Strategies for coping with fatigue among HIV-positive individuals fifty years and older.
Strategies for coping with fatigue among HIV-positive individuals fifty years and older.
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五十岁及以上艾滋病毒阳性者应对疲劳的策略。
DOI：
10.1089/108729104323076016
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Lekas,Helen-Maria
中科院分区：
文献类型：
--
作者：
Siegel,Karolynn;Brown-Bradley,CourtneyJ;Lekas,Helen-Maria
疲劳是艾滋病毒/艾滋病感染者的一种常见症状，但往往没有得到充分报告和治疗。然而，鉴于疲劳对健康和功能的普遍影响， 生理和心理原因及缓解策略对患者的生活质量有重要意义。作为研究的一部分，以更好地了解艾滋病毒阳性的中年和老年人（50岁以上） 管理常见症状，49名与会者深入讨论了他们的经验与疲劳。大多数从事自我保健活动，并寻求医疗保健专业人员的帮助。频繁策略 包括饮食改变、维生素、日常生活的改变、休息、锻炼和针对贫血、维生素B12缺乏或睾酮缺乏的处方药物。补充和替代 药物（例如，针灸、按摩、草药、特殊果汁）也被普遍使用。参与者经常使用多种策略来缓解疲劳，可能是因为他们倾向于 将其归因于多种原因。这些艾滋病毒阳性的老年人也倾向于将疲劳视为他们整体健康状况和免疫功能的间接指标。这也许可以解释为什么许多 他们使用的应对策略中的一部分可被视为改善其总体健康状况的方法，以此作为提高其能量水平的手段。卫生保健专业人员可以发挥重要作用 帮助艾滋病病毒携带者缓解疲劳。大多数参与者试图实施卫生保健专业人员以及家人，朋友， 支持小组成员。
Fatigue, a common symptom among persons living with HIV/AIDS, is often underreported and undertreated. However, given fatigue's pervasive effects on well-being and functioning, the identification of its physiologic and psychological causes and strategies to alleviate it are important to patients' quality of life. As part of a study to understand better how HIV-positive middle-aged and older adults (50+) manage common symptoms, 49 participants discussed in depth their experience with fatigue. Most engaged in both self-care activities and sought the assistance of a health care professional. Frequent strategies included dietary changes, vitamins, modification of routines, rest, exercise, and prescribed medications for anemia, Vitamin B12deficiency, or testosterone deficiency. Complementary and alternative medicine (e.g., acupuncture, massage, herbal remedies, special juices) was also commonly used. Participants often used multiple strategies to alleviate their fatigue, possibly because of their tendency to attribute it to multiple causes. These HIV-positive older adults were also apt to view fatigue as an indirect indicator of their overall health status and immune functioning. This may explain why many of the coping strategies they used could be considered approaches to improving their overall health status as a means to increasing their energy levels. Health care professionals can play an important role in helping HIV-positive individuals manage their fatigue. The majority of participants tried to implement the coping suggestions offered by health care professionals, as well as those from family, friends, and support group members.
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