[Greater survival among patients with immunogenetic markers of rapid progression to AIDS: subsidies for nursing care].
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.
Fernandes
Ana Paula M
AP
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brazil. anapaula@eerp.usp.br
Gonçalves
Maria Alice G
MA
Machado
Alcyone A
AA
Miyeko
Hayashida
H
Elucir
Gir
G
Donadi
Eduardo A
EA
Rodrigues
Maria de Lourdes V
Mde L
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
D006683:HLA-DQ Antigens; D059866:HLA-DQ beta-Chains; C069051:HLA-DQB1 antigen; D006684:HLA-DR Antigens; D059811:HLA-DRB1 Chains