Adherence is higher in patients with HIV positiv in a therapeutic program with opioid agonists increasing their quality of life: scoping review


Background: Human immunodeficiency virus (HIV) infection remains a major public health problem in Europe and Portugal. Given the complexity follow-up of these users, which associated with HIV, have a history of dependencies as well as other health problems and social issues. It is necessary to promote a multidisciplinary strategy focused on the user with the objective of improving their responses to life, health and disease processes, and the nurse is the facilitator of this process. One of the main barriers in the treatment of HIV is adherence (to treatment), which is a fundamental factor for the effectiveness of treatment, poor adherence will lead to resistance to drugs that lead to a reduction of therapeutic options in the future having an impact on the quality of life of the user. This Scoping Review will adopt the methodology suggested by the Joanna Briggs Institute (JBI), described by The JBI Reviewers' Manual (2015).

Objectives: Map the evidence regarding the influence that adherence to the therapeutic plan in HIV-positive patients has on their quality of life; Identify gaps in researches related to the topic; Recommend future research in the area.

Question: Do HIV-positive people who adhere to the therapeutic plan have a better quality of life?

The inclusion criteria are: Population: Age over 18 years, regardless of gender; Context: HIV users / treatment program with opiate agonists Types of sources: primary quantitative studies and international guidelines in English / Portuguese published in databases and gray literature were included. Opinion and news articles will not be included.

Used the selected keywords and/or descriptors: HIV; therapeutic program/opioid agonists; Quality of Life; Medication compliance in the ISI Web of Science databases; CINAHL, MEDLINE, Academic Searchcomplete; NCBI / PUBMED; in the Scientific Repository of Open Access of Portugal and in the Bank of THESES of CAPES, limited to the last 5 years.

Data extraction: Data were extracted from the included articles by two independent reviewers using a table-type instrument developed specifically for this review, taking into account specific details about population, concept, context and relevant research methods for the scoping review question and the stated objectives, as indicated by the methodology developed by JBI.

Data Mapping:The extracted data is presented in diagram form. A narrative summary will accompany the tabulated results and / or diagram and describe how they relate to the objectives and the starting question.



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