Browsing Research articles (Nursing) by Author "Seboni, N.M."
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Seboni, N.M. (Elsevier Ltd. www.elsevier.com/ijns, NaN, 2009)[more][less]
URI: http://hdl.handle.net/10311/576 Files in this item: 1
Proliferation of new health cadres.pdf (360.5Kb) -
Phaladze, N.A.; Human, S.; Dlamini, S.B.; Hulela, E.B.; Hadebe, I.M.; Sukati, N. A.; Makoae, L.N.; Seboni, N.M.; Moleko, M.; Holzemer, W.L. (Journal of Nursing Scholarship. http://www.ingentaconnect.com/content/bsc/jnu, NaN, 2005)[more][less]
Abstract: Purpose: To increase understanding of the meaning of quality of life for people living with HIV/AIDS in four countries in sub-Saharan Africa: Botswana, Lesotho, South Africa, and Swaziland. Methods: Using a cross-sectional design and convenience sample, we administered a survey and collected data on demographic characteristics, measures of severity of illness, and perceptions of quality of life. The purposefully selected sample (N=743) consisted of community-based people living with HIV/AIDS in 2002. Based on the Wilson and Cleary framework for organizing variables related to quality of life, a hierarchical multiple regression was conducted with quality of life as the dependent variable. Results: The sample of 743 persons was 61.2% female with a mean age of 34 years. Approximately 62% of the sample reported having received an AIDS diagnosis. Ten predictor variables explained 53.2% of the variance in life satisfaction. Those participants with higher life satisfaction scores were less educated, had worries about disclosure and finances, did not have an AIDS diagnosis or other comorbid conditions, had lower symptom intensity, had greater functioning, and had fewer health worries. None of these participants was taking antiretroviral medications at the time of this study. Conclusions: Several dimensions of the Wilson and Cleary model of quality of life were significantly related to life satisfaction for people living with HIV/AIDS in sub-Saharan Africa. Quality of life for this sample was primarily defined as overall functional ability and control over symptom intensity. These findings are similar to studies in developed countries that have shown the significant relationships among functional abilities, symptom control, and perceived quality of life. As antiretroviral medications become more available in these areas, community members and care providers can help clients realize the possibility of living well with HIV/AIDS, and can work with clients to improve functional ability and control symptom intensity to make living well a reality. URI: http://hdl.handle.net/10311/570 Files in this item: 1
Quality of life.pdf (1.142Mb) -
Makoae, L.C.; Seboni, N.M.; Molosiwa, K.; Moleko, M.; Human, S.; Sukati, N.A.; Holzemer, W.L. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/authorinstructions, NaN, 2005)[more][less]
Abstract: This study describes the symptom experience of 743 men and women living with HIV/AIDS in Botswana, Lesotho, South Africa, and Swaziland. Data were obtained in 2002 by using a cross-sectional design. A survey of participants included 17 sociodemographic items and the 64-item Revised Sign and Symptom Checklist for Persons with HIV Disease. Results indicate a strong correlation between the frequency of reported symptoms and their intensity (r .84, p .00). Participants who reported having enough money for daily expenses also reported significantly fewer symptoms. There were no significant differences in symptom frequency between men and women or by location of residence. The study showed a complex picture of HIV-related symptoms in all four countries. Because of the high levels of symptoms reported, the results imply an urgent need for effective home- and community-based symptom management in countries where antiretroviral therapy is unavailable to help patients and their families manage and control AIDS symptoms and improve quality of life. URI: http://hdl.handle.net/10311/558 Files in this item: 1
Symptom experience.pdf (1.693Mb) -
Voss, J.G.; Sukati, N.A.; Seboni, N.M.; Makoae, L.N.; Moleko, M.; Human, S.; Molosiwa, K.; Holzemer, W.L. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description, NaN, 2005)[more][less]
Abstract: HIV-related fatigue is a debilitating and disabling symptom that persists for months and years. In 743 HIV/AIDS patients from Southern Africa, the authors found ratings of HIV-related fatigue to be highly prevalent. The authors conducted a secondary data analysis within the theoretical context of the University of California, San Francisco Symptom Management Model. The analysis focused on 538 patients who reported fatigue to investigate correlates and predictors of fatigue severity in relationship to demographic and HIV/AIDS illness indicators, as well as HIV-specific physical and psychological symptoms. A hierarchical regression model explored the contributions of those five blocks on fatigue severity. Of the 47% of the total variance in fatigue severity, a combination of variables within the health and illness block (6%), the physical symptoms block (7%) and the psychological symptom block (2%) contributed significantly to the increase in fatigue severity scores. Fatigue severity in Southern Africa was moderate, and the factors contributing to the perceived fatigue were most likely related to symptoms of acute HIV disease (such as fever and gastrointestinal problems). In conclusion, fatigue severity is less impacted by demographic or environmental variables but much more by co-occurring symptoms and HIV disease severity. The results of this study imply the need for more research to understand if improvements in water quality and access to food would prevent infection and diarrhea and whether sufficient access to antiretroviral treatments to manage the HIV infection would improve fatigue and co-occurring symptom profiles. URI: http://hdl.handle.net/10311/538 Files in this item: 1
The symptom experience.pdf (1.131Mb)
Now showing items 1-4 of 4