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Nurse led home-based care for people with HIV/AIDS
Elizabeth M Wood1, Babalwa Zani2, Tonya M Esterhuizen3
1Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK. elizabethwood3@nhs.net.
BMC Health Services Research
|March 29, 2018
Summary
Home-based nursing care for people with HIV/AIDS improves antiretroviral therapy adherence and mental health. This approach shows promise in managing HIV/AIDS symptoms and reducing stigma.
Area of Science:
- Public Health
- Nursing
- Infectious Diseases
Background:
- Home-based care is vital for enhancing quality of life and reducing hospital stays, especially in overburdened public health systems.
- Objectives of home-based care for HIV/AIDS include medical attention, antiretroviral treatment delivery, and psychosocial support.
- This review focuses on the impact of home-based nursing interventions on morbidity in individuals with HIV/AIDS.
Purpose of the Study:
- To assess the effects of home-based nursing care on morbidity in people living with HIV/AIDS.
- To evaluate the efficacy of nurse-led home-based interventions in managing HIV/AIDS.
- To synthesize evidence on home-based care's impact on adherence, mental health, and stigma.
Main Methods:
- Systematic review of randomized controlled trials involving HIV-positive adults and children.
- Searched multiple electronic databases (AIDSearch, CINAHL, Cochrane, EMBASE, MEDLINE, PsycINFO/LIT) from January 1980 to November 2016.
- Data extraction and risk of bias assessment were performed independently, with results analyzed through narrative synthesis.
Main Results:
- Seven studies met inclusion criteria, with participant numbers ranging from 37 to 238.
- Nurse-led home-based care improved adherence to antiretroviral drugs but did not significantly impact viral load.
- Psychiatric nurse support enhanced mental health and reduced depressive symptoms; psychological support addressed HIV stigma and worry.
Conclusions:
- Nurse-led home-based interventions are effective in improving adherence to antiretroviral therapy and enhancing mental health outcomes.
- Further large-scale research is recommended to explore improvements in medical care for HIV, including opportunistic infections and co-morbidities.
- Home-based psychological support demonstrated positive effects on stigma, worry, and physical functioning in individuals with HIV/AIDS.
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