جستجوی مقالات مرتبط با کلیدواژه "aids" در نشریات گروه "پزشکی"
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Background
Human immunodeficiency virus (HIV) infection is one of the major public health problems in the world.
ObjectivesThe aim of this study was to identify the prognostic factors of survival time.
MethodsIn this retrospective cohort study, we used information from HIV-positive or acquired immune deficiency syndrome (AIDS) patients in Qazvin province from 2012 to 2021. We calculated the cumulative incidence of AIDS and deaths in HIV-positive and AIDS subjects. We examined the influence of combination antiretroviral therapy (cART), HIV transmission, co-infection with tuberculosis, history of Hepatitis B and C, and demographic factors on survival time. Using the Cox proportional hazard model, we calculated the crude and adjusted hazard ratio of disease progression to death.
ResultsOf 201 HIV-positive patients, 170 were identified in the first stage (n = 25) and the second stage (n = 145). The one-year, five-year, and ten-year survival rates from HIV infection to AIDS were 98%, 89%, and 71%, respectively. The survival rates from the time of HIV diagnosis to the time of death were 93%, 69%, and 43%, respectively. The hazard ratio of death from AIDS-related causes was 0.19 in patients who received antiretroviral therapy compared to those who did not (P < 0.001). Additionally, the hazard ratio was 4.11 in patients who had tuberculosis compared to those who did not (P < 0.029).
ConclusionsCo-infection with tuberculosis was one of the most important prognostic factors for the progression to AIDS, and antiretroviral treatment was found to improve the survival of patients living with HIV.
Keywords: AIDS, Survival, HIV-Positive, Antiviral Therapy -
Background
Acquired immune deficiency syndrome (AIDS) remains a significant public health concern in China. Treatment coverage has been expanded by revising the antiretroviral therapy (ART) for people living with HIV (PLWH). Several years after implementing the new “Test and Treat” strategy, it is essential to evaluate its impact on people living with HIVsince its implementation.
ObjectivesThis study was conducted to comprehensively analyze the deaths of PLWH from 2017 to 2022 in Baise City, China.
MethodsA retrospective cohort study was conducted to comprehensively analyze the deaths of PLWH in Baise from 2017 to the first half of 2022. The data was acquired from the AIDS Information System (AIDSIS). The all-cause and AIDS-related mortality rates were calculated for PLWH, along with the proportion of specific death causes. Interrupted time series analysis was utilized to examine changes in all-cause mortality pre- and post-implementation of the new strategy. Kaplan-Meier curves were drawn to compare the mortality risk within 1 year of diagnosis between treated and untreated patients, as well as between late discoverers and non-late discoverers. Related factors of death were also analyzed using the Cox proportional hazards regression model.
ResultsDuring the observation period, among a total of 8,922 PLWH cases, 1,265 people died, resulting in an all-cause mortality rate of 4.19 per 100 person-years. Acquired immune deficiency syndrome -related deaths numbered 438, accounting for 34.62% of the total deaths, with a mortality rate of 1.45 per 100 person-years. There were 730 non-AIDS-related deaths, representing 57.71%, with a mortality rate of 2.42 per 100 person-years. The overall mortality rate from all causes within 1 year after diagnosis was 5.58 per 100 person-years. No significant difference was identified in the all-cause mortality rate between the periods before and after the implementation of the new strategy. Untreated PLWH and late discoverers exhibited a high risk of death within 1 year of diagnosis. Most deaths were caused by common chronic diseases, while AIDS-related mortality was mainly due to opportunistic infections. Factors such as gender, age at diagnosis, occupation, educational background, ethnic group, infection route, history of ART, and baseline CD4 level were associated with the risk of all-cause mortality and AIDS-related mortality.
ConclusionsAfter the implementation of the “Test and Treat” strategy, no significant difference in mortality among PLWH was recorded in Baise City, China. We recommend that the health department strengthen the testing of PLWH and improve treatment options. Additionally, we suggest encouraging the maintenance of long-term ART treatment and taking measures to prevent and control tuberculosis and common chronic diseases in individuals who are HIV positive.
Keywords: AIDS, All-Cause Mortality, AIDS-Related Mortality, Antiretroviral Therapy -
BackgroundThis study evaluated the gender-dependent potency and side effects of Highly Active Antiretroviral Therapy regimens (i) Zidovndine/Lamuvidine/ Nevirapine (ii) Tenofovir/Emtricitabine/Effavirenz on HIV-positive/AIDs patients attending Nsukka district hospital Enugu, from January 2013 to December 2013.MethodA retrospective study of two hundred (200) patients of both sexes within the age bracket of 15 – 70 years attending Nsukka District hospital who were treated with HAART was conducted. Clinical and laboratory data were obtained through self developed validated data collection form.ResultsAbdominal pains and diarrhea (3.3%) were the most reported clinical manifestations in regimen 1, followed by headache and chills (2.2%) while in regimen 2, headache, hotness and dizziness (2.4%) were the most reported clinical manifestations followed by pruritis. HAART 1 showed more adverse effects than HAART 2 on both sexes on most of the biochemical variables; glucose (34.57±95.97 - 4.89±0.3 mmol/l), cholesterol (17.33±39.87 - 3.63±0.62 mmol/l), serum glucotransaminase (SGOT) (36.78±27.76 - 32.83±17.10 iu/l), blood urea nitrogen (BUN), (18.66±13.33 - 15.14±6.01mg/dl) and amylase (126.29±186.21 - 104.43±31.38 µg/l).While both regimens showed improved immunological and hematological outcomes: CD4+; 282.03±219.57 - 380.89±241.21 cells/µl (HAART1), 312.09±242.60-404.15±253.17 cells/µl (HAART2), hemoglobin(Hb) 10.60±1.74 - 10.93±1.81 g/dl (HAART1), 10.46 ±2.00 - 11.46±1.85 g/dl (HAART2).ConclusionThe adverse effects on clinical manifestation were more noticeable in regimen 1 in the study population, with the female population being the greater affected. Comparison of the two regimens with respect to their adverse effects on clinical manifestation favors regimen 2.Keywords: Gender-Dependent, HIV, AIDS, HAART, Hematology, Biochemical
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زمینه و اهداف
تعدادی از مددجویانی که به مراکز اقامتی و کمپ ها مراجعه می کنند با تشخیص عفونت اچ.آی.وی از قبل، تحت درمان ضد رتروویروسی نیز هستند. در صورت قطع یا مصرف نامنظم داروها خطر بروز شکست درمان و ایجاد مقاومت دارویی وجود دارد. در این پژوهش به بررسی دیدگاه کارشناسان، افراد کلیدی و بیماران درباره همه مراحل تشخیص، مراقبت و درمان اچ.آی.وی، هم در داخل و هم خارج از مراکز اقامتی پرداخته شد.
روش بررسی. یک بحث گروهی متمرکز (میانگین 75 دقیقه) با 12 نفر از کارشناسان و 3 مصاحبه با 3 نفر از بیماران انجام شد. این پژوهش در مرکز تحقیقات ایدز وابسته به دانشگاه علوم پزشکی تهران در شهریور ماه 1400 انجام شد. نوع تجزیه و تحلیل بر اساس تحلیل محتوا بود به طوری که بر اساس طبقات اصلی، زیرطبقات و کد تحلیل محتوا انجام شد. همچنین از نرم افزار Open Code استفاده شد.
یافته هانتایج نشان داد که چالش های قبل و بعد از ترخیص از مراکز (مهمترین طبقات و زیر طبقات) عبارت بود از: دغدغه های مالی، کمبود نیروی انسانی متخصص و آگاه، عدم آگاهی مددجو از نحوه مصرف دارو و همچنین فواید درمان، در اولویت نبودن بیماری برای مددجو، نداشتن اطلاعات تماس برای پیگیری های بعدی، اعتیاد و در اولویت نبودن بیماران مبتلا به اچ.آی.وی در این مراکز.
نتیجه گیریبه نظر می رسد بایست اقدامات جدیدی در مورد نحوه پیگیری ها و همچنین خدمات درمانی، حمایتی و آموزشی از قبیل تامین جای خواب برای بیماران بدون سرپناه، همراهی بیمار تا نزدیکترین مرکز مشاوره بیماری های رفتاری، استفاده از نیروهای همسان و ارتقاء فرهنگی جامعه جهت از بین بردن انگ و تبعیض انجام شود.
کلید واژگان: اچ.آی.وی, ایدز, بحث گروهی متمرکز, خدمات درمانی, اتصال به درمانEBNESINA, Volume:26 Issue: 1, 2024, PP 73 -80Background and aimsMany clients referred to accommodation centers and camps are already undergoing antiretroviral treatment after being diagnosed with HIV. Discontinuation or irregular use of medication can lead to treatment failure and drug resistance. This study aimed to investigate the perspectives of experts, key stakeholders, and patients on all aspects of HIV diagnosis, care, and treatment, both within and outside residential facilities.
MethodsA focus group discussion lasting an average of 75 minutes was held with 12 experts, and three patients were interviewed individually. This research took place at the Iranian Research Center for HIV/AIDS affiliated with Tehran University of Medical Sciences in September 2021. The analysis was conducted using content analysis, which involved categorizing data into main categories, sub-categories, and codes. Open code software was utilized for this purpose.
ResultsThe study uncovered challenges faced by individuals before and after discharge from these facilities (important categories and sub-categories), including financial concerns, a shortage of specialized and knowledgeable staff, lack of understanding among clients regarding medication adherence and treatment benefits, inadequate attention given to clients, absence of follow-up contact information, substance abuse issues, and insufficient prioritization of HIV patients in these settings.
ConclusionThe findings highlight the necessity for new strategies in post-discharge follow-up, as well as the provision of medical, supportive, and educational services. Potential solutions may include providing housing for homeless patients, assisting patients in accessing mental health counseling centers, optimizing existing resources, and fostering a community environment that actively fights against stigma and discrimination.
Keywords: HIV, AIDS, Focus Groups, Health Facilities, Treatment Adherence -
BackgroundBetween 2010 and 2019, Iraq experienced a consistent increase in new HIV/AIDS cases, particularly among young individuals who lack knowledge about the disease and its transmission.ObjectivesThis study aimed to assess the effect of an Educational Intervention based on the Health Belief Model (HBM) on altering the beliefs about HIV/AIDS among female university students in Kirkuk City, Iraq.MethodsA study was conducted in 2023 involving 100 female college students who were randomly divided into an intervention group (n = 50) and a control group (n = 50). Data was collected using a questionnaire based on the constructs of the HBM, including perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. The intervention group received educational sessions on HIV/AIDS prevention measures grounded in the HBM constructs. Data collection occurred at baseline, before the intervention (pretest), two weeks after the intervention (posttest 1), and eight weeks after the intervention (posttest 2).ResultsThe intervention group exhibited significant increases in scores for all items related to perceived susceptibility (P<0.05), perceived severity (P<0.05), perceived benefits (P<0.05), and perceived barriers (P<0.05) throughout the study. Conversely, the control group did not display significant changes in these areas.ConclusionThe findings indicate that the intervention based on the HBM had a positive impact on HIV/AIDS preventive behaviors among university students. It is recommended to implement similar programs for all university students to enhance their preventive behaviors toward HIV/AIDS.Keywords: Health Belief Model, AIDS, Students, Iraq
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مقدمه
آسیب های ناشی از سرسوزن یکی از مشکلاتی است که کارکنان مراکز بهداشتی و درمانی، به ویژه پرستاران، با آن مواجه اند. با توجه به اهمیت این موضوع، هدف از مطالعه حاضر بررسی تاثیر مداخله آموزشی مبتنی بر الگوی اعتقاد بهداشتی بر رفتارهای پیشگیری کننده از عفونت ناشی از هپاتیت B، هپاتیت C و ایدز در پرستاران بخش های آی سی یو بیمارستان امام حسن (ع) شهر بجنورد است.
روش کارمطالعه حاضر مطالعه ای نیمه تجربی و مداخله ای در شهر بجنورد بود که به شیوه مداخله ای در سال 1400 و 1401 درباره 76 نفر از کارکنان بخش آی سی یو بیمارستان امام حسن (ع) بجنورد که در دو گروه آزمایش و کنترل بودند، انجام شد. نمونه ها به روش تخصیص تصادفی به دو بخش در گروه کنترل (38 نفر) و دو بخش در گروه مداخله (38 نفر) تقسیم شدند. ابزار گردآوری داده ها پرسش نامه استاندارد بود. برای تحلیل داده ها از آزمون های آماری استفاده شد. داده ها در نرم افزار آماری SPSS نسخه 20 وارد شدند.
یافته هانتایج نشان داد که آموزش پیشگیری از فرورفتن اجسام نوک تیز بر مولفه های مدل اعتقاد بهداشتی، شامل حساسیت درک شده، شدت درک شده، منافع درک شده، موانع درک شده، علائم برای عمل و رفتار و رفتارهای مواجهه تاثیر معناداری (001/0> P) دارد.
نتیجه گیریمداخله آموزشی با تاکید بر سازه های الگوی باور بهداشتی، از جمله خودکارآمدی و موانع درک شده، تغییراتی در عملکرد گروه آزمون در جهت اتخاذ رفتارهای پیشگیری کننده از بیماری های منتقل شونده از راه خون، هپاتیت B و C و ایدز، ایجاد کرد.
کلید واژگان: مداخله آموزشی, الگوی اعتقاد بهداشتی, رفتار, هپاتیت B و C, ایدزIntroductionNeedle stick is one of the problems faced by the employees of healthcare centers, especially nurses. Considering the importance of this issue, the aim of this study was to investigate the effect of educational intervention based on the health belief model on the preventive behaviors of hepatitis B, hepatitis C, and AIDS infections among nurses in the ICU departments of Imam Hassan hospital in Bojnord city.
MethodThe present descriptive-analytical study was conducted in an interventional way in 2022 on 76 employees of the ICU department of the the Imam Hassan hospital who were allocated in two experimental and control groups. The samples were selected by simple random sampling method. The data collection tool was a standard questionnaire. SPSS statistical software version 20 was used to analyze the data.
ResultsThe results showed that sharp object penetration training had a significant effect on the components of the health belief model, including perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, symptoms for action and behavior, and exposure behaviors.
ConclusionBy holding training courses, the necessary information on the prevention of injuries caused by sharp objects should be transferred to the health and treatment staff.
Keywords: Educational Intervention, Health Belief Model, Behavior, Hepatitis B, C, AIDS -
Context:
This research focuses on the impact of HIV/AIDS on transgender communities, aiming to assess their knowledge, attitudes, perceptions of risk, and practices concerning HIV/AIDS.
Evidence Acquisition:
During this systematic review, a variety of keywords, including HIV, AIDS, knowledge, attitudes, practices, behavior, action, risk perception, perceived risk, risk susceptibility, severity perception, perceived self-efficacy, cues to action, benefit, barrier, health belief model, sexually transmitted disease, sexually transmitted infection, alcohol, drugs, amphetamine, opium, trans, transgender, transsexual, gender dysphoria were used. From Scopus, PubMed, Web of Science (ISI), and Google Scholar databases, 805 articles were initially identified and screened based on their titles, abstracts, and full texts. Exclusions were made for articles not in English and grey literature. Ultimately, 13 full-text articles met the selection criteria, adhering to COREQ and STROBE guidelines.
ResultsThe review encompassed studies involving 3,252 transgender participants. Among these, five articles evaluated knowledge levels, nearly all addressed attitudes (including perceived threats by 12 articles, perceived benefits/self-efficacy by three, and perceived barriers by seven), and 11 examined behaviors related to HIV/AIDS. The findings indicate a generally high level of knowledge about HIV/AIDS among transgender individuals, with peer health promoters playing a significant role in enhancing knowledge and facilitating access to health services. The perceived risk and severity of HIV/AIDS varied, with 52 - 82% acknowledging a perceived risk and 25 - 65% understanding the severity. The perceived benefits of HIV prevention were generally rated high, though self-efficacy in preventing HIV ranged from low to high. Barriers to HIV testing and accessing appropriate care were identified, including discrimination, distrust in health staff, lack of guidelines, and fear of test results or treatment side effects, among others. Risky sexual behaviors were common, with two-thirds engaging in such practices, 20% reporting 3 - 51 sexual partners, up to 91% having unprotected sex, around 60% using alcohol or drugs, 21 - 45% experiencing rape, and 14 - 68% being HIV-positive.
ConclusionsIn conclusion, the transgender community remains overlooked. Despite an adequate knowledge level and a moderate perception of HIV/AIDS risk, the prevalence of risky sexual behaviors and significant barriers to accessing health services highlight the urgent need for establishing long-term healthcare facilities and an effective surveillance system for this marginalized group.
Keywords: Transgender, HIV, AIDS, Knowledge, Attitudes, Practices, Risk Perceptions, Health Belief Model -
مقدمه
ایدز به عنوان یکی از خطرناک ترین بیماری های واگیر در جهان یک مشکل بزرگ بهداشتی و مهم ترین چالش نظام سلامت بوده و پیشگیری مهم ترین راه مقابله با آن شناخته می شود. پیشگیری از ایدز نیازمند کسب آگاهی درمورد بیماری، نحوه انتقال و روش های جلوگیری از آن است. هدف از این مطالعه مروری بررسی سطح آگاهی دانشجویان در خصوص بیماری ایدز می باشد.
مواد و روش هادر این مطالعه از پایگاه های اطلاعاتی PubMed، Scopus، Web of science، SID و Magiran و موتور جستجوگر Google scholar جهت جستجوی کلمات کلیدی آگاهی، دانشجویان، ایدز، ویروس نقص ایمنی انسانی و معادل انگلیسی آنها شامل Awareness، students، AIDS، HIV در فاصله زمانی 2010 تا 2023 استفاده شد. تعداد 124 مقاله استخراج گردید و در نهایت 18 مطالعه با توجه به معیارهای ورود و خروج وارد مطالعه شد.
یافته هایافته ها بیانگر این مطلب است که سطح آگاهی دانشجویان نسبت به بیماری ایدز و HIV در مناطق و رشته های تحصیلی مختلف متفاوت بود. همچنین دانشجویان دارای تصورات نادرستی درمورد روش های انتقال این بیماری بودند.
بحث و نتیجه گیریبا توجه به یافته های حاصل از پژوهش ها و سطوح متفاوت آگاهی دانشجویان نسبت به بیماری ایدز، نیاز به انجام اقدامات و مداخلاتی از جمله ارائه آموزش های مختلف به این گروه مطرح می گردد تا از این طریق آگاهی دانشجویان در سطح مطلوبی قرار گرفته و از گسترش این بیماری جلوگیری گردد.
کلید واژگان: آگاهی, دانشجویان, ایدز, ویروس نقص ایمنی انسانیIntroductionAIDS, as one of the most dangerous infectious diseases in the world, is a major health problem and the most important challenge of the health system. Moreover, prevention is known as the most important way to deal with it. Prevention of AIDS requires gaining awareness about the disease, how it is transmitted, and ways to prevent it. The purpose of this review study is to investigate the level of students’ awareness about AIDS.
Methods and Materials:
This review article has been performed using awareness, students, AIDS, human immunodeficiency virus keywords and their English equivalents through PubMed, Scopus, Web of science, SID and Magiran databases, and Google Scholar search engine from the years of 2010 to 2023. 124 articles were extracted. Finally, 18 studies were included considering the inclusion and exclusion criteria.
ResultsThe findings indicate that the level of students’ awareness of AIDS and HIV was different in different areas and different fields of study. In addition, students had misconceptions about the methods of transmission of this disease.
Discussion and ConclusionAccording to the findings of the research and the different levels of students’ awareness about AIDS, there are needs of interventions such as providing different training to this group, so that the students’ awareness improves to an optimal level and this issue prevents the spread of this disease.
Keywords: Awareness, students, AIDS, Human Immunodeficiency Virus -
Introduction
Disseminated nocardiosis is a rare but life-threatening infectious disease that occurs most often in immunocompromised individuals. This report presents a human immunodeficiency virus (HIV)-infected patient with disseminated nocardiosis in the liver, lung, and brain.
Case PresentationA 38-year-old woman who had recently been diagnosed with HIV infection complained of fever, abdominal pain, productive coughs, and occasional headaches from 2 months ago. Imaging findings of her abdomen and lungs displayed evidence of pyogenic liver abscess and lobar pneumonia with abscess formation, respectively. The patient underwent percutaneous liver abscess drainage and bronchoalveolar lavage (BAL). Using reverse transcription-polymerase chain reaction (RT-PCR), the genome of Nocardia farcinica was detected in the specimens obtained from both procedures. Besides, she had seizures during hospitalization. Based on cerebrospinal fluid (CSF) analysis, the specimen was positive for N. farcinica. Brain imaging also revealed evidence of multiple bacterial abscess formation. She was diagnosed with disseminated nocardiosis and treated with intravenous imipenem, trimethoprim/sulfamethoxazole, and amikacin, followed by appropriate oral agents. After a 6-month follow-up, the patient had no symptoms. Additionally, the lesions improved on brain imaging.
ConclusionsPatients who are HIV-positive are particularly prone to opportunistic infections. Health care providers should consider all pathogens, even rare ones, like Nocardia spp., to establish a diagnosis if they're present. Furthermore, in cases initially diagnosed with localized nocardiosis, other body organs should also be reviewed so that the disseminated form of the disease can be diagnosed and treated immediately.
Keywords: AIDS, HIV, Nocardiainfections, Opportunistic Infections -
فصلنامه نوید نو، پیاپی 88 (زمستان 1402)، صص 14 -23زمینه و هدف
گسترش جهانی سل به دلیل اپیدمی ایدز است تا جایی که به عنوان یک تهدید جدی برای سلامتی به خصوص برای افراد مبتلا به ویروس نقص ایمنی انسانی ب ه شمار می رود. بنابراین این مطالعه با هدف بررسی عوامل اپیدمیولوژیک عفونت همزمان ایدز و سل در بیماران مبتلا به ایدز مراجعه کننده به مرکز بیماری های رفتاری عفونی مشهد انجام شد.
روش بررسیدر این مطالعه توصیفی - مقطعی 103 بیمار مبتلا به ایدز طی سال های 1392 تا 1399 مورد بررسی قرار گرفت. در این پژوهش اطلاعات مورد نیاز شامل سن، جنس، شغل، وضعیت تاهل، ملیت، سابقه زندان، اعتیاد با استفاده ار پرسشنامه محقق ساخته جمع آوری شد. برای تجزیه و تحلیل داده ها از نرم افزار SPSS (نسخه 23.0) استفاده شد. P-value کمتر از 0.05 در نظر گرفته شد.
یافته هااز 103 بیمار مبتلا به ایدز، 14 مورد (13.6%) سل همزمان، 9 مرد (8.7%)، 5 زن (4.9%) بود. فراوانی سل در گروه کارگران، افراد با سابقه زندان و سابقه خانوادگی سل به طور معنی داری بیشتر بود (05/0 > P).
نتیجه گیریاکثر مبتلایان به عفونت همزمان ایدز و سل در مشهد مردان، جوانان 29 تا 49 ساله، کارگران، افراد با سابقه زندان و اعتیاد هستند. نتایج مطالعه حاضر نیاز به خدمات بهداشتی و پزشکی مرتبط در دسترس و موثر برای کاهش عفونت های فعلی و جلوگیری از عفونت های جدید در جمعیت را بیان می کند.
کلید واژگان: سل, HIV, Aids, عفونت همزمان, اپیدمیولوژیNavid no, Volume:26 Issue: 88, 2024, PP 14 -23Background & ObjectivesThe global spread of tuberculosis is due to the AIDS epidemic to the extent that it is considered a serious health threat, especially for people infected with HIV. Therefore, this study was conducted with the aim of investigating the epidemiological factors of simultaneous infection of AIDS and tuberculosis in patients with AIDS referred to Mashhad Center for Infectious Behavioral Diseases.
MethodsIn this cross-sectional descriptive study, 103 patients with AIDS who were referred to Mashhad Center for Infectious Behavioral Diseases between 2012 and 2019 were examined. In this research, the required information, including age, gender, occupation, marital status, nationality, prison history, addiction, was collected using a researcher-made questionnaire. SPSS software (version 23.0) was used for data analysis. P-value less than 0.05 was considered statistically significant.
Resultsfrom103 patients with AIDS, 14 cases (13.6%) had simultaneous tuberculosis, 9 men (8.7%), 5 women (4.9%). The frequency of tuberculosis was significantly higher in the group of workers, people with prison history and family history of tuberculosis (P < 0.05).
ConclusionMost of the patients with AIDS and TB in Mashhad are men, young people aged 29 to 49, workers, people with a history of prison and addiction. The results of the present study indicate the need for accessible and effective health and medical services to reduce current infections and prevent new infections in the population.
Keywords: Tuberculosis, HIV, Aids, Coinfection, Epidemiology -
زمینه و هدف
رفتارهای پرخطر به عنوان یکی از مسائل اجتماعی در تمامی جوامع و در میان گروه های سنی و جنسیتی مختلف، روندی تصاعدی داشته و از عوامل مخرب جسمانی، اجتماعی و روان شناختی محسوب می شوند. بنابراین، هدف پژوهش حاضر بررسی میزان شیوع رفتارهای پرخطر و ارتباط آن با مولفه های هیجان خواهی در مراجعه کنندگان به اورژانس اجتماعی شهرستان های جاسک و میناب بود.
روش کاراین پژوهش توصیفی از نوع همبستگی بود. جامعه آماری عبارت بود از کلیه مراجعه کنندگان به اورژانس اجتماعی شهرستان جاسک و میناب که با روش نمونه گیری در دسترس 300 نفر انتخاب شدند. نمونه انتخابی به پرسشنامه رفتارهای پرخطر رجایی و شفیعی (1390) و مقیاس هیجان خواهی زاکرمن فرم پنجم پاسخ دادند. داده های پژوهش به کمک نرم افزار آماری SPSS-25مورد ارزیابی آمار توصیفی و استنباطی قرار گرفتند و با استفاده از ضریب همبستگی پیرسون و رگرسیون چندمتغیره تحلیل انجام شد.
یافت ه ها: نتایج پژوهش نشان داد که تجربه طلبی، ماجراجویی، ملال پذیری و گریز از بازداری تاثیر معناداری بر بروز رفتارهای پرخطر دارند.نتیجه گیرینتایج این پژوهش گام مهمی در جهت شناخت عوامل موثر بر گرایش به رفتارهای پرخطر در در افراد است و می تواند زمینه را برای ایجاد جامعه ای سالم و ترویج سبک زندگی مناسب فراهم سازد.
کلید واژگان: رفتار پرخطر, هیجان خواهی, اعتیاد, ایدزBackground & AimsOne of the strong predictors of the occurrence of risky behaviors is the components of sensation seeking and maladaptive styles of emotion regulation. Sensation-seeking is based on irritability and is defined as the desire to experience diverse, complex, and passionate emotions and situations, along with the desire to accept physical, social, legal, and financial risks. A history of risky behaviors is related to the components of sensation seeking and attachment and can be considered a risk factor for the occurrence of addictive behaviors. People with high levels of sensation seeking are usually variety-seeking, impatient, impulsive in obtaining rewards, unable to accept failure, and often disorganized. Zuckerman defines sensation seeking as having four components: adventure or risk-seeking, which refers to seeking excitement through risky but socially acceptable activities such as speeding or skydiving; experience seeking, which involves seeking excitement through unusual and novel activities; lack of inhibition, in which some people resort to drugs, alcohol, or gambling to escape social constraints; and boredom proneness, which involves high sensitivity to monotony and an attempt to escape it, such that people seek exciting activities to stimulate themselves. Maintaining and promoting individual and social health requires special attention to the role of risky behaviors. Given the importance of this issue and its numerous risks, and also considering that various studies have identified various factors as effective in the occurrence of high-risk behaviors, a comprehensive study with the variables examined in the present study has not been conducted so far, this study aims to investigate the prevalence of high-risk behaviors and its relationship with sensation-seeking components in those referred to social emergency services in Jask and Minab counties.
MethodsThe present study is a descriptive (non-experimental) correlational study that was approved by the Islamic Azad University Zahedan Branch Commission with the ethics code IR.IAU.ZAH.REC.1401.065. The statistical population studied in this study was all those referred to social emergency services in Jask and Minab counties in 2021-2022, of which 300 (61% female and 39% male) were selected from 650 people who were referred using the available method. The selected sample responded to the Rajai and Shafiei Risk Behavior Questionnaire (2011) and the Zuckerman Thrill Seeking Scale, Form 5. The research data were evaluated using descriptive and inferential statistics using SPSS-25 statistical software and analyzed using the Pearson correlation coefficient and multivariate regression.
ResultsThe results showed that the prevalence of addiction in the studied individuals was 100 (34.33), the prevalence of AIDS in 79 (26.33), tobacco use in 178 (59.33%), alcohol use in 143 (47.66%), violence in 141 (47.00%), and unhealthy eating patterns in 141 (47.00). Also, the occurrence of high-risk behaviors in the studied individuals is very high. The results of the study showed that experience-seeking, adventure, boredom, and avoidance of inhibition have a significant effect on the occurrence of high-risk behaviors.
ConclusionThe results of this study are an important step towards understanding the factors affecting the tendency to high-risk behaviors in individuals and can pave the way for creating a healthy society and promoting a suitable lifestyle. One of the high-risk behaviors threatening people with high sensation seeking is the use of ineffective emotion-oriented strategies against the use of opiates and alcohol. Being infected is a vicious cycle. Because the higher level of sensation seeking and having stressful events increases the consumption of drugs and alcohol this problem remains. They do not use these substances solely for pleasure, but they use them as a means of suppressing and overcoming their inner rebellion. On the other hand, there is a possibility that this vulnerable group, which is rejected by positive friends and peers who show a logical and restrained reaction in facing the problems and issues of life, will join and tend to join deviant groups, which in itself can provide a favorable environment for the tendency to risky behaviors. Also, in explaining this finding, it can be said that the tendency to engage in risky behaviors can be a way to reduce unpleasant emotions, and since the individual does not have sufficient and adaptive strategies, he inevitably uses harmful methods that are effective in the short term but have undesirable consequences in the long term. In fact, in such situations, risky behaviors become a kind of emotional regulation strategy that helps the individual escape from a difficult situation or forget and adjust to the unpleasant internal state. Given that the present study used the correlation method, it is not possible to achieve causal results. Also, limitations related to the statistical population of the study can affect the generalization of the findings, interpretations, and causal inferences of the variables under study, which needs to be taken into account. It is suggested that the results of this study be used in the form of skill and educational services in centers, schools, and universities.
Keywords: Risky Behavior, Thrill-Seeking, Addiction, AIDS -
Background
People with HIV/AIDS face numerous challenges, including the effect of the disease on their personal relationships with family, friends, colleagues, and healthcare professionals.
ObjectivesThe purpose of this qualitative study was to investigate social interactions among patients with HIV/AIDS in Iran. Materials &
MethodsThis qualitative content analysis study was conducted on 12 patients with HIV/AIDS referring to the Behavioral Disease Counseling Center of Imam Khomeini Hospital in Tehran and the Behavioral Disease Counseling Center in Rasht City in 2018. Semi-structured, face-to-face, and audio-recorded interviews were used to collect data. Purposive sampling with maximum variation was used to select participants. The duration of the interview was between 40 to 75 min. MAXQDA software, version 10 was used for data organization and management, and conventional content analysis was used for data analysis.
ResultsFrom the analysis of interviews with 12 individuals with HIV/AIDS (7 men and 5 women), 51 codes were extracted in three categories: Disease disclosure (disclosure to important people in life, disclosure to public and health services, and dealing with the challenges of disclosure), social support (impairment in interpersonal relationships and relationships with peers), and acceptance (social acceptance and acceptance by health care providers).
ConclusionDespite significant progress in HIV/AIDS prevention, treatment, and education, the stigma caused by this disease remains high and has a negative impact on the interpersonal relationships of people living with HIV/AIDS with their families, relatives, friends, colleagues, and healthcare providers.
Keywords: social relationships, Interpersonal Relation, HIV, AIDS -
زمینه و هدف
اچ آی وی ایدز یک نگرانی عمده بهداشتی در سطح جهان است. ارتقای سواد اچ آی وی ایدز برای همه یکی از اقدامات مناسب و ضروری در این باره است. لذا هدف از این پژوهش تعیین و بهبود سواد اچ آی وی ایدز معلمان با استفاده از مطالب آموزشی آسان خوان بود.
روش بررسیاین یک مطالعه به صورت کارآزمایی میدانی بود که در سال 1399 بر روی 200 نفر از معلمان دوره متوسطه اول و دوم شهر اهواز انجام شد. این جمعیت به طور تصادفی به دو گروه مداخله (100 نفر) و کنترل (100 نفر) تقسیم شدند. برای جمع آوری داده ها از پرسشنامه سواد اچ آی وی ایدز ایرانیان استفاده شد. با توجه به متون آسان خوان و راهبردهای ابزارهای ارتباطی جایگزین، مداخله طراحی شد. مداخله شامل پمفلت آموزشی و ارسال پیام کوتاه به گروه مداخله بود. یک ماه پس از مداخله، پرسشنامه مجددا به وسیله گروه هدف تکمیل شد. داده های جمع آوری شده با استفاده از آزمون های آماری رگرسیون لجستیک و تی تست تحلیل شدند.
یافته هامیانگین سنی و انحراف معیار شرکت کنندگان 80/7±60/41 بود. قبل از مداخله میانگین و انحراف معیار سواد اچ آی وی ایدز در گروه مداخله برابر با 46/3±1/11 و در گروه کنترل برابر با 54/2±63/9 بود. پس از مداخله، نمره سواد اچ آی وی ایدز در گروه مداخله به طور معنی داری بهبود یافت (001/0>P). از بین متغیرهای جمعیت شناختی متاهل بودن پیش بینی کننده معنی دار سواد آچ آی وی ایدز بود. تحلیل ضرایب همبستگی پیرسون نشان داد که مهارت های درک و جستجو قوی ترین همبستگی را با سواد اچ آی وی ایدز دارند.
نتیجه گیریبا توجه به یافته های مطالعه، می توان نتیجه گرفت که ارتقای سواد اچ آی وی ایدز از طریق مداخلاتی مانند استفاده از متون آسان خوان و ابزارهای ارتباطی جایگزین، می تواند موثر باشد. با توجه به نقش معلمان در انتقال دانش و مهارت های پیشگیری از ابتلا به اچ آی وی و انتقال آن، پیشنهاد می شود دوره های آموزشی منظم و مداوم برای تمام معلمان برگزار شود.
کلید واژگان: سواد سلامت, آموزش, اچ آی وی ایدزArmaghane-danesh, Volume:28 Issue: 6, 2024, PP 911 -918Background & aimHIV/AIDS is a major health concern globally. Promoting HIV AIDS literacy for everyone is one of the appropriate and required measures in this regard. The present research aimed to improve HIV/AIDS literacy among male teachers in high schools of Ahvaz.
MethodsThe present field-trial study was conducted on 200 male teachers of the first and second high schools of Ahvaz. The study population was randomly divided into intervention (n=100) and control (n=100) groups. The Iranian HIV/AIDS Literacy Questionnaire was used to collect data. According to easy-to-read texts and alternative communication tools strategies, HIV/AIDS Literacy intervention was developed. The intervention included developing an educational pamphlet and sending SMS to the intervention group. One month after the intervention, the questionnaire was completed again and analyzed by SPSS software using logistic regression and t-test.
ResultsThe age mean and standard deviation of the participants was 41.60 ± 7.80. At the baseline, the mean and standard deviation of HIV/AIDS literacy was 11.1 ± 3.46 in the intervention group and 9.63 ± 2.54 in the comparison group. After the intervention, the score of HIV/AIDS literacy significantly improved in the intervention group (P<0.001). Only marital status was the significant predictor for HIV/AIDS literacy. Analysis of the Pearson correlation coefficients showed that understanding and search skills have the strongest correlation with HIV/AIDS literacy.
ConclusionBased on the study findings, it was concluded that promoting HIV/AIDS literacy through the use of easily understandable texts and alternative communication tools can prove to be effective. Considering the role of teachers in transferring knowledge and skills to prevent HIV and its transmission, it is suggested to hold regular and continuous training courses for all teachers.
Keywords: HIV, AIDS, Health Literacy, Education -
اهداف
گیرنده کموکاین نوع 5 به عنوان کمک گیرنده اصلی در عفونت HIV شناخته شده است. بسیاری از مطالعات نشان داده اند حذف شدگی bp 32 هر دو آلل CCR5، منجر به کاهش یا حذف بیان این ژن در سلول های ایمنی و مقاومت طبیعی به عفونت HIV می شود. هدف از انجام این مطالعه تعیین فراوانی جهش دلتا 32 در افراد سالم مراجعه کننده به مرکز بهداشت شهرستان گناباد، به منظور تمرکز برای یافتن روش های درمانی جدید در درمان HIV می باشد.
مواد و روش هادر این مطالعه توصیفی مقطعی، پس از کسب مجوز اخلاق و رضایت نامه آگاهانه، نمونه های خون از 293 فرد سالم همراه با ضدانعقاد EDTA، جمع آوری شدند. استخراج DNA ژنومی توسط کیت، انجام و بررسی جهش دلتا32 (32∆) ژن CCR5 با روش PCR مورد بررسی قرار گرفت.
یافته هانتایج مطالعه حاضر نشان داد از293 افراد مراجعه کننده به مرکز بهداشت، به ترتیب 269 نفر (91/8 درصد) ژن سالم و بدون جهش (188bp)، 15 نفر (5/1 درصد) جهش هتروزیگوت (188bp و 156bp) و 9 نفر (3/1) جهش هموزیگوت بر روی هر دو آلل CCR5(156bp) را دارا بودند.
نتیجه گیریبراساس نتایج حاصله، میزان جهش هموزیگوت منطقه گناباد در جامعه مورد مطالعه بالاتر از مطالعات مشابه می باشد و انجام مطالعات همه گیر شناسی و مولکولی بیشتر، برای نتیجه گیری بهتر مورد نیاز است.
کلید واژگان: ایدز, گیرنده کموکاین نوع 5, دلتا32 (32∆), گناباد, HIVAimsChemokine receptor type 5 is recognized as the main co-receptor in HIV infection. Many studies have shown that the deletion of 32-base pairs (bp) of both alleles of CCR5 leads to the reduction or elimination of the expression of this gene in immune cells and the natural resistance to HIV infection. This study aims to determine the frequency of delta 32 mutations in healthy people, referring to the health center of Gonabad City, Iran, to focus on finding new treatment methods for the treatment of HIV.
Methods & MaterialsIn this descriptive cross-sectional study, after obtaining ethical approval and informed consent, blood samples were collected from 293 healthy people along with ethylenediaminetetraacetic acid anticoagulant. Genomic DNA extraction was carried out by the kit, and the investigation of delta 32 (∆32) mutation of the CCR5 gene was investigated via the polymerase chain reaction method.
FindingsOur results showed that out of 293 people who referred to the health center, 269 people (91.8%) had a healthy gene without mutation (188 bp), 15 people (5.1%) had heterozygous mutations (188 bp and 156 bp), and 9 people (3.07%) had a homozygous mutation on both alleles of CCR5 (156 bp).
ConclusionBased on the results, the homozygous mutation rate of Gonabad Region, Iran, in the studied community is higher compared to similar studies, and more epidemiological and molecular studies are needed for better conclusions.
Keywords: AIDS, Chemokine receptor type 5 (CCR5), Delta 32 (∆32), Gonabad, HIV -
مقدمه
با توجه به افزایش اقبال عمومی به استفاده از طب سنتی و مکمل در بیماری های مختلف، اتخاذ سیاست مناسب منوط به اطلاع از میزان استفاده مردم از این روش درمانی، نوع استفاده آن ها، ویژگی های افراد استفاده کننده و غیره می باشد. این مطالعه با هدف بررسی الگوی استفاده از طب سنتی و مکمل و داروهای گیاهی در افراد مبتلا به HIV/AIDS در شهرستان فسا انجام شد.
روش کاراین پژوهش یک مطالعه مقطعی است که بر روی 96 بیمار مبتلا به HIV/AIDS در مرکز مشاوره بیماری های رفتاری شهرستان فسا انجام شد. حجم نمونه بصورت سرشماری تعیین شد. برای گردآوری داده ها از دو پرسشنامه استفاده شد: یک پرسشنامه محقق ساخته برای بررسی استفاده بیمار از طب سنتی و پرسشنامه بررسی کیفیت زندگی سازمان جهانی بهداشت ویژه افراد مبتلا به ایدز. داده ها با استفاده از آمار توصیفی، رگرسیون لجستیک، مجذور کای و تی مستقل مورد تجزیه و تحلیل قرار گرفت.
یافته هااز 96 بیمار 12/78 درصد از آن ها از طب سنتی استفاده می کردند. فراوان ترین نوع طب مکمل مورد استفاده در بیماران حجامت و گیاهان دارویی بود. بابونه و آویشن پرمخاطب ترین گیاهان مورد استفاده بودند. بیشترین علت استفاده از بابونه جهت تسکین روانی بوده و غالبا آویشن را جهت افزایش سلامت عمومی بدن و سایر علل مصرف می کردند.
نتیجه گیریبا توجه به فراوانی قابل توجه استفاده از طب سنتی در این بیماران، لازم است سیاست ها و پاسخ عملی مناسب به افزایش استفاده از طب سنتی و مکمل تعبیه شود تا این خدمات بصورت ایمن، به موقع و با کیفیت کافی در دسترس مردم قرار گیرد.
کلید واژگان: طب سنتی و مکمل, طب ایرانی, ایدز, HIV, AIDSComplementary Medicine Journal of faculty of Nursing & Midwifery, Volume:13 Issue: 4, 2024, PP 74 -83IntroductionDue to the increase in public interest in the use of traditional and complementary medicine in various diseases, it is necessary in order to adopt a suitable policy that know the extent of people's use, the type of use and the characteristics of the people. We aimed to determine the frequency and pattern of complementary and alternative medicine use and the reason of use among patients suffering from HIV/AIDS in Fasa city.
MethodsThis research is a cross-sectional study that was conducted on 96 patients with HIV/AIDS at the behavioral disease counseling center in Fasa city. The sample size was determined by census. Two questionnaires were used to collect data: a researcher-made questionnaire to examine the frequency of complementary and alternative medicine use and other questionnaire was the Quality of Life of the World Health Organization for people with HIV (WHOQOL-HIV). The data analysis for this study involved the use of descriptive statistics, Chi-squared test, independent t-test, and logistic regression model.
ResultsOf 96 patients, 78.12% reported using traditional medicine. The most common used type were cupping and medicinal plants. Chamomile and thyme were the most popular herbs used. The most common reason for using chamomile was relaxation, and they often used thyme to increase the general health of the body.
ConclusionsIt is necessary to implement appropriate policies and practical responses to increase traditional and complementary medicine use so these services are available safely, timely and with sufficient quality.
Keywords: Traditional, complementary medicine, Persian medicine, AIDS, HIV -
زمینه
ویروس نقص ایمنی انسانی (اچ.آی.وی) بخاطر معضلات اجتماعی و برچسبی که مبتلایان گرفتار آن می شوند، حایز اهمیت است و شیوع انواع مشکلات روانی، خانوادگی و اجتماعی در افراد مبتلا قابل مشاهده می باشد.
هدفپژوهش حاضر به منظور ارتقاء سلامت روان، بررسی اثربخشی طرحواره درمانی بر راهبردهای سازگار و راهبردهای ناسازگار تنظیم شناختی- هیجانی افراد مبتلا به اچ.آی.وی بود.
روش هاپژوهش مداخله ای از نوع پیش آزمون- پس آزمون و گروه گواه می باشد. 30 نفر به روش نمونه گیری در دسترس انتخاب و به صورت تصادفی در دو گروه، آزمایشی و گواه جایگزین شد. پرسشنامه تنظیم شناختی- هیجانی گارنفسکی و همکاران CERQ-SF)) استفاده شد. افراد گروه آزمایشی به مدت ده جلسه دو ساعته تحت آموزش طرحواره درمانی گروهی با مدل طرحواره درمانی یانگ قرار گرفتند. تحلیل دادهها، میانگین، انحراف استاندارد و تحلیل کواریانس با استفاده از نرم افزار SPSS 26 و سطح معناداری (p<0/05) انجام شد.
یافته هانتایج تحلیل کوواریانس نشان داد، طرحواره درمانی گروهی بر میزان مولفه های راهبردهای سازگار (پذیرش، تمرکز مجدد مثبت، تمرکز مجدد برنامه ریزی، ارزیابی مجدد مثبت و دیدگاه وسیع تر) و مولفه های راهبردهای ناسازگار (سرزنش خود و تلقی فاجعه آمیز) تاثیر داشته ((p<0/001 اما بر میزان مولفه های سرزنش دیگران، p<0/033 و نشخوار فکری، 102/0 p< تاثیر نداشته است.
نتیجه گیریطرحواره درمانی موجب افزایش بکارگیری راهبردهای سازگار و کاهش راهبردهای ناسازگار شناختی- هیجانی (سرزنش خود و تلقی فاجعه آمیز) افراد مبتلا به اچ.آی.وی شد.
کلید واژگان: طرحواره درمانی, تنظیم شناختی-هیجانی, ویروس نقص ایمنی انسانی (اچ.آی.وی)BackgroundThe human immunodeficiency virus (HIV) is important because of the social and labeling problems, and the prevalence of a variety of psychological, family, and social problems can be observed in these individuals.
ObjectiveThe aim of this study, in order to promote mental health, is to investigate the effectiveness of schema therapy on adaptive and maladaptive strategies of cognitive-emotional regulation of people living with HIV (PLWH).
MethodsThe research is an interventional study that used a pretest-posttest design and control group. Thirty people were selected by convenience sampling method and randomly divided into two groups, experimental and control. Garnefski et al.'s cognitive-emotional regulation (CERQ-SF) questionnaire was used. The experimental group received ten two-hour sessions of group treatment with Young's schema therapy model. To analyze the data, mean and standard deviation (SD) and analysis of covariance were used by SPSS 26 and P<0/05.
ResultsThe results analysis of covariance showed that group treatment schema therapy improved the extent of adaptive strategies (acceptance, positive refocusing, refocusing on planning, positive reappraisal, and broader perspective) and maladaptive strategies (self-blame and catastrophic perception), (p<0.001), However, there was not any improve in terms of blaming others, (P<0/033) and rumination (P<0/102).
ConclusionSchema therapy has increased the use of adaptive strategies and decreased maladaptive cognitive-emotional strategies (self-blame and catastrophic perception) in PLWH.
Keywords: Schema Therapy, Cognitive-Emotional Regulation, Human Immunodeficiency Virus (HIV), AIDs -
Exploring perceived dignity among AIDS/HIV patients in behavioral disease counseling centers in IranBackground and aims
People with HIV/AIDS may encounter several problems, such as discrimination and social challenges, which affect their perceived dignity. The purpose of this study was to evaluate the perception of dignity among HIV/AIDS patients in a healthcare setting in Iran.
MethodsThis cross-sectional study was done on HIV/AIDS patients referring to behavioral disease consulting centers affiliated with a mainstay of health and medical education, Iran, in 2023. The study sample consisted of 220 patients selected using the available sampling method. A patient dignity questionnaire was used to collect data. The validity and reliability of the questionnaire were confirmed. The collected data were analyzed by SPSS 25 software using parametric tests.
ResultsFindings showed that the mean age of patients was 37; 51.1% of participants were men, 46.1% were married, 4.2% had primary education, 55.9% were employed, and 66.7% were in the asymptomatic stage of the disease. The overall score for perceived dignity was 1/96 out of 5 and was evaluated well. The mean scores for mental abilities and perceptions, personal and social concerns were 1.37 (SD: 0.44), 2.85 (SD: 0.94), and 1.37 (SD: 0.48), respectively. There was also a statistically significant relationship between perceived dignity score and the levels of education and being under treatment.
ConclusionAlthough the studied patients had a well-perceived status of dignity and were satisfied with their abilities and social communication, their greatest concern was personal concerns. It is recommended that psychological support and therapies be provided to these patients.
Keywords: Dignity, AIDS, HIV, Behavioral disease consulting center -
مقدمه
خطاهای دارویی باعث کاهش کیفیت زندگی، کاهش عملکرد سیستم ایمنی و مرگ ومیر قابل توجهی در کودکان مبتلا به ویروس HIV/AIDS می شود. پژوهش حاضر، با هدف شناسایی و تبیین عوامل موثر بر مدیریت خطاهای دارویی در کودکان مبتلا به ویروس HIV/AIDS در نظام سلامت ایران انجام شد.
روش بررسیمطالعه حاضر از نوع مطالعات کاربردی است که به روش توصیفی در سال 1400-1399 انجام شد. ابتدا، از طریق بررسی ادبیات پژوهش و مصاحبه با خبرگان درزمینه درمان کودکان مبتلا به ویروس HIV/AIDS، مولفه های اصلی موثر بر بروز خطاهای دارویی در کودکان مبتلا به ویروس HIV/AIDS استخراج و با استفاده از آن ها، پرسش نامه پژوهش طراحی شد. داده ها از 400 نفر از خبرگان در زمینه درمان کودکان مبتلا به ویروس HIV/AIDS جمع آوری و با استفاده از تحلیل عاملی اکتشافی و از طریق نرم افزارهای version 16 SPSS و لیزرل تحلیل شد.
نتایجچهار عامل شامل عوامل سازمانی (0/001>p)، عوامل فردی (0/001>p)، عوامل آموزشی (0/001> p)و عوامل ارتباطی (0/001> p)به عنوان عوامل موثر بر مدیریت خطاهای دارویی در کودکان مبتلا به ویروس HIV/AIDS شناسایی شد. عوامل فردی، عوامل ارتباطی، عوامل سازمانی و عوامل آموزشی با بار عاملی 0/84 ،0/81 ،0/79و 0/77 به ترتیب تاثیر بر مدیریت خطاهای دارویی در کودکان HIV مثبت داشتند.
نتیجه گیریبه منظور موفقیت در مدیریت خطاهای دارویی در کودکان مبتلا به ویروس HIV/ AIDS، ضمن توجه به کلیه عوامل چهارگانه، بهتر است عوامل فردی و عوامل ارتباطی مورد توجه بیشتری از سوی کارشناسان مرکز مشاوره بیماری های رفتاری و پزشکان درمانگر قرار گیرند.
کلید واژگان: درمان, رتروویروس, HIV, AIDS, کودکان, ایمنی بیمار, مدل سازی معادلات ساختاری, تحلیل عاملی اکتشافیJournal of Shaeed Sdoughi University of Medical Sciences Yazd, Volume:31 Issue: 8, 2023, PP 6927 -6943IntroductionMedication errors reduce quality of life, immune system function, and cause significant mortality in children with HIV/AIDS. The present study was conducted with the aim of identifying and explaining the factors affecting the management of medication errors in children infected with HIV/AIDS virus in Iran's health system.
MethodsThe current study was a descriptive one conducted in 2020-2021. At first, by reviewing the research literature and interviewing experts in the field of treating children with HIV/AIDS virus, the main factors affecting the occurrence of medication errors in children with HIV/AIDS virus were extracted and using them, the research questionnaire was designed. Data were collected from 400 experts in the field of treating children with HIV/AIDS virus and analyzed using exploratory factor analysis and through SPSS version 16 and Lisrel software.
ResultsFour factors included organizational factors (p < 0.001), individual factors (p < 0.001), educational factors (p < 0.001) and communication factors (p < 0.001), were identified as effective factors in the management of medication errors in children with HIV/AIDS virus. Factors including Individual, communication, organizational and educational with respective factor loadings of 0.84, 0.81, 0.79 and 0.77 had an effect on the management of medication errors in HIV positive children.
ConclusionFor successful management of medication errors in children infected with HIV/AIDS, it is advisable to prioritize individual and communication factors (i.e., behavior-based disease counseling specialists) while attending to all four of the relevant factors.
Keywords: Treatment, Retrovirus, HIV, AIDS, children, Patient safety, Structural equation modeling, Exploratory factor analysis -
مقدمه
پرسنل بهداشتی از جمله دانشجویان دندانپزشکی به علت تماس با خون و سایر مایعات بدن همواره در معرض عفونت های انتقال یابنده از طریق خون مانند هپاتیت و ایدز هستند، بنابراین لازم است که طی آموزش های مدبرانه از دانش و نگرش مناسب و عملکرد صحیح در رابطه با اینگونه بیماری ها برخوردار گردند تا بتوانند به درمان بیماران مبتلا که وظیفه اخلاقی و قانونی آن ها است، اهتمام ورزند. لذا این پژوهش با هدف ارزیابی سطح آگاهی، نگرش و عملکرد دانشجویان دندانپزشکی یزد در ارتباط با بیماری های ایدز و هپاتیت انجام گرفت.
روش بررسیاین مطالعه مشاهده ای- توصیفی از نوع مقطعی بر روی 188 نفر از دانشجویان سال 4، 5 و 6 دندانپزشکی دانشکده دندانپزشکی یزد انجام شد که 170 نفر پرسش نامه را تکمیل کردند. داده ها با استفاده از پرسش نامه محقق ساخته شامل دو قسمت اطلاعات دموگرافیک و سوالات آگاهی، نگرش و عملکرد ، جمع آوری و با استفاده از آزمون های T-Test ، ANOVA و کای اسکور و SPSS version 16 تجزیه و تحلیل شدند.
نتایجمیانگین نمره آگاهی، نگرش و عملکرد دانشجویان به ترتیب 20/77 (از 30 نمره)، 32/04 (از 45 نمره) و 46/17 (از 52 نمره) بود. آگاهی دانشجویان در مورد درمان های پروفیلاکسی پس ازمواجه با سوزن (نیدل استیک) و تست های غربالگری، ضعیف بود. علاوه بر این دانشجویان نگرش ضعیفی درارتباط با درمان بیماران داشتند. بین عملکرد مردان و زنان تفاوت آماری معناداری مشاهده شد (P<0.05).
نتیجه گیریدانشجویان دندانپزشکی با وجود آگاهی و نگرش متوسط، عملکرد خوبی درارتباط با بیماری های هپاتیت و ایدز داشتند. بنابراین مسیولین دانشکده باید بر ارتقا آموزش و رویکردهای تغییر نگرش دانشجویان تمرکز بیشتری نمایند.
کلید واژگان: دانشجویان دندانپزشکی, هپاتیت, ایدز, آگاهی, نگرش, عملکردJournal of Shaeed Sdoughi University of Medical Sciences Yazd, Volume:31 Issue: 8, 2023, PP 6900 -6911IntroductionHealthcare workers, including dental students are at risk of transmission of blood-borne infections like Hepatitis and AIDS because of their continuous contact with blood and other body fluids. Thus it is necessary for them to achieve enough knowledge, proper attitude and right behavior regarding to these diseases through efficient training so they can treat infected patients, which is their ethical and legal duty. The present study was designed to evaluate knowledge, attitude and practice of dental students in School of Dentistry, Shahid Sadoughi University of Medical Sciences about HIV and Hepatitis in 2019-2020.
MethodsThis observational-descriptive cross-sectional study was conducted on 188 4th, 5th and 6th year dental students of Yazd Faculty of Dentistry, 170 of whom completed the questionnaire. Data were collected using a researcher-made questionnaire including two parts of demographic information and knowledge, attitude and performance questions; data were analyzed using T-Test, ANOVA and chi-score tests and SPSS version 16.
ResultsThe mean score of knowledge, attitude and practice regarding hepatitis and AIDS was 20/77 (out of 30), 32/04 (out of 45) and 46/17 (out of 52), respectively. The students had low knowledge level about prophylaxis treatments after needlestick injuries and screening tests. They also had poor attitude towards treating the infected patients. There was a significant difference in practice between males and females. (P-value<0.05).
ConclusionDental students performed well in relation to hepatitis and AIDS diseases despite their average knowledge and attitude. Thus there should be an emphasis on knowledge improvement and attitude alternation in Yazd Faculty of Dentistry.
Keywords: Dental students, Hepatitis, AIDS, Knowledge, Attitude, practice -
Background and Objective
Internalized stigma (IS) is defined as negative stereotypes people hold about themselves and have accepted them. The purpose of this study was to determine IS among HIV/AIDS patients in Kermanshah, Iran.
Materials and MethodsThis cross-sectional research was conducted on 200 HIV/AIDS patients in the Behavioral Diseases Counseling Center of Kermanshah University of Medical Sciences, Kermanshah, Iran, in 2021. The required data were collected using a questionnaire and holding an interview. The gathered data were analyzed in SPSS-16 software using one-way analysis of variance, independent samples t-test, and bivariate correlation tests.
ResultsThe average overall score of IS was obtained at 5.65 (score range: 0 to 6). The mean internalized stigma score was slightly higher among male patients, single individuals, those with primary education, unemployed patients, and those with poor economic status; however, it was not statistically significant.
ConclusionsIt can be concluded that IS highly prevalent among HIV/AIDS patients in Kermanshah. Comprehensive interventions among patients are needed to reduce stigma.
Keywords: HIV, AIDS, Internalized Stigma, Kermanshah
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