• Title/Summary/Keyword: Acquired immunodeficiency syndrome

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Factors Associated with Willingness to Volunteer for End-Stage AIDS Patients among Hospice Volunteers (호스피스 자원봉사자들의 말기 AIDS 환자들에게 자원봉사를 제공할 의향에 영향을 미치는 요인)

  • Yoon, SeokJoon;Choi, YoungSim;Jung, Jin Gyu;Kim, Jong-Sung;Ryu, Hyewon
    • Journal of Hospice and Palliative Care
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    • v.20 no.4
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    • pp.226-234
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    • 2017
  • Purpose: With the implementation of the Act on Life Sustaining Treatment, hospice-palliative care will be extended to non-cancer diseases including the acquired immunodeficiency syndrome (AIDS). However, there are concerns about negative perceptions and prejudice toward AIDS patients. The purpose of this study was to investigate factors related with willingness to volunteer (WV) for patients with end-stage AIDS among hospice volunteers. Methods: Participants were 326 hospice volunteers from 19 institutions. A self-administered questionnaire was employed to investigate the participants' WV for end-stage AIDS patients, and the questions were answered using an 11-point rating scale. Demographics, volunteer activity, satisfaction with hospice volunteering, knowledge of AIDS, and attitudes towards AIDS patients (i.e., fear AIDS patients, negative attitude towards AIDS patients, personal stigmatization and stigmatizing attitude) were also investigated. A multiple regression analysis was performed to examine factors associated with WV for patients with end-stage AIDS. Results: WV for patients with end-stage AIDS was 2.82 points lower than that for cancer patients (P<0.001). The multiple regression analysis showed that the higher the level of satisfaction with hospice volunteering (P=0.002) and the lower the level of "personal stigmatization" (P<0.001), participants showed greater WV for end-stage AIDS patients. Conclusion: The level of satisfaction with hospice volunteering and "personal stigmatization" were factors associated with participants' WV for patients with end-stage AIDS.

Oral manifestations and their correlation to baseline CD4 count of HIV/AIDS patients in Ghana

  • Frimpong, Paul;Amponsah, Emmanuel Kofi;Abebrese, Jacob;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.1
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    • pp.29-36
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    • 2017
  • Objectives: Acquired immunodeficiency syndrome (AIDS) is a disease of the human immune system caused by the human immunodeficiency virus (HIV). People with AIDS are much more vulnerable to infections, including opportunistic infections and tumors, than people with a healthy immune system. The objective of this study was to correlate oral lesions associated with HIV/AIDS and immunosuppression levels by measuring clusters of differentiation 4 (CD4) cell counts among patients living in the middle western regions of Ghana. Materials and Methods: A total of 120 patients who visited the HIV clinic at the Komfo Anokye Teaching Hospital and the Regional Hospital Sunyani of Ghana were consecutively enrolled in this prospective and cross-sectional study. Referred patients' baseline CD4 counts were obtained from medical records and each patient received an initial physician assessment. Intraoral diagnoses were based on the classification and diagnostic criteria of the EEC Clearinghouse, 1993. After the initial assessment, extra- and intraoral tissues from each enrolled patient were examined. Data analyses were carried out using simple proportions, frequencies and chi-square tests of significance. Results: Our study included 120 patients, and was comprised of 42 (35.0%) males and 78 (65.0%) females, ranging in age from 21 to 67 years with sex-specific mean ages of 39.31 years (males) and 39.28 years (females). Patient CD4 count values ranged from 3 to 985 cells/mL with a mean baseline CD4 count of 291.29 cells/mL for males and 325.92 cells/mL for females. The mean baseline CD4 count for the entire sample was 313.80 cells/mL. Of the 120 patients we examined, 99 (82.5%) were observed to have at least one HIV-associated intraoral lesion while 21 (17.5%) had no intraoral lesions. Oral candidiasis, periodontitis, melanotic hyperpigmentation, gingivitis and xerostomia were the most common oral lesions. Conclusion: From a total of nine oral lesions, six lesions that included oral candidiasis, periodontitis, melanotic hyperpigmentation, gingivitis, xerostomia and oral hairy leukoplakia were significantly correlated with declining CD4 counts.

A Study of Assessing Educational Needs on Program Planning for AIDS(Acquired Immunodeficiency Syndrome) Inservice Education for Clinical Nurses (임상간호사를 위한AIDS(후천성 면역 결핍증) 교육 프로그램 개발을 위한 기초 연구)

  • 박인혜;이숙자;이정희
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.371-382
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    • 1999
  • Nurses are at the forefront of providing hands-on care to patients infected with HIV(Human Immunodeficiency Virus). Therefore, appropriate and sensible infection control precaution should be taken at all times. The purpose of this study is to find out nurse's loaming needs about HIV/AIDS ; and nurse's willingness to perform nursing care to HIV/AIDS patients ; and the degree of fellowing universal precautions in nursing care ; and the degree of knowledge of HIV/AIDS to provide information on the guide for the further continuing education. The respondents of this study were 280 nurses in a university hospital in Kwang-Ju city. Data were collected using a self-administered questionnaire and analyzed by using percentages, means, Pearson's correlation, t-test, ANOVA, Duncan's grouping. The findings were as follows ; 1. The mean age of the nurses was 28.9 years, and the mean duration of their clinical experience was 6.8 years. Majority of the nurses(83.9%) had no experience in taking care of the AIDS patients. 2. The content s nurse's need to learn were showed in order such as clinical manifestations, infection control, patient care, and the mode of transmission of HIV/AIDS. 3. Even though the nurses had quite low knowledge about HIV/AIDS(mean score was 12.2 from the total of 26), they are willing to take care of the AIDS patients (mean score was 39.5 from the total of 60), and the degree of following universal precaution was also not so bad (mean score was 40.8 from the total of 50). 4. Nurses who are over 35 years old and had informal education regarding HIV/AIDS better following universal precautions. Nurses who had over 12 years of clinical experiences have more willingness to perform nursing care to the AIDS patients. Nurses who had experiences in taking care of the AIDS patients were more knowledgeable about HIV/AIDS. These findings suggest that some strategies should be develope to increase the willingness to perform the nursing care to the AIDS patients. And also continuing education program should be develope and run for the clinical nurses so that they can provide effective and appropriate nursing care to the AIDS patients.

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Intestinal Parasitosis in Relation to Anti-Retroviral Therapy, CD4+ T-cell Count and Diarrhea in HIV Patients

  • Khalil, Shehla;Mirdha, Bijay Ranjan;Sinha, Sanjeev;Panda, Ashutosh;Singh, Yogita;Joseph, Anju;Deb, Manorama
    • Parasites, Hosts and Diseases
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    • v.53 no.6
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    • pp.705-712
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    • 2015
  • Intestinal parasitic infections are one of the major causes of diarrhea in human immunodeficiency virus (HIV) seropositive individuals. Antiretroviral therapy has markedly reduced the incidence of many opportunistic infections, but parasite-related diarrhea still remains frequent and often underestimated especially in developing countries. The present hospital-based study was conducted to determine the spectrum of intestinal parasitosis in adult HIV/AIDS (acquired immunodeficiency syndrome) patients with or without diarrhea with the levels of $CD4^+$ T-cell counts. A total of 400 individuals were enrolled and were screened for intestinal parasitosis. Of these study population, 200 were HIV seropositives, and the remaining 200 were HIV uninfected individuals with or without diarrhea. Intestinal parasites were identified by using microscopy as well as PCR assay. A total of 130 (32.5%) out of 400 patients were positive for any kinds of intestinal parasites. The cumulative number of parasite positive patients was 152 due to multiple infections. A significant association of Cryptosporidium (P<0.001) was detected among individuals with $CD4^+$ T-cell counts less than $200cells/{\mu}l$.

The knowledge and attitudes about AIDS in middle and high school students (일부 중$\cdot$고등학생들의 에이즈에 대한 지식 및 태도)

  • Oh Jeong Ah
    • Journal of Korean Public Health Nursing
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    • v.13 no.1
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    • pp.63-76
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    • 1999
  • The purpose of this study was to provide the basic data for developing a program for effective health education about AIDS (Acquired Immunodeficiency Syndrome) by investigating the knowledge and attitudes of middle and high school students about AIDS. The subjects were 476 middle school students and 658 high school students from Seoul and Kang Won province. The data were collected from November 19 to December 18. 1996. using a 56-item questionnaire. and analyzed by SAS program for t-test. x2-test. and pearson correlation coefficients. The results were as follows : 1. High school students had more knowledge than middle school students about AIDS. 2. Male. students from Seoul. and students who had drinking experience and smoking experience among middle school students. and male. students from Seoul. and students of non-coeducation among high school students were more knowledgeable about AIDS. 3. Misconceptions about the transmission of AIDS through non-intimate contact were especially common among middle school students. And a high proportion of middle and high school students knew very little about the symptoms of AIDS. 4. High school students had more positive attitudes toward AIDS than middle school students. 5. Students from Seoul and students who had smoking experience among middle school students. and students from Seoul and non-coeducation and students who had substance use experience among high school students were more positive attitudes about AIDS. 6. Most of the middle and high school students agreed that there is a need for AIDS education. 7. Middle and high school students reported that had learned about AIDS mostly from TV. Since students in the middle-school age group are especially at risk for developing AIDS­related behaviors. this study findings suggest that it is crucial to develop school-based AIDS education programs that help students acquire the knowledge and attitudes to adopt and maintain behaviors that reduce the risk of HIV (Human Immunodeficiency Virus) infection and other related health problems.

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The Effect of AIDS Education on Baccalaureate Nursing Students (간호대학생의 에이즈 교육효과)

  • 한영란
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.467-476
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    • 2001
  • Purpose: to evaluate the effects of AIDS education for baccalaureate nursing students. Method: a one-time AIDS education was delivered to 175 nursing students and knowledge and attitude toward HIV/AIDS were measured before and after the AIDS education using a questionnaire. Result: 1) Before the AIDS education, the average knowledge score of the students was 64.30 points out of 103 points while the average attitude score was 25.77 points out of 36 points. 2) Before the AIDS education, school grade, former experience of AIDS education and religion were founded to be the significantly related to the student's knowledge on AIDS. 3) There was a significant increase in AIDS related knowledge (t=-24.21, p=.000). There was also a significant improvement in attitude toward HIV/AIDS (t=4.67, p=.000) after the AIDS education. 4) There was a significant correlation between the knowledge and the attitude toward HIV/AIDS before the AIDS education, while no correlations was found between the AIDS knowledge and attitude after the education. Conclusion: AIDS education is necessary and effective for baccalaureate nursing students. It is necessary to develop comprehensive AIDS education program to improve the level of knowledge and preventive behavior for HIV/AIDS as well as to allay the fears for AIDS.

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Review on Correctional Health Care of Custody Facilities (교정시설 재소자의 보건의료관리실태에 관한 고찰)

  • Cho Yoo Hyang;Sung Seung Mo
    • Journal of Korean Public Health Nursing
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    • v.10 no.2
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    • pp.61-73
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    • 1996
  • The Korea now incarcerates a greater percentage of its Population than any other country : For 63,000 prisoners in 40 prisons and jails. Most inmates are mate. young, poor, and morbidity groups. Most are substance abusers with substantial physical and mental health needs. Corrections in general and correctional health care in particular have suffered negative consequence : severe overcrowding, insuffcient programs as the acquired immunodeficiency syndrome(AIDS). tuberculosis, and hepatitis. The large increase in the number of substance abusers and sick and terminally ill inmates has rendered our nation's prisons and jails physically or financially unable to deal with their current populations, much less the explosive increases the future holds. It is the magnitude of inmate health problems that threatens to overwhelm the substantial gains made in correctional health care over the past two decades. As measured by recognized standards of inmate health and health services, our correctional systems are in crisis. As a nation. we must respond to the problem of health problem with national strategies that do not overwhelm the capacity of our criminal justice system to care for its inmates.

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Knowledge and Attitude of Physical Therapist to Patient with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (물리치료사의 HIV/AIDS에 대한 지식과 태도)

  • Ahn So-youn;Kim Byung-jo;Kim Soo-min;Kim Jae-ho;Kim Jong-soon
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.235-254
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    • 2003
  • The purpose of this descriptive study was to investigate the general knowledge and attitude of physical therapist to patient with HIV/AIDS. Many physical therapists are afraid of AIDS patients because they have a little information of AIDS and fear of HIV infection from AIDS patients at work site. This study was carried out from June to October in 2003 for collecting data. The 271 physical therapists volunteered for a this study and completed questionnaires. The findings of this study can be summarized as follows. 1)The knowledge of prevention of HIV/AIDS influences the attitude of physical therapists to patients with HIV/AIDS. 2)The knowledge of symptoms of HIV/AIDS influences the attitude of physical therapists to patients with HIV/AIDS. 3)The knowledge of transmission routes of HIV/AIDS influences the attitude of physical therapists to patients with HIV/AIDS. 4)84.9 percentage of participant in survey suggested college should have curriculum about HIV/AIDS. In conclusion, physical therapists with more knowledge of HIV/ADIS could positively treat HIV/AIDS patients.

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Thirty Six-year-old Man Presenting Acute Respitatory Failure (급성 호흡부전으로 내원한 36세 남자환자)

  • Shin, Tae-Rim;Jang, Ji-Eun;Kim, Hae-Young;Park, Young-Sik;Han, Woon-Sup;Chang, Jung-Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.4
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    • pp.514-519
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    • 2000
  • We report a case of pneumonia in 36 year-old male patient who presented acute respiratory failure and associated radiologic findings of bilateral ground-glass opacity with focal cystic changes, showing rapidly aggravating course and was diagnosed as concomitant Pneumocystis carinii and Cytomegalovirus pneumonia accompanied by acquired immunodeficiency syndrome through antemortem open lung biopsy.

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Effects of an Education Program for AIDS Prevention on Knowledge and Attitudes Towards AIDS among Male High School Students in Seoul and Gyeonggi Province (에이즈 예방교육이 서울.경기지역 남자 고등학생의 에이즈 관련 지식과 태도에 미치는 효과)

  • Lee, Eun-Hyun;Moon, Seong-Mi;Park, Jong-Yun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.200-208
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    • 2010
  • Purpose: The purpose of this study was to examine the effects of an education program for AIDS prevention on knowledge about AIDS and attitudes towards AIDS/people with AIDS among male-high school students. Methods: A research design used in this study was a randomized and non-synchronized control group pre-and-post test. The participants were 560 male students from five high schools in Seoul and Gyeonggi province. In each school two classes were randomly assigned to each the experimental or control group. The contents of the education program for AIDS prevention consisted of six parts with a total of 50 minutes. The data were analyzed using t-test and chi-square test with SPSS WIN program version 13.0. Results: There were significant differences in knowledge and attitudes between experimental and control groups. The experimental group showed higher scores in knowledge and more positive attitudes than the control group. Conclusion: The education program was effective in increasing positive attitudes towards AIDS/people with AIDS among male high school students. Further application of the program with female students is needed before the results of the study can be generalized.