Volume 20, Issue 1 (4-2023)                   J Res Dev Nurs Midw 2023, 20(1): 52-55 | Back to browse issues page

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Ajao O O, Afolalu O O, Adeniran G, Olawale S G, Agboola-Bello R. Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching Hospital. J Res Dev Nurs Midw 2023; 20 (1) :52-55
URL: http://nmj.goums.ac.ir/article-1-1524-en.html
1- Medical-Surgical Nursing Unit, Department of Nursing Science, Osun State University, Nigeria
2- Mental Health Nursing Unit, Department of Nursing Science, Osun State University, Nigeria , olamide.afolalu@uniosun.edu.ng
3- Maternal and Child Health Nursing Unit, Department of Nursing Science, Osun State University, Nigeria
4- Community Health Nursing Unit, Department of Nursing Science, Osun State University, Nigeria
Abstract:   (577 Views)
Background: Antiretroviral therapy (ART) has played a crucial role in minimizing the worldwide impact of HIV infection. Numerous HIV patients face challenges in adhering to their treatment due to various physical, social, and psychological factors. This study aimed to explore the correlation between psychosocial stress and treatment adherence among HIV/AIDS patients at a hospital in Nigeria.
Methods: In this study, a descriptive analytical design was utilized to select (n=171) HIV-infected clients attending the virology clinic at Uniosun Teaching Hospital (UTH). Convenient sampling was employed to choose participants from a total monthly population of 271 patients who visit the clinic. Data collection was performed using a questionnaire consisting of four sections and 57 items. Descriptive and inferential statistics, such as the Chi-square test and correlation analysis, were employed to present and analyze the data.
Results: A significant proportion (61.4%) of the patients experienced a moderate level of stress. The most notable sources of stress reported by patients were the need for HIV status disclosure (71.9%) and rejection from family and friends (66.7%). Rejections by friends and family, stigma and discrimination, social and economic challenges, as well as antiretroviral therapy showed a significant association with HIV-related stress (p < 0.001). Furthermore, a significant inverse correlation was found between psychosocial stress and treatment adherence (r = -0.705, p < 0.001).
Conclusion: Individuals living with HIV/AIDS (PLWHA) face significant levels of stress and often encounter rejection and stigma. It is crucial for healthcare professionals to establish comprehensive support services aimed at alleviating the stress experienced by these patients and reducing the obstacles they face. Such measures will ultimately enhance treatment compliance and overall well-being.
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Type of Study: Original Article | Subject: Nursing

1. World Health Organisation. HIV and AIDS [Fact Sheet]. World Health Organization; 2023. [Available from: https://www.who.int/news-room/fact-sheets/detail/hiv-aids] [View at Publisher]
2. World Health O. HIV/AIDS [Fact sheet]. World Health Oranization; 2020. [Available from: https://www.who.int/news-room/fact-sheets/detail/hiv-aids]. [View at Publisher]
3. Awofala AA, Ogundele OE. HIV epidemiology in Nigeria. Saudi Journal of biological sciences. 2018;25(4):697-703. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Spaan P, van Luenen S, Garnefski N, Kraaij V. Psychosocial interventions enhance HIV medication adherence: a systematic review and meta-analysis. Journal of health psychology. 2020;25(10-11):1326-40. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Xu L, Munir K, Kanabkaew C, Le Coeur S. Factors influencing antiretroviral treatment suboptimal adherence among perinatally HIV-infected adolescents in Thailand. PLoS One. 2017;12(2):e0172392-e. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Basha EA, Derseh BT, Haile YGE, Tafere G. Factors Affecting Psychological Distress among People Living with HIV/AIDS at Selected Hospitals of North Shewa Zone, Amhara Region, Ethiopia. AIDS Res Treat. 2019;2019:8329483. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Anyaike C, Atoyebi OA, Musa OI, Bolarinwa OA, Durowade KA, Ogundiran A, et al. Adherence to combined Antiretroviral therapy (cART) among people living with HIV/AIDS in a Tertiary Hospital in Ilorin, Nigeria. Pan Afr Med J. 2019;32:10. [View at Publisher] [DOI] [PMID] [Google Scholar]
8. Pakenham K, Rinaldis M. Development of the HIV/AIDS stress scale. Psychology and Health. 2002;17(2):203-19. [View at Publisher] [DOI] [Google scholar]
9. Hasabi IS, Shivashankarappa AB, Kachapur C, Kaulgud RS. A Study of compliance to antiretroviral therapy among HIV-infected patients at a tertiary care hospital in North Karnataka. Journal of Clinical and Diagnostic Research: JCDR. 2016;10(5):OC27. [View at Publisher] [DOI] [PMID] [Google scholar]
10. Lal V, Kant S, Dewan R, Rai SK. Reasons for non-adherence to antiretroviral therapy among adult patients receiving free treatment at a tertiary care hospital in Delhi. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine. 2010;35(1):172. [View at Publisher] [DOI] [PMID] [Google scholar]
11. Au A, Chan I, Li P, Chung R, Po LM, Yu P. Stress and health-related quality of life among HIV-infected persons in Hong Kong. AIDS and Behavior. 2004;8(2):119-29. [View at Publisher] [DOI] [PMID] [Google scholar]
12. Huang Y, Luo D, Chen X, Zhang D, Huang Z, Xiao S. HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study. International Journal of environmental research and public health. 2020;17(8):2681. [View at Publisher] [DOI] [PMID] [Google scholar]
13. Ziersch A, Walsh M, Baak M, Rowley G, Oudih E, Mwanri L. "It is not an acceptable disease": A qualitative study of HIV-related stigma and discrimination and impacts on health and wellbeing for people from ethnically diverse backgrounds in Australia. BMC Public Health. 2021;21(1):779. [View at Publisher] [DOI] [PMID] [Google scholar]
14. Leserman J, Ironson G, O'Cleirigh C, Fordiani JM, Balbin E. Stressful life events and adherence in HIV. AIDS Patient Care STDS. 2008;22(5):403-11. [View at Publisher] [DOI] [PMID] [Google scholar]
15. Ashaba S, Kaida A, Coleman JN, Burns BF, Dunkley E, O'Neil K, et al. Psychosocial challenges facing women living with HIV during the perinatal period in rural Uganda. PLoS One. 2017;12(5):e0176256. [View at Publisher] [DOI] [PMID] [Google scholar]
16. Iacob SA, Iacob DG, Jugulete G. Improving the Adherence to Antiretroviral Therapy, a Difficult but Essential Task for a Successful HIV Treatment-Clinical Points of View and Practical Considerations. Front Pharmacol. 2017;8:831. [View at Publisher] [DOI] [PMID] [Google scholar]
17. Chandran A, Benning L, Musci RJ, Wilson TE, Milam J, Adedimeji A, et al. The Longitudinal Association between Social Support on HIV Medication Adherence and Healthcare Utilization in the Women's Interagency HIV Study. AIDS and behavior. 2019;23(8):2014-24. [View at Publisher] [DOI] [PMID] [Google scholar]
18. Oliveira LdS, Caixeta LM, Martins JLR, Segati KD, Moura RS, Daher MC, et al. Adherence to antiretroviral therapy and correlation with adverse effects and coinfections in people living with HIV/AIDS in the municipality of Goiás State. Revista da Sociedade Brasileira de Medicina Tropical. 2018;51:436-44. [View at Publisher] [DOI] [PMID] [Google scholar]
19. Azia IN, Mukumbang FC, van Wyk B. Barriers to adherence to antiretroviral treatment in a regional hospital in Vredenburg, Western Cape, South Africa. Southern African Journal of HIV Medicine; Vol 17, No 1 (2016). 2016. [View at Publisher] [DOI] [PMID] [Google scholar]
20. Mizuno Y, Beer L, Huang P, Frazier EL. Factors associated with antiretroviral therapy adherence among transgender women receiving HIV medical care in the United States. LGBT health. 2017;4(3):181-7. [View at Publisher] [DOI] [PMID] [Google scholar]
21. Altice F, Evuarherhe O, Shina S, Carter G, Beaubrun A. Adherence to HIV treatment regimens: systematic literature review and meta-analysis. Patient Prefer Adherence. 2019;13:475-90. doi org/102147/PPA. 2019;35. [View at Publisher] [DOI] [PMID] [Google scholar]
22. Fonsah JY, Njamnshi AK, Kouanfack C, Qiu F, Njamnshi DM, Tagny CT, et al. Adherence to antiretroviral therapy (ART) in Yaoundé-Cameroon: association with opportunistic infections, depression, ART regimen, and side effects. PLoS One. 2017;12(1):e0170893. [View at Publisher] [DOI] [PMID] [Google scholar]
23. Wagner GJ, Ghosh-Dastidar B, Mukasa B, Linnemayr S. Changes in ART adherence relate to changes in depression as well! Evidence for the bi-directional longitudinal relationship between depression and ART adherence from a prospective study of HIV clients in Uganda. AIDS and Behavior. 2020;24:1816-24. [View at Publisher] [DOI] [PMID] [Google scholar]

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