A Home-Based Rehabilitation Intervention for Adults Living With HIV: A Randomized Controlled Trial
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- 作者：Saul Cobbing ; MSc ; cobbing@ukzn.ac.zaAuthor Vitae ; Jill Hanass-Hancock ; PhDAuthor Vitae ; Hellen Myezwa ; PhDAuthor Vitae
- 关键词：disability ; home-based care ; people living with HIV infection ; quality of life ; rehabilitation ; task-shifting
- 刊名：Journal of the Association of Nurses in AIDS Care
- 出版年：2017
- 出版时间：January-February 2017
- 年：2017
- 卷：28
- 期：1
- 页码：105-117
- 全文大小：1355 K
- 卷排序：28
文摘
A randomized controlled trial was conducted to investigate the effects of a 16-week home-based rehabilitation (HBR) intervention on the quality of life, functional mobility, and functional capacity of adult people living with HIV (PLWH) on antiretroviral therapy in KwaZulu-Natal, South Africa. The intervention was carried out by community health care workers under the supervision of a qualified physical therapist. Participants in the control group received the standard of care as well as written health advice. While participants in the intervention group showed greater improvements across all outcome measures, between-group differences were nonsignificant. HBR for PLWH is a safe means of addressing the functional deficits experienced by PLWH and appears likely to improve quality of life. A task-shifting approach may be a feasible method of meeting the varied needs of PLWH, while at the same time potentially minimizing costs to already overburdened health care systems.