The Impact of Mental Wellness on HIV Self-Management

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• 作者：Allison R. Webel ; RN ; PhD ; ^{arw72@case.edu" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Abdus Sattar ; PhDAuthor Vitae ; Nate Schreiner ; RN ; MBAAuthor Vitae ; Bruce Kinley ; RN ; MNAuthor Vitae ; Shirley M. Moore ; RN ; PhD ; FAANAuthor Vitae ; Robert A. Salata ; MDAuthor Vitae
• 关键词：aging ; HIV ; mental wellness ; self-management
• 刊名：Journal of the Association of Nurses in AIDS Care
• 出版年：2016
• 出版时间：July-August 2016
• 年：2016
• 卷：27
• 期：4
• 页码：468-475
• 全文大小：296 K

文摘

As people living with HIV age, they face increasing self-management work related to HIV infection plus the prevention and mitigation of multiple chronic health conditions, including daily health practices (i.e., physical activity, nutrition), engaging in a supportive community, and accepting the chronicity of HIV. Our purpose was to describe the relationship between HIV self-management practices and mental wellness (depressive symptoms, perceived stress). Ninety-three adult people living with HIV on antiretroviral therapy were enrolled and completed a survey. We used descriptive statistics to summarize variables, and Spearman rank correlation and quantile regression to study associations between variables. Participants’ average age was 48.6 years, 56% were male, and 87% were African American. Daily self-management practices were associated with depressive symptoms (r = −0.19; p ≤ .01) and perceived stress (r = −0.14; p = .06); engaging with a supportive community and accepting the chronicity of HIV were not associated with mental wellness (all p > .05).