Abstract:
BACKGROUND:Advances in HIV care have resulted in increasing numbers of HIV patients receiving antiretroviral therapy and achieving viral control. This has led to a focus on the biomedical aspects of care, leaving the data on psychological and social problems relatively neglected; in fact they have never before been systematically reviewed. If present and unmanaged, psychological and social problems are associated with unnecessary suffering and non-adherence to medication, with potentially serious clinical and public health consequences. OBJECTIVE:To assess the prevalence of depression and anxiety reported in the literature, and the presence or absence of the experience of stigma among HIV positive people on antiretroviral therapy. DESIGN AND REVIEW METHODS:A systematic review in line with PRISMA guidelines. The prevalence data from retained studies were analysed by study location and data quality. DATA SOURCES:Five databases were systematically searched (Embase, PsychINFO, MEDLINE and British Nursing index and Web of Science) from 1996 (first availability of highly effective antiretroviral therapy) to August 2013 using a predefined search strategy. RESULTS:Sixty-six original studies identified the prevalence of depression, anxiety and presence or absence of the experience of stigma. The mean point prevalence of depression was 33.60% (SD 19.47) with lower reported point prevalence in high income countries (25.81% (15.21)) compared to low and middle income countries (41.36% (21.42)). The one-to four-week period prevalence of depression was 39.79% (21.52), similar in high income countries and low and middle income countries. The point prevalence of anxiety was 28.38% (17.07), with a higher prevalence in low and middle income countries (33.92% (10.64)) compared with high income countries (21.53% (22.91)) with wide variability. The mean point prevalence of stigma was 53.97% (22.06) and 1 year period prevalence 52.11% (25.57). Heterogeneity in both sampling and methodology prevented meta-analysis of this data. CONCLUSION:HIV positive patients on antiretroviral therapy report a higher prevalence of depression and anxiety than the general population, which nursing assessment and practice should address. Over half of HIV positive people report experiencing stigma. The difficulties with heterogeneous studies should be addressed through the development of a cross-culturally validated, multidimensional assessment tool in this population, and an increase in data disaggregated by risk groups.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Lowther K,Selman L,Harding R,Higginson IJdoi
10.1016/j.ijnurstu.2014.01.015subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1171-89issue
8eissn
0020-7489issn
1873-491Xpii
S0020-7489(14)00022-4journal_volume
51pub_type
杂志文章,评审abstract::Attitudes of psychiatric nursing personnel towards patients who had attempted suicide were examined before and after a training program in psychiatric suicide prevention. The attitudinal changes were measured by a newly constructed scale, the understanding of suicide attempt patients scale (USP-scale), and responses t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(00)00110-3
更新日期:2002-01-01 00:00:00
abstract::The incidence of violence within the National Health Service is rising and attention to the issue is increasing. Due to the ramifications in terms of physical, psychological and economic cost, the need to understand all the dynamics and variables involved in violence becomes evident. If nurses can provide care that re...
journal_title:International journal of nursing studies
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abstract:BACKGROUND:Over the past two decades, several studies have examined the determinants and outcomes of omitted nursing care in hospitals and other settings. These studies have raised several challenges associated with the definition and measurement of this phenomenon which must be addressed to move the field forward. How...
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abstract:BACKGROUND/AIMS:The objective of this study is to examine if interpersonal support and digital vaginal palpation (DVP) as part of the pelvic floor muscle exercise (PFME) training is more effective for stress urinary incontinence (SUI) than PFME with a printed handout instruction. METHODS:108 women who presented to the...
journal_title:International journal of nursing studies
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abstract::In this paper, issues in Internet recruitment of ethnic minorities in the US are explored through an analysis of an Internet survey study. The issues include those related to: (a) the difficulties in ensuring authenticity; (b) a lack of cooperation by gate keepers; (c) the flexibility required in the recruitment proce...
journal_title:International journal of nursing studies
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abstract:BACKGROUND:Person-centred care has been identified as the ideal approach to caring for people with dementia. Developed in relation to long stay settings, there are challenges to its implementation in acute settings. However, international policy indicates that acute care for people with dementia should be informed by t...
journal_title:International journal of nursing studies
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abstract::Comparatively little is known about how children perceive their internal bodies. In particular there is a lack of British studies, both of children's normal perceptions and in children experiencing chronic ill health. Such studies are important if information is to be given to children in the most effective way. The c...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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abstract:BACKGROUND:Ever-growing demands on care systems have increased reliance on healthcare support workers. In the UK, their training has been variable, but organisation-wide failures in care have prompted questions about how this crucial section of the workforce should be developed. Their training, support and assessment h...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.11.010
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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doi:10.1016/s0020-7489(96)00041-7
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更新日期:2002-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.11.005
更新日期:2014-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2010.08.003
更新日期:2011-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00
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更新日期:2020-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2014.06.011
更新日期:2015-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.12.011
更新日期:2013-10-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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更新日期:2001-12-01 00:00:00
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更新日期:2019-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.09.007
更新日期:2012-03-01 00:00:00