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J Clin Nurs. 2016 Nov;25(21-22):3209-3218. doi: 10.1111/jocn.13342. Epub 2016 Aug 15.

Health and mood among HIV-positive outpatients attending an ART Clinic of a University Hospital.

Author information

1
Santa Maria Hospital, Lisboa, Portugal. dilarcosta@gmail.com.
2
Nursing School of Coimbra, Coimbra, Portugal.
3
Nursing School of Porto, Porto, Portugal.

Abstract

AIMS AND OBJECTIVES:

To evaluate how individuals at different stages of infection with HIV perceive their health status and its association with mood states.

BACKGROUND:

With the introduction of Highly Active Antiretroviral Therapy in 1996, the quality of life of people living with HIV has improved. However, the literature emphasises the negative effects of the disease on the mental health of individuals suffering from this condition and the high incidence of depression among infected individuals. Although people diagnosed and living with HIV are overwhelmed by emotions, we found that various emotional manifestations are understudied within this group of patients.

DESIGN:

A cross-sectional study was conducted in an outpatient unit of a University Hospital (antiretroviral therapy clinic), with a consecutive sample composed of 152 patients.

METHODS:

Data were collected through a questionnaire used to assess the sociodemographic and clinical characteristics, the Short Form (36) Health Survey, and the Profile of Mood States scale.

RESULTS AND CONCLUSIONS:

The health status negatively affects the role at the emotional and mental health dimensions. The participants showing a worse health condition than in the previous year had higher levels of tension/anxiety, depression/dejection, fatigue/inertia and confusion/bewilderment. The stage of disease and the profile of mood state emerged as independent phenomena.

RELEVANCE TO CLINICAL PRACTICE:

The results of this study indicate that nurses worldwide should be aware of the emotional aspects (negative emotions strongly impact health) related to the subjective perception of a worsening health status, regardless of the stage of the disease.

KEYWORDS:

affective symptoms; emotions; holistic nursing; human immunodeficiency virus; mental health

PMID:
27523649
DOI:
10.1111/jocn.13342
[Indexed for MEDLINE]

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