策略。

Self-Management Strategies for Coping with Adverse Symptoms in Persons Living with HIV with HIV Associated Non-AIDS Conditions.

机构信息

School of Nursing, Columbia University, New York, NY, USA.

Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, USA.

出版信息

AIDS Behav. 2018 Jan;22(1):297-307. doi: 10.1007/s10461-017-1786-6.

Abstract

People living with HIV (PLWH) are living longer, but many are now affected by HIV-associated non-AIDS (HANA) conditions and their associated adverse symptoms. An online survey was conducted with 769 PLWH with HANA conditions in the US. Information was elicited on symptoms experienced, self-management strategies employed, and the helpfulness of these strategies. Open ended responses were collected for self-management strategies. A qualitative data analytic approach was used to organize the 4036 self-management strategies into thematic categories, with eight main categories emerging, including: taking medication, modifying activity, altering diet, seeking help, waiting, substance use, managing thoughts and attitudes, and altering the physical environment. Of the self-management strategy subcategories, social support was the most helpful self-management strategy with waiting/doing nothing being the least helpful approach. Findings can be used to inform the development of self-management interventions and to support health care professionals in recommending symptom self-management strategies to their patients.

摘要

HIV 感染者(PLWH)的寿命正在延长,但许多人现在受到与 HIV 相关的非艾滋病(HANA)病症及其相关的不良症状的影响。在美国,对 769 名患有 HANA 病症的 PLWH 进行了在线调查。收集了有关症状、采用的自我管理策略以及这些策略的有效性的信息。对自我管理策略采用开放式回答。采用定性数据分析方法将 4036 种自我管理策略组织成主题类别,出现了八个主要类别,包括:服药、调整活动、改变饮食、寻求帮助、等待、物质使用、管理思想和态度以及改变物理环境。在自我管理策略子类别中,社会支持是最有效的自我管理策略,而等待/不作为是最无效的方法。研究结果可用于为自我管理干预措施的制定提供信息,并为医疗保健专业人员推荐针对症状的自我管理策略提供支持。

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