Prevalence, self-care behaviors, and self-care activities for peripheral neuropathy symptoms of HIV/AIDS

Patrice K. Nicholas, Joachim Voss, Dean Wantland, Teri Lindgren, Emily Huang, William L. Holzemer, Yvette Cuca, Shahnaz Moezzi, Carmen Portillo, Suzanne Willard, John Arudo, Kenn Kirksey, Inge B. Corless, María E. Rosa, Linda Robinson, Mary J. Hamilton, Elizabeth Sefcik, Sarie Human, Marta Rivero-Mendez, Mary MarylandKathleen M. Nokes, Lucille Eller, Jeanne Kemppainen, Carol Dawson-Rose, John M. Brion, Elli H. Bunch, Maureen Shannon, Thomas P. Nicholas, Ana Viamonte-Ros, Catherine A. Bain

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)119-126
Number of pages8
JournalNursing and Health Sciences
Volume12
Issue number1
DOIs
StatePublished - Mar 2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Keywords

  • HIV/AIDS
  • Peripheral neuropathy
  • Self-care
  • Symptom management

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