title: [Greater survival among patients with immunogenetic markers of rapid progression to AIDS: subsidies for nursing care].
abstract: This study sought subsidies for improving nursing care programs for AIDS patients and aimed to verify the influence of changes in sexual behavior, including the adoption of safe sex practices, associated with the survival of AIDS patients with immunogenetic markers of rapid disease progression. 27 AIDS patients were interviewed, with genetic predisposition to rapid progression to AIDS. Genes were typified through the polymerase chain reaction. In spite of the presence of immunogenetic factors, associated with individual predisposition to a rapid evolution of the disease, changes in sexual behavior, including safe sex practices and antiretroviral therapy, may be related to greater survival. This suggests that counseling, detection of risk attitudes and health education, focusing on positive health behavior, are tools nursing must use with HIV-positive patients, with a view to better quality of life and greater survival among these individuals, even among those with genetic predisposition to rapid disease progression.
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brazil. anapaula@eerp.usp.br
authors.forename: Ana Paula M
authors.initials: AP
authors.lastname: Fernandes
authors.forename: Maria Alice G
authors.initials: MA
authors.lastname: Gonçalves
authors.forename: Alcyone A
authors.initials: AA
authors.lastname: Machado
authors.forename: Hayashida
authors.initials: H
authors.lastname: Miyeko
authors.forename: Gir
authors.initials: G
authors.lastname: Elucir
authors.forename: Eduardo A
authors.initials: EA
authors.lastname: Donadi
authors.forename: Maria de Lourdes V
authors.initials: Mde L
authors.lastname: Rodrigues
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000276:immunology / Q000401:mortality / Q000451:nursing; D000328:Adult; D018450:Disease Progression; D005260:Female; D006679:HIV Seropositivity / Q000276:immunology*; D006683:HLA-DQ Antigens / Q000276:immunology*; D059866:HLA-DQ beta-Chains; D006684:HLA-DR Antigens / Q000276:immunology*; D059811:HLA-DRB1 Chains; D015438:Health Behavior; D006801:Humans; D008297:Male; D015996:Survival Rate
chemical_list: D006683:HLA-DQ Antigens; D059866:HLA-DQ beta-Chains; C069051:HLA-DQB1 antigen; D006684:HLA-DR Antigens; D059811:HLA-DRB1 Chains