A Critical Review of Symptom Management Nursing Science on HIV-Related Fatigue and Sleep Disturbance

被引：12
作者：
Voss, Joachim G. [1 ]
Barroso, Julie [2 ]
Wang, Tongyao [1 ,3 ]
机构：
[1] Case Western Reserve Univ, Frances Payne Bolton Sch Nursing, Cleveland, OH 44106 USA
[2] Vanderbilt Univ, Sch Nursing, Nashville, TN 37240 USA
[3] Fudan Univ, Sch Nursing, Shanghai 200032, Peoples R China
来源：
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2021年 / 18卷 / 20期
关键词：
fatigue; HIV; interventions; nursing; sleep disturbances; symptom management; ANTIRETROVIRAL THERAPY; ADULTS; ADHERENCE; QUALITY; PREVALENCE; INSOMNIA; EVENTS; PEOPLE; LIFE; AIDS;
D O I：
10.3390/ijerph182010685
中图分类号：
X [环境科学、安全科学];
学科分类号：
08 ; 0830 ;
摘要：
Despite improved antiretroviral treatments, people living with HIV (PLWH) continue to suffer from HIV-related fatigue and sleep disturbances. We first reviewed the definition, etiology, and research breakthroughs of HIV-related fatigue and sleep disturbances, then analyzed nurse-led symptom management studies to describe their efficacy and make recommendations for future symptom research. We searched PubMed, CINAHL, PsycInfo, Psych and Behavioral Sciences Collection, and Scopus to identify nurse-led studies on symptom management for PLWH in the past 20 years. A total of 13 experimental or quasi-experimental studies were identified. The types of interventions included exercise, cognitive behavioral therapy, coaching, and symptom management manualized self-care activities. Currently, we cannot recommend with certainty any of the tested symptom management strategies to reduce fatigue or sleep disturbances. The current findings need to be confirmed and expanded to understand optimal dosing and sustainability.
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页数：18
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