Clinical evidence suggests that patients with liver disease and HIV have
Clinical evidence suggests that patients with liver disease and HIV have poorer quality of life (QOL). or perceived well-being, as being comprised of four domains: practical, interpersonal, physical, and emotional wellbeing. Cellas model was chosen to be tested inside a subgroup of individuals with HIV+LD because it had been previously applied to hepatocellular carcinoma populations. Additionally, Cellas model had been applied to additional specific diseases including, but not limited to, many cancers (breast, bladder, mind, colorectal, central nervous system, cervical, esophageal, endometrial, head and neck, hepatobiliary, lung, leukemia, lymphoma, ovarian, and prostate) and symptoms (fatigue, anemia, neutropenia, incontinence, lymphedema, and cachexia) (Cella, 2004). A possible pictorial representation of Cellas model consists of overlapping circles within the larger circle of QOL (observe Figure 1). Each website contributes to overall QOL and is subjective or self-perceived in nature. Number 1 Pictorial representation of Cellas Model (1994) The website of practical well-being was defined by Cella BML-277 manufacture as the subjective perspective concerning ones ability to perform daily jobs or activities of daily living. This website could also be related to functions at work or with family or friends. Specifically, Cella defined this domain as it pertained to ones personal needs, ambitions, or interpersonal part(s) (Cella, 1994, p. 188). The website of interpersonal well-being encompasses interpersonal support, close relations with family or friends, and intimacy. The website of physical well-being pertains to individuals perceptions of their personal bodily functions, including disease symptomatology, side effects of medications, or general physical well-being. The last domain is emotional well-being. This website was defined by Cella as being bipolar with both positive and negative impact relations. The emotional well-being website could include, but would not be limited to, optimism, major depression, or anxiety. Overall QOL was defined as ones self-perceived overall well-being. The domains of importance that predict overall QOL in one patient population may not necessarily be the same as those of another populace. All domains of QOL within Cellas conceptualization (practical, interpersonal, physical, and emotional) comprise the individuals perceived QOL status. Thus, the domains have the potential to directly influence the individuals overall QOL. You will find multiple interpretations and conceptual frameworks for QOL, most of which consider QOL to be a multidimensional phenomenon in which the components make up the whole, much like Cellas model (1994). QOL steps have been used in many settings and disease processes as mentioned previously. Being able to quantify QOL results is definitely of great interest to many experts because it is definitely important to be able to clarify whether different treatments or interventions positively affect the individuals overall QOL. Design This cross-sectional secondary data analysis assessed QOL of individuals living with HIV and co-morbid LD who have been recruited to a parent study (NINR 1R01 NR047491, Main Investigator: Judith A. Erlen) designed to improve medication adherence in individuals living with HIV who have been taking highly active antiretroviral medication. Exempt institutional review table authorization was gained prior to initiation of the study. Data were extracted from the studys data manager, and participant personal health info was de-identified. Chart review for medical indicators of liver co-morbidities was performed. The particular liver disease was not usually known because those data were not systematically collected as part of the parent study. Participants The parent study included individuals with a analysis of HIV currently being treated with highly active antiretroviral medication who were males and females of all races and ethnicities and who experienced telephone access. Exclusion criteria were failure within the HIV Dementia Level (Power, Selnes, Grim, & McArthur, 1995), currently incarcerated, living with someone already in the study, or not presently administering ones personal medications. This secondary data analysis included 80 individuals with HIV+LD who have been predominately male (70%) and Caucasian (63.8%); 48.8% had chronic or permanent hepatitis. The average age was 40.95 7.03 years, and the average number of years of education was 13.01 2.77. BML-277 manufacture Steps Functional well-being Practical well-being was measured with the Medical Results Study HIV Health Survey (MOS-HIV) part function subscale (MOSRF) from your version of the MOS SF-36 Mouse monoclonal to FGF2 (Ware, Snow, Kosinski, & Gandek, 1993) adapted for the HIV populace (Wu et al., 1991). BML-277 manufacture Likert.