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WOMEN WITH HIV INFECTION--ADJUSTMENT TO CHRONIC ILLNESS

感染艾滋病毒的女性——慢性病的调整

基本信息

批准号：
2702926
负责人：
CAROL A BOVA
金额：
$ 0.79万
依托单位：
BOSTON COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
1998
资助国家：
美国
起止时间：
1998-04-03 至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/2702926
关键词：
HIV infections behavioral /social science research tag blood cell count chronic disease /disorder clinical research disease /disorder classification emotional adjustment female functional ability human subject intravenous drug abuse low socioeconomic status questionnaires racial /ethnic difference sign /symptom social support network

项目摘要

More than 51,000 women have been diagnosed with AIDS in the United States (CDC, 1995) making AIDS the fifth leading cause of death of women during childbearing years. Recent trends indicate that women are one of the fastest growing populations of persons infected with HIV, particularly low income, minority women with ties to injection drug use. As the disease trajectory exists today, persons with HIV infection live with a chronic illness (Nokes, 1991). Research in other chronic illnesses suggest that presence of symptoms, symptom severity, and functional status influence the meaning of illness, but not necessarily adjustment to the illness. Little is known about these variables in HIV infected women. A better understanding is critical for nursing practice. Therefore as a first step in this program of research, the proposed study, guided by Lazarus and Folkman's model of stress, coping and appraisal will: describe and test relationships between meaning of illness, social supports, stage of HIV disease, CD4 count, symptoms, symptom severity, functional status, and adjustment to chronic illness for HIV seropositive women. Differences across ethnic groups will be explored. This cross-sectional multivariate study will include face to face interviews using a structured questionnaire. Low income, minority women and injection drug users with HIV infection will be actively recruited.

在美国，超过51，000名妇女被诊断患有艾滋病 (CDC 1995年）使艾滋病成为1995年妇女死亡的第五大原因。生育年龄最近的趋势表明，艾滋病毒感染者人数增长最快，收入，与注射毒品有关的少数民族妇女。随着疾病艾滋病毒感染者的生活中存在着一种慢性的疾病（Nokes，1991）。对其他慢性病的研究表明，症状的存在、症状严重程度和功能状态影响疾病的意义，但不一定适应疾病。对艾滋病毒感染妇女的这些变量知之甚少。更好的理解是护理实践的关键。因此作为第一步在这项研究计划中，由拉撒路指导的拟议研究， Folkman的压力、应对和评价模型将：描述和检验疾病意义、社会支持、艾滋病分期之间的关系疾病、CD 4计数、症状、症状严重程度、功能状态和对艾滋病毒血清反应阳性妇女的慢性病进行调整。差异将对各民族进行探讨。这个横截面的多元研究将包括面对面的访谈，使用结构化的问卷低收入、少数民族妇女和注射吸毒者，艾滋病毒感染者将积极招募。