Determination of the effect of self-care based on the need for quality of life in people with AIDS
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Social Determinates of the Health Research Center, School of Allied Medical Science, Shahrekord University of Medical Sciences, Shahrekord, Iran
Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery College, Shahrekord University of Medical Sciences, Shahrekored, Iran
Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
Voluntary Counselling Centres, Isfahan University of Medical Sciences, Isfahan, Iran
Submission date: 2018-06-15
Final revision date: 2018-12-18
Acceptance date: 2018-12-20
Publication date: 2019-10-29
HIV & AIDS Review 2019;18(4):261-266
Considering the prevalence of acquired immunodeficiency virus infection and the need to strengthen programs for improving quality of life, the present study was conducted to examine the effect of self-care based on the need for quality of life in people with acquired immunodeficiency syndrome (AIDS).

Material and methods:
In a clinical trial study, 66 human immunodeficiency virus (HIV)-positive patients referred to Navab Safavi Hospital in Isfahan were assigned to two intervention and control groups randomly. The first group was placed under the intervention of self-care program and no intervention was performed in the second group. The quality of life score of patients before and after the intervention in the two groups was examined and compared.

The mean quality of life score in the intervention group was 68.7 ± 11.8 before and reached 79.7 ± 10.3 after intervention, which was statistically significant (p = 0.002). In the control group, the mean quality of life scores before and after treatment were 65.7 ± 11.9 and 60.8 ± 11.7, respectively, which was not statistically significant (p = 0.053). Also, the change in the quality of life score was statistically significant (p < 0.001) between case and control groups.

Providing self-care programs in patients with HIV leads to an increase in the quality of life in them. Since these patients are at risk for various types of psychiatric disorders, they must be mentally and emotionally supported and should be encouraged to improve their quality of life by promoting their own self-care programs. Medical science and doctors may find the findings useful in their medical experience and practice.

HassanpourDehkordi A, Mohammadi N, NikbakhatNasrabadi A. Hepatitis-related stigma in chronic patients: a qualitative study. Appl Nurs Res 2016; 29: 206-210.
Mohammadi N, HassanpourDehkordi A, NikbakhatNasrabadi A. Iranian patients with chronic hepatitis struggle to do self-care. Life Sci J 2013; 10: 457-462.
Wilson FL, Baker LM, Nordstrom CK, Legwand C. Using the teach-back and Orem’s Self-care Deficit Nursing theory to increase childhood immunization communication among low-income mothers. Issues Compr Pediatr Nurs 2008; 31: 7-22.
Riegel B, Jaarsma T, Strömberg A. A middle-range theory of self-care of chronic illness. Adv Nurs Sci 2012; 35: 194-204.
Manzini FC, Simonetti JP. Nursing consultation applied to hypertensive clients: application of orem’s self-care theory. Rev Lat Am Enfermagem 2009; 17: 113-119.
Afsar Kazeroni P, Khazaei Z, Mousavi M, et al. Prevalence of human immunodeficiency virus and tuberculosis among homeless individuals. Immunopathol Persa 2018; 4: e06.
Kelishadi R, Djalalinia S, Qorbani M, et al. Self-rated health and life satisfaction in Iranian children and adolescents at the national and provincial level: the CASPIAN-IV study. Iran Red Crescent Med J 2016; 18: e28096.
Hovsepian S, Qorbani M, Motlagh ME, et al. Association of obesity and health related quality of life in Iranian children and adolescents: the Weight Disorders Survey of the CASPIAN-IV study. J Pediatr Endocrinol Metab 2017; 30: 923-929.
Kanekar AS. HIV/AIDS counseling skills and strategies: can testing and counseling curb the epidemic? Int J Prev Med 2011; 2: 10-14.
Hermez J, Petrak J, Karkouri M, Riedner G. A review of HIV testing and counseling policies and practices in the Eastern Mediterranean Region. AIDS 2010; 24 Suppl 2: S25-S32.
Emadi SN, Bhatt SM, Machoki M’Imunya J, et al. Cutaneous manifestation in children with HIV/AIDS. J Pediatr Rev 2014; 2: 17-28.
Dutta A, Wirtz AL, Baral S, et al. Key harm reduction interventions and their impact on the reduction of risky behavior and HIV incidence among people who inject drugs in low-income and middle-income countries. Curr Opin HIV AIDS 2012; 7: 362-368.
Folasire OF, Akinyemi O, Owoaje E. Perceived social support among HIV positive and HIV negative people in Ibadan, Nigeria. World J AIDS 2014; 4: 15-26.
Galindo-Quintero J, Mueses-Marin HF, Montaño-Agudelo D, et al. HIV testing and counselling in Colombia: local experience on two different recruitment strategies to better reach low socioeconomic status communities. AIDS Res Treat 2014; 2014: 803685.
Kanu NE, Tobin-West CI. Health-related quality of life of HIV patients with and without tuberculosis registered in a Tertiary Hospital in Port Harcourt, Nigeria. HIV AIDS Rev 2018; 17: 210-217.
Hajian S. Positive effect of antioxidants on immune system. Immunopathologia Persa 2015; 1: e02.
Kafeshani M. Diet and immune system. Immunopatholologia Persa 2015; 1.
World Health Organization. Medical eligibility criteria for contraceptive use. World Health Organization, Geneva 2010.
Sherbourne CD, Hays RD, Fleishman JA, et al. Impact of psychiatric conditions on health-related quality of life in persons with HIV infection. Am J Psychiatry 2000; 157: 248-254.
World Health Organization. Regional Office for the Western Pacific. Metrics for monitoring the cascade of HIV testing, care and treatment services in Asia and the Pacific. WHO Regional Office for the Western Pacific, Manila 2014.
Nojoomi M, Anbari K. A comparison of the quality of life in HIV/AIDS patients and control group. Razi Journal of Medical Sciences 2008; 15: 169-176.
Heydari A, Jafari F. Compare the quality of life, social support and general health of people infected with AIDS virus than normal people of Ahvaz city. New Findings in Psychology 2009; 2: 47-60.
Zandi M, Alavian S, Memarian R, Kazem Nejad A. Assessment of the effect of self care program on quality of life in patients with cirrhosis referred to Tehran hepatitis center in 2003. Razi Journal of Medical Sciences 2004; 11: 411-420.
Schneider MC, Castillo-Salgado C, Bacallao J, et al. Summary of indicators most used for the measurement of the health inequalities. Epidemiol Bull 2005; 26: 7-10.
Tesfaye SH, Bune GT. Generalized psychological distress among HIV-infected patients enrolled in antiretroviral treatment in Dilla University Hospital, Gedeo zone, Ethiopia. Glob Health Action 2014; 7: 23882.
Fazeli P, Montoya J, McDavid C, Moore D. Older HIV+ and HIV-adults provide similar definitions of successful aging: a mixed-methods examination. Gerontologist 2018; 2: 23-29.
Holzemer WL, Human S, Arudo J, et al. Exploring HIV stigma and quality of life for persons living with HIV infection. J Assoc Nurses AIDS Care 2009; 20: 161-168.
Shahreza FD. From oxidative stress to endothelial cell dysfunction. J Prev Epidemiol 2016; 1: e04.
Kim GS, Kim S, Choi JY, et al. Mediators and moderators of health-related quality of life in people living with HIV. J Assoc Nurses AIDS Care 2018; 29: 580-591.
Lindayani L, Chen YC, Wang JD, Ko NY. Complex problems, care demands, and quality of life among people living with HIV in the antiretroviral era in Indonesia. J Assoc Nurses AIDS Care 2018; 29: 300-309.
Abachi A, Behravan H. The analysis of stigma impact on quality of life in patients with HIV/AIDS: a phenomenological study. J Qual Res Health Sci 2013; 2: 158-172.
Webel AR, Higgins PA. The relationship between social roles and self- management behavior in women living with HIV/AIDS. Womens Health Issues 2012; 22: e27-e33.
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