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