Prevalence, self-care behaviors, and self-care activities for peripheral neuropathy symptoms of HIV/AIDS
Nicholas, P.K.; Voss, J.; Wantland, D.; Lindgren, T.; Huang, E.; Holzemer, W.L.; Cuca, Y.; Moezzi, S.; Portillo, C.; Willard, S.; Arudo, J.; Kirksey, K.; Corless, I.B.; Rosa, M.ía.E.; Robinson, L.; Hamilton, M.J.; Sefcik, E.; Human, S.; Rivero-Mendez, M.; Maryland, M.; Nokes, K.M.; Eller, L.; Kemppainen, J.; Dawson-Rose, C.; Brion, J.M.; Bunch, E.H.; Shannon, M.; Nicholas, T.P.; Viamonte-Ros, A.; Bain, C.A.
Nursing and Health Sciences 12(1): 119-126
2010
ISSN/ISBN: 1442-2018 PMID: 20487335 DOI: 10.1111/j.1442-2018.2009.00505.xDocument Number: 212850
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.
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