Prevalence, self-care behaviors, and self-care activities for peripheral neuropathy symptoms of HIV/AIDS

被引：23

作者：

Nicholas, Patrice K. ^{[1
]}

Voss, Joachim ^{[2
]}

Wantland, Dean ^{[3
]}

Lindgren, Teri ^{[3
]}

Huang, Emily ^{[3
]}

Holzemer, William L. ^{[3
]}

Cuca, Yvette ^{[3
]}

Moezzi, Shahnaz ^{[4
]}

Portillo, Carmen ^{[3
]}

Willard, Suzanne ^{[5
]}

Arudo, John ^{[6
]}

Kirksey, Kenn ^{[7
]}

Corless, Inge B. ^{[8
]}

Rosa, Maria E. ^{[9
]}

Robinson, Linda ^{[10
]}

Hamilton, Mary J. ^{[11
]}

Sefcik, Elizabeth ^{[11
]}

Human, Sarie ^{[12
]}

Rivero-Mendez, Marta ^{[9
]}

Maryland, Mary ^{[13
]}

Nokes, Kathleen M. ^{[17
]}

Eller, Lucille ^{[14
]}

Kemppainen, Jeanne ^{[15
]}

Dawson-Rose, Carol ^{[3
]}

Brion, John M. ^{[16
]}

Bunch, Elli H. ^{[18
]}

Shannon, Maureen ^{[19
]}

Nicholas, Thomas P. ^{[20
]}

Viamonte-Ros, Ana ^{[21
]}

Bain, Catherine A. ^{[3
]}

机构：

[1] Brigham & Womens Hosp, Div Global Hlth Equ, Boston, MA 02120 USA

[2] Univ Washington, Sch Nursing, Seattle, WA 98195 USA

[3] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA

[4] Univ Utah, Sch Nursing, Salt Lake City, UT USA

[5] Drexel Univ, Sch Nursing, Philadelphia, PA 19104 USA

[6] Aga Khan Univ, Sch Nursing, Nairobi, Kenya

[7] Seton Hosp Org, Dept Nursing Res, Houston, TX USA

[8] MGH Inst Hlth Profess, Sch Nursing, Boston, MA USA

[9] Univ Puerto Rico, Sch Nursing, San Juan, PR 00936 USA

[10] San Diego State Univ, Sch Nursing, San Diego, CA 92182 USA

[11] Texas A&M Univ, Sch Nursing, Corpus Christi, TX USA

[12] Univ S Africa, Sch Nursing, ZA-0001 Pretoria, South Africa

[13] City Coll Chicago, Dept Nursing, Chicago, IL USA

[14] Rutgers State Univ, Coll Nursing, Newark, NJ 07102 USA

[15] Univ N Carolina, Sch Nursing, Wilmington, NC 28401 USA

[16] Duke Univ, Coll Nursing, Durham, NC USA

[17] CUNY Hunter Coll, Sch Nursing, New York, NY 10021 USA

[18] Univ Oslo, Sch Nursing, Oslo, Norway

[19] Univ Hawaii, Sch Nursing, Honolulu, HI 96822 USA

[20] Brigham & Womens Hosp, Dept Patient Care Serv, Boston, MA 02115 USA

[21] Florida Dept Hlth, Tallahassee, FL USA

来源：

NURSING & HEALTH SCIENCES | 2010年 / 12卷 / 01期

关键词：

HIV; AIDS; peripheral neuropathy; self-care; symptom management; ACETYL-L-CARNITINE; HIV; PATHOPHYSIOLOGY; RISK; EPIDEMIOLOGY; MANAGEMENT; INHIBITORS; AIDS;

D O I：

10.1111/j.1442-2018.2009.00505.x

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

As part of a larger randomized controlled trial examining the efficacy of an HIV/AIDS symptom management manual (n = 775), this study examined the prevalence of peripheral neuropathy in HIV-infected individuals at 12 sites in the USA, Puerto Rico, and Africa. Neuropathy was reported by 44% of the sample; however, only 29.4% reported initiating self-care behaviors to address the neuropathy symptoms. Antiretroviral therapy was found to increase the frequency of neuropathy symptoms, with an increased mean intensity of 28%. A principal axis factor analysis with Promax rotation was used to assess the relationships in the frequency of use of the 18 self-care activities for neuropathy, revealing three distinct factors: (i) an interactive self-care factor; (ii) a complementary medicine factor; and (iii) a third factor consisting of the negative health items of smoking, alcohol, and street drugs. The study's results suggest that peripheral neuropathy is a common symptom and the presence of neuropathy is associated with self-care behaviors to ameliorate HIV symptoms. The implications for nursing practice include the assessment and evaluation of nursing interventions related to management strategies for neuropathy.

引用

页码：119 / 126

页数：8

共 28 条

[1]

Arenas-Pinto A, 2008, ANTIVIR THER, V13, P289

[2] Acetyl-l-carnitine in neuropathic pain [J].

Chiechio, Santina ;

Copani, Agata ;

Gereau, Robert W. ;

Nicoletti, Ferdinando .

CNS DRUGS, 2007, 21 (Suppl 1) :31-38

[3] HIV Peripheral Neuropathy Pathophysiology and Clinical Implications [J].

Dorsey, Susan G. ;

Morton, Patricia Gonce .

AACN ADVANCED CRITICAL CARE, 2006, 17 (01) :30-36

[4] Human Immunodeficiency Virus Protease Inhibitors and Risk for Peripheral Neuropathy [J].

Ellis, Ronald J. ;

Marquie-Beck, Jennifer ;

Delaney, Patrick ;

Alexander, Terry ;

Clifford, David B. ;

McArthur, Justin C. ;

Simpson, David M. ;

Ake, Christopher ;

Collier, Ann C. ;

Gelman, Benjamin B. ;

McCutchan, J. Allen ;

Morgello, Susan ;

Grant, Igor .

ANNALS OF NEUROLOGY, 2008, 64 (05) :566-572

[5] Human immunodeficiency virus-associated peripheral neuropathies [J].

Ferrari, S ;

Vento, S ;

Monaco, S ;

Cavallaro, T ;

Cainelli, F ;

Rizzuto, N ;

Temesgen, Z .

MAYO CLINIC PROCEEDINGS, 2006, 81 (02) :213-219

[6] Marijuana as therapy for people living with HIV/AIDS: Social and health aspects [J].

Fogarty, A. ;

Rawstorne, P. ;

Prestage, G. ;

Crawford, J. ;

Grierson, J. ;

Kippax, S. .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2007, 19 (02) :295-301

[7] Mitochondrial dysfunction in AIDS and its treatment [J].

Gerschenson, M ;

Brinkman, K .

MITOCHONDRION, 2004, 4 (5-6) :763-777

[8] Managing HIV peripheral neuropathy [J].

Gonzalez-Duarte A. ;

Cikurel K. ;

Simpson D.M. .

Current HIV/AIDS Reports, 2007, 4 (3) :114-118

[9]

Harrison M.J. G., 1995, AIDS and Neurology

[10]

Holzemer W L, 2001, J Assoc Nurses AIDS Care, V12, P60, DOI 10.1016/S1055-3290(06)60263-X

← 1 2 3 →