2.50
Hdl Handle:
http://hdl.handle.net/10755/163502
Category:
Abstract
Type:
Presentation
Title:
HIV Infected PatientsÆ Experiences with Hepatitis C Evaluation and Treatment
Author(s):
Bova, Carol; Ogawa, Lisa
Author Details:
Carol Bova, PhD, RN, ANP, Assistant Professor, University of Massachusetts, Graduate School of Nursing, Worcester, Massachusetts, USA, email: Carol.bova@umassmed.edu; Lisa Ogawa, MS, RN
Abstract:
Purpose: Chronic hepatitis C virus (HCV) infection affects 40,000 HIV positive patients in the U.S. HCV treatment is associated with life-threatening side effects and antiretroviral drug interactions. Without treatment, increasing numbers of HIV positive patients will either die from end stage liver disease or from HIV-related complications because of the inability to use antiretroviral agents due to their hepatotoxicity. The purpose of this study was to describe the subjective experiences of HIV-infected patients as they manage the process of HCV evaluation and treatment. Methods: This study used a longitudinal, qualitative descriptive design to study the experience of HIV/HCV co-infected adults as they begin evaluation and treatment for chronic HCV. Purposive sampling was done to recruit subjects from three HIV specialty clinics. Tape-recorded interviews were conducted with subjects pre-treatment, 8-12 weeks into treatment and at treatment completion. Subjects who chose not to be treated were also interviewed. Results: 40 HIV/HCV co-infected adults were enrolled in the study. The mean age of the sample was 44.7 years, 48.7 % were female, 54% were racial or ethnic minorities, 33% had AIDS, 73% had HCV genotype 1 and 95% had a history of substance abuse. Themes that emerged included fear of treatment side effects, first hand experience with illness management, patient-provider relationships, gaining sober time, and "going in like a soldier." Additionally, this study revealed the difficulty of moving HIV/HCV co-infected patients towards treatment evaluation. Conclusions and Implications: Study findings suggest that an intervention which fosters patient-provider relationships, adapts prior illness management strategies, and uses positive peer support at the early stages of evaluation and treatment may influence HCV treatment acceptance and outcomes among HIV-infected adults.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleHIV Infected PatientsÆ Experiences with Hepatitis C Evaluation and Treatmenten_GB
dc.contributor.authorBova, Carolen_US
dc.contributor.authorOgawa, Lisaen_US
dc.author.detailsCarol Bova, PhD, RN, ANP, Assistant Professor, University of Massachusetts, Graduate School of Nursing, Worcester, Massachusetts, USA, email: Carol.bova@umassmed.edu; Lisa Ogawa, MS, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/163502-
dc.description.abstractPurpose: Chronic hepatitis C virus (HCV) infection affects 40,000 HIV positive patients in the U.S. HCV treatment is associated with life-threatening side effects and antiretroviral drug interactions. Without treatment, increasing numbers of HIV positive patients will either die from end stage liver disease or from HIV-related complications because of the inability to use antiretroviral agents due to their hepatotoxicity. The purpose of this study was to describe the subjective experiences of HIV-infected patients as they manage the process of HCV evaluation and treatment. Methods: This study used a longitudinal, qualitative descriptive design to study the experience of HIV/HCV co-infected adults as they begin evaluation and treatment for chronic HCV. Purposive sampling was done to recruit subjects from three HIV specialty clinics. Tape-recorded interviews were conducted with subjects pre-treatment, 8-12 weeks into treatment and at treatment completion. Subjects who chose not to be treated were also interviewed. Results: 40 HIV/HCV co-infected adults were enrolled in the study. The mean age of the sample was 44.7 years, 48.7 % were female, 54% were racial or ethnic minorities, 33% had AIDS, 73% had HCV genotype 1 and 95% had a history of substance abuse. Themes that emerged included fear of treatment side effects, first hand experience with illness management, patient-provider relationships, gaining sober time, and "going in like a soldier." Additionally, this study revealed the difficulty of moving HIV/HCV co-infected patients towards treatment evaluation. Conclusions and Implications: Study findings suggest that an intervention which fosters patient-provider relationships, adapts prior illness management strategies, and uses positive peer support at the early stages of evaluation and treatment may influence HCV treatment acceptance and outcomes among HIV-infected adults.en_GB
dc.date.available2011-10-27T11:08:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:08:40Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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