需要提高人类免疫缺陷病毒感染者自我保健做法的认识

R. Hiremath, S. Bhalla, Sandhya Ghodke, S. Rai, Rishika Raj, Smakshi Singh
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摘要

背景:全球有3690万人感染人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征。与慢性疾病一样,许多人在感染艾滋病毒时可能采取有助于维持健康、生活质量和幸福感的自我发起行为。所有这些行为都是自理活动的一部分。方法:这是一项在一家大型三级保健中心开展的以医院为基础的横断面描述性研究。共有120名连续的hiv阳性患者被纳入研究。结果:虽然99%(101)的参与者认为良好的饮食是保持健康的必要条件,但只有42.2%(43)的参与者认为坚持治疗很重要。就自我护理不同属性的满意知识而言,大多数(79.4%)了解保持健康的饮食,而只有37.3%了解准备食物时应采取的预防措施,28.4%的人了解腹泻、皮肤问题(11.8%)、发烧(61.8%)、咳嗽(19.6%)、呕吐(11.8%)和头痛(45.6%),这些知识都很低。在总体知识状况方面,22.5%(95%置信区间14.9 ~ 31.89)的学生满意,77.5%的学生不满意。显着性检验显示,自我保健知识与受教育程度和HIV阳性持续时间的关系有统计学意义。结论:调查结果显示,受访者对自我保健的认知程度较低,导致受访者对整体自我保健知识水平满意的比例较低,这是值得关注的问题。这方面的知识往往被忽视,因此对于艾滋病毒阳性患者能够在适当的时间照顾自己并采取正确的行动以防止疾病的进展和改善生活质量至关重要。
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Need to raise awareness about self care practices among people living with human immunodeficiency virus infection
BACKGROUND: Globally, 36.9 million people are living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. Like in chronic disease, many individuals may engage in self-initiated behaviors in HIV that are useful to maintain health, quality of life and perceptions of wellbeing. All these behaviors form the part of self-care activities. METHODOLOGY: This is a hospital-based cross-sectional descriptive study carried out in a large tertiary care center. A total of 120 consecutive HIV-positive patients were included in the study. RESULTS: While 99% (101) of participants told that good diet is necessary to maintain health, only 42.2% (43) told that adherence to treatment is important. With respect to satisfactory knowledge regarding different attributes of self care, majority (79.4%) had knowledge regarding diet to be taken to stay healthy while only 37.3% had knowledge regarding precautions to be taken while preparing food, 28.4% in case suffering from diarrhea, skin problems (11.8%), fever (61.8%), cough (19.6%), vomiting (11.8%), and headache (45.6%) which were very low. With regard to overall knowledge status, 22.5% (95% confidence interval 14.9–31.89) had satisfactory score while 77.5% had unsatisfactory score. The test of significance revealed that there is statistically significant relation of knowledge regarding self-care with that of education and duration of HIV positivity. CONCLUSION: Findings showed low awareness regarding self-care to be taken, leading to low percentage of overall satisfactory knowledge level among respondents which is a matter of concern. This knowledge which is often neglected and is therefore vital for an HIV-positive person to be able to take care of himself at the right time and take the right actions to prevent the progression of the disease and improve the quality of life.
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