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Prevalence, self‐care behaviors, and self‐care activities for peripheral neuropathy symptoms of HIV/AIDS
Author(s) -
Nicholas Patrice K.,
Voss Joachim,
Wantland Dean,
Lindgren Teri,
Huang Emily,
Holzemer William L.,
Cuca Yvette,
Moezzi Shahnaz,
Portillo Carmen,
Willard Suzanne,
Arudo John,
Kirksey Kenn,
Corless Inge B.,
Rosa María E.,
Robinson Linda,
Hamilton Mary J.,
Sefcik Elizabeth,
Human Sarie,
RiveroMendez Marta,
Maryland Mary,
Nokes Kathleen M.,
Eller Lucille,
Kemppainen Jeanne,
DawsonRose Carol,
Brion John M.,
Bunch Elli H.,
Shan Maureen,
Nicholas Thomas P.,
ViamonteRos Ana,
Bain Catherine A.
Publication year - 2010
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/j.1442-2018.2009.00505.x
Subject(s) - medicine , peripheral neuropathy , psychological intervention , randomized controlled trial , physical therapy , risk factor , human immunodeficiency virus (hiv) , diabetes mellitus , psychiatry , family medicine , endocrinology
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.