Quality of Life, Spirituality and Treatment Adherence of Patients with HIV in Northeast Brazil

Monday, 22 July 2013

Marli Teresinha Gimeniz Galvão, PhD
Professor of Undergraduate and Graduate Nursing, Federal University of Ceará-UFC, PhD (2002), both in Tropical Diseases Paulista State University-UNESP. He joined the teaching career in 1992 as Assistant Professor in the Faculty of Medicine, UNESP Botucatu-SP. Currently he is Professor of the Undergraduate and Graduate Nursing, Federal, Fortaleza-CE, Brazil
Elucir Gir, PhD
Nursing School at Ribeirao Preto - Department EGE, Universidade de São Paulo, Ribeirao Preto, Brazil
Renata Karina Reis, PhD
Fundamental Nursing Department, College of Nursing, Ribeirao Preto, Brazil
Maria Luciana Teles Fiuza, MS
Federal University of Ceará, Brazil, Federal University of Ceará, Brazil, Fortaleza, Brazil
Larissa de Araújo Lemos, MS
Department of nursing. University Federal os Ceará., Federal University of Ceará, Brazil, Fortaleza, Brazil

Learning Objective 1: The learner will be able to know the levels of quality of life of treatment adherence and religiosity of people with HIV/AIDS.

Learning Objective 2: The learner will be able to know the use evaluation scales for people with HIV/AIDS.

Purpose: Had as main objective to assess the impact of religiosity and quality of life of people in use of antiretroviral therapy. This was a cross-sectional study was carried out in the referral hospital for infectious diseases in Ceará, northeast Brazil, in 2012. 

Methods: In total, 215 people were included in data analysis, and applied the Questionnaire assessing adherence to antiretroviral therapy (CEAT-HIV); the Questionnaire for assessing quality of life (WHOQOL-Bref HIV), and the Scale index of religiosity Duke University (Duke Religious Index-Durel). The collected data were analyzed using STATA v.11. It was described the major characteristics of the total study and stratified according to the degrees of membership and performed bivariate analyzes, applied different tests to compare proportions and correlations.

Results: The woman had 45% less adherent than men. People aged 50 to 59 are nearly three times less compliant. Being heterosexual, have lower incomes, have fewer years of education and being unemployed, have three children and the more people cohabit with four or more are indicative situations of lower levels of adherence. Regarding adherence to antiretrovirals and religiosity observed that the measure which reduces the time for private religious activity is also reduced the degree of compliance. Concerning religion and quality of life possible relationship exists between present physical condition and more frequent meetings with religious and rely on social support and possibly widen the frequency religious gatherings. Regarding the relationship between adherence and quality of life domains of quality of life and adherence groups if differ.

 Conclusion: It was shown that religiosity promotes influence on adhesion and substantially affects the quality of life of people with HIV/AIDS.