- Poster presentation
- Open Access
Educational intervention and HIV infection: preliminary results
© Bregigeon et al; licensee BioMed Central Ltd. 2010
- Published: 11 May 2010
- Virological Failure
- Clinical Unit
- Precarious Situation
- Training Nurse
- Unprotected Sexual Behavior
To describe demographical, socio-behavioral and clinical characteristics of HIV Infected Patients included in a educational intervention program (EIP).
We initiated in March 2009 an EIP in an HIV outdoor Clinical Unit witch follow about 1000 HIV infected patients with 40% HCV coinfected. This program included at last 3 educational consultations for each patient (at least 2 initial educational consultations permitted to do a personal educational diagnosis and to fix objectives with patients and at least 1 follow up educational consultation to validate experiences) and was performed by a specifically training nurse. This analysis focused on quality of life with a self administered questionnaire at inclusion in the program.
Up to now, the EIP has been proposed to 68 patients HIV infected by physicians (73.6%), by nurses (22.6%) and during pluridisciplinary staff (3.8%). 53 patients (79%) have been included (45.3% females, median age: 43.9 years, median HIV follow up: 13.9 years, median cART exposition: 11.8 years, median CD4 Cell Count/mm3: 324, and median plasma HIV viral load copies Log/ml: 1.87) in 22 cases for bad adherence, in 22 cases for initiation or changing therapy, in 7 cases for HIV positive diagnosis and in 2 cases for virological failure.
At 31/10/2009, 160 educational consultations were realized, that is to say 3,02 consultations/patient over 8 months (mean duration of session = 45 min). The dates (meetings) were respected by 79% of patients and the self-administered questionnaires were all filled.
Amoung the 53 patients, 81,1% live alone and 42,8% have precarious situation. Vulnerability/Stress factor and handicap was found in respectively 73.3% and 46.3%. A bad knowledge of HIV infection and therapy was found in respectively 32.3% and 41.9%. Near of 20% declared to have unprotected sexual behavior.
We found a correlation between the level of knowledge of HIV infection or treatment and quality of life.
These preliminary results stress the need of such program in HIV Clinical Unit.
This article is published under license to BioMed Central Ltd.