Facial Lipoatrophy: Appearances Are Not Deceiving
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- 作者：Roberta Seron Sanches ; Judy Mill ; Alcyone Artioli Machado ; Eduardo Antonio Donadi ; Ana Paula Morais Fern ; es
- 关键词：antiretroviral therapy ; Brazil ; HIV ; lipodystrophy ; nursing ; psychosocial
- 刊名：Journal of the Association of Nurses in AIDS Care
- 出版年：2009
- 出版时间：May-June 2009
- 年：2009
- 卷：20
- 期：3
- 页码：169-175
- 全文大小：160 K
文摘
Lipodystrophy syndrome (LS) has been reported as visible markers that can identify HIV status. Changes in body shape are detrimental in terms of psychological welfare and may affect well-being and increase the stigma associated with HIV disease. In the current study, the psychosocial impact of LS was evaluated. A total of 84 HIV-infected patients receiving antiretroviral therapy and exhibiting dyslipidemia were interviewed in an urban hospital setting in Brazil in 2006 using a standardized questionnaire. Of the 84 patients exhibiting dyslipidemia, 40 patients also exhibited body changes, and of these, 25 had facial lipoatrophy. From a psychosocial perspective, patients presenting with facial lipoatrophy reported alterations in self-image and self-esteem and believed that other people noticed their body changes. The results are relevant for nurses who need to be well-prepared to recognize lipodystrophy, to implement nursing interventions including lifestyle changes, and to provide psychosocial support to patients with LS.