Nurse led home-based care for people with HIV/AIDS

Simple item page
dc.contributor.authorWood, Elizabeth M
dc.contributor.authorZani, Babalwa
dc.contributor.authorEsterhuizen, Tonya M
dc.contributor.authorYoung, Taryn
dc.date.accessioned2018-05-07T10:08:43Z
dc.date.available2018-05-07T10:08:43Z
dc.date.issued2018-03-27
dc.date.updated2018-04-09T15:14:13Z
dc.description.abstractBackground Home-based care is used in many countries to increase quality of life and limit hospital stay, particularly where public health services are overburdened. Home-based care objectives for HIV/AIDS can include medical care, delivery of antiretroviral treatment and psychosocial support. This review assesses the effects of home-based nursing on morbidity in people infected with HIV/AIDS. Methods The trials studied are in HIV positive adults and children, regardless of sex or setting and all randomised controlled. Home-based care provided by qualified nurses was compared with hospital or health-facility based treatment. The following electronic databases were searched from January 1980 to March 2015: AIDSearch, CINAHL, Cochrane Register of Controlled Trials, EMBASE, MEDLINE and PsycINFO/LIT, with an updated search in November 2016. Two authors independently screened titles and abstracts from the electronic search based on the study design, interventions and types of participant. For all selected abstracts, full text articles were obtained. The final study selection was determined with use of an eligibility form. Data extraction was performed independently from assessment of risk of bias. The results were analysed by narrative synthesis, in order to be able to obtain relevant effect measures plus 95% confidence intervals. Results Seven studies met the inclusion criteria. The trial size varied from 37 to 238 participants. Only one trial was conducted in children. Five studies were conducted in the USA and two in China. Four studies looked at home-based adherence support and the rest at providing home-based psychosocial support. Reported adherence to antiretroviral drugs improved with nurse-led home-based care but did not affect viral load. Psychiatric nurse support in those with existing mental health conditions improved mental health and depressive symptoms. Home-based psychological support impacted on HIV stigma, worry and physical functioning and in certain cases depressive symptoms. Conclusions Nurse-led home-based interventions could help adherence to antiretroviral therapy and improve mental health. Further larger scale studies are needed, looking in more detail at improving medical care for HIV, especially related to screening and management of opportunistic infections and co-morbidities.
dc.identifier.apacitationWood, E. M., Zani, B., Esterhuizen, T. M., & Young, T. (2018). Nurse led home-based care for people with HIV/AIDS. <i>BMC Health Services Research</i>, http://hdl.handle.net/11427/27965en_ZA
dc.identifier.chicagocitationWood, Elizabeth M, Babalwa Zani, Tonya M Esterhuizen, and Taryn Young "Nurse led home-based care for people with HIV/AIDS." <i>BMC Health Services Research</i> (2018) http://hdl.handle.net/11427/27965en_ZA
dc.identifier.citationWood, E. M., Zani, B., Esterhuizen, T. M., & Young, T. (2018). Nurse led home-based care for people with HIV/AIDS. BMC health services research, 18(1), 219.
dc.identifier.ris TY - Journal Article AU - Wood, Elizabeth M AU - Zani, Babalwa AU - Esterhuizen, Tonya M AU - Young, Taryn AB - Background Home-based care is used in many countries to increase quality of life and limit hospital stay, particularly where public health services are overburdened. Home-based care objectives for HIV/AIDS can include medical care, delivery of antiretroviral treatment and psychosocial support. This review assesses the effects of home-based nursing on morbidity in people infected with HIV/AIDS. Methods The trials studied are in HIV positive adults and children, regardless of sex or setting and all randomised controlled. Home-based care provided by qualified nurses was compared with hospital or health-facility based treatment. The following electronic databases were searched from January 1980 to March 2015: AIDSearch, CINAHL, Cochrane Register of Controlled Trials, EMBASE, MEDLINE and PsycINFO/LIT, with an updated search in November 2016. Two authors independently screened titles and abstracts from the electronic search based on the study design, interventions and types of participant. For all selected abstracts, full text articles were obtained. The final study selection was determined with use of an eligibility form. Data extraction was performed independently from assessment of risk of bias. The results were analysed by narrative synthesis, in order to be able to obtain relevant effect measures plus 95% confidence intervals. Results Seven studies met the inclusion criteria. The trial size varied from 37 to 238 participants. Only one trial was conducted in children. Five studies were conducted in the USA and two in China. Four studies looked at home-based adherence support and the rest at providing home-based psychosocial support. Reported adherence to antiretroviral drugs improved with nurse-led home-based care but did not affect viral load. Psychiatric nurse support in those with existing mental health conditions improved mental health and depressive symptoms. Home-based psychological support impacted on HIV stigma, worry and physical functioning and in certain cases depressive symptoms. Conclusions Nurse-led home-based interventions could help adherence to antiretroviral therapy and improve mental health. Further larger scale studies are needed, looking in more detail at improving medical care for HIV, especially related to screening and management of opportunistic infections and co-morbidities. DA - 2018-03-27 DB - OpenUCT DO - 10.1186/s12913-018-3002-4 DP - University of Cape Town J1 - BMC Health Services Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Nurse led home-based care for people with HIV/AIDS TI - Nurse led home-based care for people with HIV/AIDS UR - http://hdl.handle.net/11427/27965 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-018-3002-4
dc.identifier.urihttp://hdl.handle.net/11427/27965
dc.identifier.vancouvercitationWood EM, Zani B, Esterhuizen TM, Young T. Nurse led home-based care for people with HIV/AIDS. BMC Health Services Research. 2018; http://hdl.handle.net/11427/27965.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceBMC Health Services Research
dc.source.urihttps://bmchealthservres.biomedcentral.com/
dc.subject.otherHIV/AIDS
dc.subject.otherHome-based care
dc.subject.otherNurse-led care
dc.subject.otherAdherence to antiretroviral drugs
dc.subject.otherPsychosocial support
dc.titleNurse led home-based care for people with HIV/AIDS
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Wood_2018_Article.pdf
Size:
1.02 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal Articles