@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(3):203-211
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(3):203-211
Effect of Self-Care Education Based on Virtual Networks on Quality of Life in HIV-Positive Patients
ARTICLE INFO
Article Type
Original ResearchAuthors
Amini A. (1)Peyman A. (*1)
Hatami M. (2)
(1) Nursing Department, Faculty of Nursing & Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
(2) Department of Food Science and Technology, Faculty of Pharmacy, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
Correspondence
Article History
Received: October 29, 2019Accepted: April 6, 2020
ePublished: September 20, 2020
ABSTRACT
Aims
Given the prevalence of AIDS and the need to enhance self-care programs and improve quality of life, the aim of the present study was to determine the effect of self-care education based on virtual networks on quality of life in HIV-positive patients.
Materials & Methods This clinical trial was conducted on HIV positive patients referred to the Counseling Centers for Behavioral Disorders in Tehran in 2019 and 80 people of them who were eligible for the study were selected by multistage random sampling method and randomly assigned into control and intervention groups (40 people in each group). Data were collected using demographic information questionnaire and the Multidimensional Quality of Life Questionnaire for Persons with HIV/AIDS (MQoL-HIV) which were completed before the training and two weeks after the last training session. Data analysis was performed using SPSS 19 software.
Findings At the beginning of the study, the mean scores of quality of life and its ten domains did not have significant difference (p>0.05); but after the intervention a significant difference was observed in the mean scores of quality of life and its domains except the domains of cognitive function, economic, interact with the spouse and sexual function (p<0.05).
Findings At the beginning of the study, the mean scores of quality of life and its ten domains did not have significant difference (p>0.05); but after the intervention a significant difference was observed in the mean scores of quality of life and its domains except the domains of cognitive function, economic, interact with the spouse and sexual function (p<0.05).
Conclusion The self-care education programs based on virtual networks are effective on promoting the quality of life of HIV-positive patients.
Materials & Methods This clinical trial was conducted on HIV positive patients referred to the Counseling Centers for Behavioral Disorders in Tehran in 2019 and 80 people of them who were eligible for the study were selected by multistage random sampling method and randomly assigned into control and intervention groups (40 people in each group). Data were collected using demographic information questionnaire and the Multidimensional Quality of Life Questionnaire for Persons with HIV/AIDS (MQoL-HIV) which were completed before the training and two weeks after the last training session. Data analysis was performed using SPSS 19 software.
Findings At the beginning of the study, the mean scores of quality of life and its ten domains did not have significant difference (p>0.05); but after the intervention a significant difference was observed in the mean scores of quality of life and its domains except the domains of cognitive function, economic, interact with the spouse and sexual function (p<0.05).
Findings At the beginning of the study, the mean scores of quality of life and its ten domains did not have significant difference (p>0.05); but after the intervention a significant difference was observed in the mean scores of quality of life and its domains except the domains of cognitive function, economic, interact with the spouse and sexual function (p<0.05).
Conclusion The self-care education programs based on virtual networks are effective on promoting the quality of life of HIV-positive patients.
CITATION LINKS
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[5]Secretariat of the National Committee for AIDS. Third National Strategic Plan AIDS control Islamic Republic of Iran 2010 – 2015 [Internet]. Hormozgan: Infectious and Tropical Diseases Research Center; 2015 [cited 2020 Feb 15]. Available from: http://idrc.resv.hums.ac.ir/uploads/57_734_80_2.pdf. [Persian]
[6]Khani Jeihooni A, Ranjbari S, Khiyali Z, Moradi Z, Motamedi MJ. Evaluation of the factors associated with AIDS prevention performance among male barbers based on the health belief model in Fasa. J Educ Community Health. 2017;3(4):59-65. [Persian]
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[10]Divaris K, Newman J, Hemingway-Foday J, Akam W, Balimba A, Dusengamungu C, et al. Adult HIV care resources, management practices and patient characteristics in the Phase 1 IeDEA Central Africa cohort. J Int AIDS Soc. 2012;15(2):17422.
[11]Zhao J, Song F, Ren S ,Wang Y, Wang L, Liu W, et al. Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China. PLoS One. 2012;7(11):e49542.
[12]Evans H. Students with HIV/AIDS and school consideration. J Teacher Educ Division Counc Except Child. 2006;29(4):5-16.
[13]UNAIDS. UNAIDS report on the global AIDS epidemic 2010 [Internet]. Geneva: UNAIDS; 2010 [cited 2020 Feb 15]. Available from: https://www.unaids.org/en/resources/documents/2010/20101123_globalreport.
[14]Karimi M, Abedi A, Amin-Shokravi F, Tavafian SS. Preventing HIV transmission among the opiate-dependent population in Zarandieh: evaluation of the HBM-based educational programs. Health Educa Health Promot. 2013;1(1):21-31.
[15]Mazloomi Mahmoodabad SS, Tehrani H, Gholian-Aval M, Gholami H, Nemati M. The effect of social class on the amount of salt intake in patients with hypertension. Blood press. 2016;25(6):360-3.
[16]Cooper V, Clatworthy J, Harding R, Whetham J. Measuring quality of life among people living with HIV: a systematic review of reviews. Health Qual Life Outcomes. 2017:15(1);220.
[17]Uphold CR, Holmes W, Reid K, Findley K, Parada JP. Healthy lifestyles and health-related quality of life among men living with HIV infection. J Assoc Nurses AIDS Care. 2007;18(6):54-66.
[18]Rabiei N, Fasihi Harandi T, Ghorbani M. A survey on the effect of group-discussion to HIV prevention in self-care vulnerable women, in Karaj. Iran J Health Educ Health Promot. 2017; 5 (2) :113-20. [Persian]
[19]Lin CY, Dracup K, Biddle M, Moser D. Heart failure symptom knowledge improves heart failure self-care in rural patients with heart failure. J Card Fail. 2016;22(8): S6.
[20]Ganjlo J, Talebi Z, Assarroudi A, Rakhshani M. Comparative assessment of effect of education in the OREM`s self care model way with current method on the quality of life of diabetic Type 2 patients. J Sabzevar Univ Med Sci. 2015;22(5):748-56.[persian].
[21]Radfar SR. Protocols of counseling center of vulnerable women. Tehran: Deputy Minister of Health; 2010.
[22]Galvao ECF, Puschel VAA. Multimedia application in mobile platform for teaching the measurement of central venous pressure. Rev Esc Enferm USP. 2012: 46:107-15.
[23]Roblyer MD. Integrating educational technology into teaching. 4th Edition. Upper Saddle River, NG: Pearson/Merrill Prentice Hall; 2006.
[24]Chiou CP, Chung YC. Effectiveness of multimedia intractive patient education on knowledge, uncertainty and decision-making in patients with end-stage renal disease. J Chin Nurs. 2012:21(9-10):1223-31.
[25]Rosner BA. Fundamentals of Biostatistics. 4th Edition. Pacific Grove, CA: Duxbury Press; 1995. p. 221.
[26]Smith KW, Larson MJ. Quality of life assessments by adult substance abusers receiving publicly funded treatment in Massachusetts. Am J Drug Alcohol Abuse. 2003;29(2):323-35.
[27]Remple VP. Psychometric assessment of the multidimensional quality of life questionnaire for persons with HIV/AIDS (MQOL-HIV) in a sample of HIV-infected women. Qual Life Res. 2004;13(5):947-57.
[28]Cooper V, Clatworthy J, Harding R, Whetham J, Consortium E. Measuring quality of life among people living with HIV: a systematic review of reviews. Health Qual Life Outcomes. 2017;15(1):220.
[29]Kemmler G, Schmied B, Shetty-Lee A, Zangerle H, Hinterhuber G, Schüssler B. Quality of life of HIV-infected patients: Psychometric properties and validation of the German version of the MQOL-HIV. Qual Life Res. 2003:12(8):1037-50.
[30]Vizeh O, Moradi S. Quality of life and related factors in women with AIDS in Tehran. Fam Res Q. 2006:2(8):309-25. [Persian]
[31]National Committee for AIDS Control. The Fourth National Strategic Plan for HIV and AIDS Control in the Islamic Republic of Iran. Tehran: Center of Infectious Diseases Management Ministry of Health and Medical Education; 2017. [Persian]
[32]Afrasiabifar A, Hamzeheikia S, Hosseini N. The effect of self-care program using Orem’s Self- care model on the life quality of women with breast cancer undergoing chemotherapy: a randomized controlled trial. Armaghan-e-Danesh. 2018;23(1):1-13. [Persian]
[33]Esmaeilzadeh J, Mohammadpour A, Sajjadi M. The effect of educational intervention based on continuous care model on self-monitoring of blood glucose in type 2 diabetics. J Birjand Univ Med Sci. 2016;23(4):277-85. [Persian]
[34]Mirzaei Doostan Z, Zargar Y, Zandi Payam A. The effectiveness of acceptance and commitment therapy on death anxiety and mental health in women with HIV in Abadan City, Iran. Iran J Psychiatry Clin Psychol. 2019;25(1):2-13. [Persian]
[35]Esmaeili F, Tahmasebi R, Noroozi A, Vahdat K, Kavehei B. Impact of Education for Adherence to Therapy Based on Health Promotion Model on the Quality of Life in HIV-infected Patients. Iran J Health Educ Health Promot. 2016;4(3):173-83. [Persian]
[36]Gielen AC, McDonnell KA, Wu AW, O’campo P, Faden R. Quality of life among women living with HIV: the importance violence, social support, and self-care behaviors. Soc Sci Med. 2001;52(2):315-22.
[37]Swindells S, Mohr J, Justic JC, Berman S, Squier C, Wagener MM, et al. Quality of life in patients with human immune deficiency virus infection: Impact of social support, coping style and hopelessness. Int J STD AIDS. 1999;10(6):383-91.
[38]Alizadeh Siuki H, Peyman N, Vahedian-Shahroodi M, Gholian-Aval M, Tehrani H. Health education intervention on HIV/AIDS prevention behaviors among health volunteers in healthcare centers: an applying the theory of planned behavior. J Soc Serv Res. 2019;45(4):582-8.
[39]Li X.M, Yuan X.Q, Wang J.J, Zhang W.Y, Zhou Y, Liu G.N. Evaluation of impact of social support and care on HIV positive and AIDS individuals’ quality of life: a nonrandomised community trial. J Clin Nurs. 2017:26(3-4):369-78.
[40]Mohammadi Y, Rahimzadeh Tehrani K. The effectiveness of therapy on spiritual health and quality of life of women with AIDS in Tehran. Health Psychol. 2018:7(1):106-20. [Persian]
[41]Huang D, Sangthong R, McNeil E, Chongsuvivatwong V, Zheng W, Yang X. Effects of a phone call intervention to promote adherence to antiretroviral therapy and quality of life of HIV/AIDS patients in Baoshan, China: a randomized controlled trial. AIDS Res Treat. 2013(3):1-9.
[42]Hirshfield S, Downing MJ, Chiasson MA, Yoon IS, Houang ST, Teran RA, et al. Evaluation of sex positive! A video eHealth intervention for men living with HIV. AIDS Behav. 2019;23(11):3103-18.
[43]Garfin DR, Shin SS, Ekstrand ML, Yadav K, Carpenter CL, Sinha S, Nyamathi AM. Depression, social support, and stigma as predictors of quality of life over time: results from an Asha-based HIV/AIDS intervention in India. AIDS Care. 2019:31(5):563-71.
[44]Abboud S, Noureddine S, Huijer HA, DeJong J, Mokhbat J. Quality of life in people living with HIV/AIDS in Lebanon. AIDS Care. 2010;22(6):687-96.
[45]Swendeman D, Arnold EM, Harris D, Fournier J, Comulada WS, Reback C, et al. Text-messaging, online peer support group, and coaching strategies to optimize the HIV prevention continuum for youth: protocol for a randomized controlled trial. JMIR Res Protoc. 2019;8(8):e11165.
[46]Taggart T, Grewe ME, Conserve DF, Gliwa C, Roman Isler M. Social media and HIV: a systematic review of uses of social media in HIV communication. J Med Internet Res. 2015;17(11):e248.
[2]Ebrahim Babaei F, Habibi M, Ghodrati S. Comparison of health promoting lifestyle in HIV-positive and HIV-negative individuals in Tehran. J Educ Community Health. 2017;4(3):38-43. [Persian]
[3]Babazadeh T, Zibaei N, Shabani L, Moradi F. Effectiveness of educational intervention based on peer education on knowledge, attitude and behavioral intention related to HIV/AIDS in the high school female students in the region 14 of Tehran. J Educ Community Health. 2015;2(3):19-27. [Persian]
[4]Mohrez M. Iranian research center for HIV/AIDS [Internet]. Tehran: IRCHA; 2017 [cited 2020 Mar 23]. Available from: http://ircha.tums.ac.ir. [Persian]
[5]Secretariat of the National Committee for AIDS. Third National Strategic Plan AIDS control Islamic Republic of Iran 2010 – 2015 [Internet]. Hormozgan: Infectious and Tropical Diseases Research Center; 2015 [cited 2020 Feb 15]. Available from: http://idrc.resv.hums.ac.ir/uploads/57_734_80_2.pdf. [Persian]
[6]Khani Jeihooni A, Ranjbari S, Khiyali Z, Moradi Z, Motamedi MJ. Evaluation of the factors associated with AIDS prevention performance among male barbers based on the health belief model in Fasa. J Educ Community Health. 2017;3(4):59-65. [Persian]
[7]Coovadia HM, Hadingham J. HIV/AIDS: global trends, global funds and delivery bottlenecks. Global Health. 2005;1:13.
[8]Aranda-Naranjo B. Quality of life in HIV positive patient: implications and consequences. J Asscoc Nurses AIDS Care. 2004:15(5 ):20-7S.
[9]Saba HF, Kouyoumjian SP, Mumtaz GR, Abu-Raddad LJ. Characterising the progress in HIV/AIDS research in the Middle East and North Africa. Sex Transm Infect. 2013;89(Suppl 3):iii5-9.
[10]Divaris K, Newman J, Hemingway-Foday J, Akam W, Balimba A, Dusengamungu C, et al. Adult HIV care resources, management practices and patient characteristics in the Phase 1 IeDEA Central Africa cohort. J Int AIDS Soc. 2012;15(2):17422.
[11]Zhao J, Song F, Ren S ,Wang Y, Wang L, Liu W, et al. Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China. PLoS One. 2012;7(11):e49542.
[12]Evans H. Students with HIV/AIDS and school consideration. J Teacher Educ Division Counc Except Child. 2006;29(4):5-16.
[13]UNAIDS. UNAIDS report on the global AIDS epidemic 2010 [Internet]. Geneva: UNAIDS; 2010 [cited 2020 Feb 15]. Available from: https://www.unaids.org/en/resources/documents/2010/20101123_globalreport.
[14]Karimi M, Abedi A, Amin-Shokravi F, Tavafian SS. Preventing HIV transmission among the opiate-dependent population in Zarandieh: evaluation of the HBM-based educational programs. Health Educa Health Promot. 2013;1(1):21-31.
[15]Mazloomi Mahmoodabad SS, Tehrani H, Gholian-Aval M, Gholami H, Nemati M. The effect of social class on the amount of salt intake in patients with hypertension. Blood press. 2016;25(6):360-3.
[16]Cooper V, Clatworthy J, Harding R, Whetham J. Measuring quality of life among people living with HIV: a systematic review of reviews. Health Qual Life Outcomes. 2017:15(1);220.
[17]Uphold CR, Holmes W, Reid K, Findley K, Parada JP. Healthy lifestyles and health-related quality of life among men living with HIV infection. J Assoc Nurses AIDS Care. 2007;18(6):54-66.
[18]Rabiei N, Fasihi Harandi T, Ghorbani M. A survey on the effect of group-discussion to HIV prevention in self-care vulnerable women, in Karaj. Iran J Health Educ Health Promot. 2017; 5 (2) :113-20. [Persian]
[19]Lin CY, Dracup K, Biddle M, Moser D. Heart failure symptom knowledge improves heart failure self-care in rural patients with heart failure. J Card Fail. 2016;22(8): S6.
[20]Ganjlo J, Talebi Z, Assarroudi A, Rakhshani M. Comparative assessment of effect of education in the OREM`s self care model way with current method on the quality of life of diabetic Type 2 patients. J Sabzevar Univ Med Sci. 2015;22(5):748-56.[persian].
[21]Radfar SR. Protocols of counseling center of vulnerable women. Tehran: Deputy Minister of Health; 2010.
[22]Galvao ECF, Puschel VAA. Multimedia application in mobile platform for teaching the measurement of central venous pressure. Rev Esc Enferm USP. 2012: 46:107-15.
[23]Roblyer MD. Integrating educational technology into teaching. 4th Edition. Upper Saddle River, NG: Pearson/Merrill Prentice Hall; 2006.
[24]Chiou CP, Chung YC. Effectiveness of multimedia intractive patient education on knowledge, uncertainty and decision-making in patients with end-stage renal disease. J Chin Nurs. 2012:21(9-10):1223-31.
[25]Rosner BA. Fundamentals of Biostatistics. 4th Edition. Pacific Grove, CA: Duxbury Press; 1995. p. 221.
[26]Smith KW, Larson MJ. Quality of life assessments by adult substance abusers receiving publicly funded treatment in Massachusetts. Am J Drug Alcohol Abuse. 2003;29(2):323-35.
[27]Remple VP. Psychometric assessment of the multidimensional quality of life questionnaire for persons with HIV/AIDS (MQOL-HIV) in a sample of HIV-infected women. Qual Life Res. 2004;13(5):947-57.
[28]Cooper V, Clatworthy J, Harding R, Whetham J, Consortium E. Measuring quality of life among people living with HIV: a systematic review of reviews. Health Qual Life Outcomes. 2017;15(1):220.
[29]Kemmler G, Schmied B, Shetty-Lee A, Zangerle H, Hinterhuber G, Schüssler B. Quality of life of HIV-infected patients: Psychometric properties and validation of the German version of the MQOL-HIV. Qual Life Res. 2003:12(8):1037-50.
[30]Vizeh O, Moradi S. Quality of life and related factors in women with AIDS in Tehran. Fam Res Q. 2006:2(8):309-25. [Persian]
[31]National Committee for AIDS Control. The Fourth National Strategic Plan for HIV and AIDS Control in the Islamic Republic of Iran. Tehran: Center of Infectious Diseases Management Ministry of Health and Medical Education; 2017. [Persian]
[32]Afrasiabifar A, Hamzeheikia S, Hosseini N. The effect of self-care program using Orem’s Self- care model on the life quality of women with breast cancer undergoing chemotherapy: a randomized controlled trial. Armaghan-e-Danesh. 2018;23(1):1-13. [Persian]
[33]Esmaeilzadeh J, Mohammadpour A, Sajjadi M. The effect of educational intervention based on continuous care model on self-monitoring of blood glucose in type 2 diabetics. J Birjand Univ Med Sci. 2016;23(4):277-85. [Persian]
[34]Mirzaei Doostan Z, Zargar Y, Zandi Payam A. The effectiveness of acceptance and commitment therapy on death anxiety and mental health in women with HIV in Abadan City, Iran. Iran J Psychiatry Clin Psychol. 2019;25(1):2-13. [Persian]
[35]Esmaeili F, Tahmasebi R, Noroozi A, Vahdat K, Kavehei B. Impact of Education for Adherence to Therapy Based on Health Promotion Model on the Quality of Life in HIV-infected Patients. Iran J Health Educ Health Promot. 2016;4(3):173-83. [Persian]
[36]Gielen AC, McDonnell KA, Wu AW, O’campo P, Faden R. Quality of life among women living with HIV: the importance violence, social support, and self-care behaviors. Soc Sci Med. 2001;52(2):315-22.
[37]Swindells S, Mohr J, Justic JC, Berman S, Squier C, Wagener MM, et al. Quality of life in patients with human immune deficiency virus infection: Impact of social support, coping style and hopelessness. Int J STD AIDS. 1999;10(6):383-91.
[38]Alizadeh Siuki H, Peyman N, Vahedian-Shahroodi M, Gholian-Aval M, Tehrani H. Health education intervention on HIV/AIDS prevention behaviors among health volunteers in healthcare centers: an applying the theory of planned behavior. J Soc Serv Res. 2019;45(4):582-8.
[39]Li X.M, Yuan X.Q, Wang J.J, Zhang W.Y, Zhou Y, Liu G.N. Evaluation of impact of social support and care on HIV positive and AIDS individuals’ quality of life: a nonrandomised community trial. J Clin Nurs. 2017:26(3-4):369-78.
[40]Mohammadi Y, Rahimzadeh Tehrani K. The effectiveness of therapy on spiritual health and quality of life of women with AIDS in Tehran. Health Psychol. 2018:7(1):106-20. [Persian]
[41]Huang D, Sangthong R, McNeil E, Chongsuvivatwong V, Zheng W, Yang X. Effects of a phone call intervention to promote adherence to antiretroviral therapy and quality of life of HIV/AIDS patients in Baoshan, China: a randomized controlled trial. AIDS Res Treat. 2013(3):1-9.
[42]Hirshfield S, Downing MJ, Chiasson MA, Yoon IS, Houang ST, Teran RA, et al. Evaluation of sex positive! A video eHealth intervention for men living with HIV. AIDS Behav. 2019;23(11):3103-18.
[43]Garfin DR, Shin SS, Ekstrand ML, Yadav K, Carpenter CL, Sinha S, Nyamathi AM. Depression, social support, and stigma as predictors of quality of life over time: results from an Asha-based HIV/AIDS intervention in India. AIDS Care. 2019:31(5):563-71.
[44]Abboud S, Noureddine S, Huijer HA, DeJong J, Mokhbat J. Quality of life in people living with HIV/AIDS in Lebanon. AIDS Care. 2010;22(6):687-96.
[45]Swendeman D, Arnold EM, Harris D, Fournier J, Comulada WS, Reback C, et al. Text-messaging, online peer support group, and coaching strategies to optimize the HIV prevention continuum for youth: protocol for a randomized controlled trial. JMIR Res Protoc. 2019;8(8):e11165.
[46]Taggart T, Grewe ME, Conserve DF, Gliwa C, Roman Isler M. Social media and HIV: a systematic review of uses of social media in HIV communication. J Med Internet Res. 2015;17(11):e248.