Depresión, factores psicosociales y adherencia terapéutica al tratamiento antirretroviral en pacientes con VIH
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2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La depresión es un problema clínico frecuente en el mundo, con reducción de la calidad de vida debido a síntomas que influyen en el comportamiento del individuo y su respuesta frente a otras patologías de origen orgánico o psíquico por lo que su evaluación e intervención son transcendentales. Se plantea la presente investigación cuyo objetivo es: Establecer la correlación entre los estados depresivos, los factores psicosociales y los problemas de adherencia terapéutica en pacientes VIH positivos con tratamiento antirretroviral en pacientes entre 15 y 50 años de edad atendidos en el Hospital de Especialidades Dr. “Abel Gilbert Pontón” de la ciudad de Guayaquil en el periodo Octubre 2019 a Noviembre del 2020. Se plantea un estudio correlacional, no experimental, transversal, retroprospectivo. Se incluirán pacientes diagnosticados con VIH positivo a quienes se aplicará la Escala de Hamilton para la Depresión y el Cuestionario de “Morisky-Green”. Las variables categóricas serán evaluadas con frecuencias absolutas y relativas. Las variables cuantitativas serán evaluadas con medidas de tendencia central y dispersión. Se aplicará el test de Chi Cuadrado de Pearson para determinar relación entre variables categóricas. Se estima que los pacientes VIH positivos con depresión modera o depresión mayor presenten una adherencia terapéutica inadecuada en el tratamiento antirretroviral que estaría también ligada a una ambiento psicosocial disfuncional.
Depression is a frequent clinical problem in the world, with a reduction in the quality of life due to symptoms that influence the behavior of the individual and his response to other pathologies of organic or psychological origin, so its evaluation and intervention are transcendental. The present research is proposed, the objective of which is to: Establish the correlation between depressive states, psychosocial factors, and therapeutic adherence problems in HIV-positive patients with antiretroviral treatment in patients between 15 and 50 years of age treated at the Dr. “Abel Gilbert Pontón” from the city of Guayaquil in the period October 2019 to November 2020. A correlational, non-experimental, cross-sectional, retro-prospective study is proposed. Patients diagnosed with HIV positive will be included to whom the Hamilton Scale for Depression and the Morisky-Green Questionnaire will be applied. The categorical variables will be evaluated with absolute and relative frequencies. The quantitative variables will be evaluated with measures of central tendency and dispersion. Pearson's Chi Square test will be applied to determine the relationship between categorical variables. It is estimated that HIV positive patients with moderate depression or major depression have inadequate adherence to antiretroviral treatment, which would also be linked to a dysfunctional psychosocial environment.
Depression is a frequent clinical problem in the world, with a reduction in the quality of life due to symptoms that influence the behavior of the individual and his response to other pathologies of organic or psychological origin, so its evaluation and intervention are transcendental. The present research is proposed, the objective of which is to: Establish the correlation between depressive states, psychosocial factors, and therapeutic adherence problems in HIV-positive patients with antiretroviral treatment in patients between 15 and 50 years of age treated at the Dr. “Abel Gilbert Pontón” from the city of Guayaquil in the period October 2019 to November 2020. A correlational, non-experimental, cross-sectional, retro-prospective study is proposed. Patients diagnosed with HIV positive will be included to whom the Hamilton Scale for Depression and the Morisky-Green Questionnaire will be applied. The categorical variables will be evaluated with absolute and relative frequencies. The quantitative variables will be evaluated with measures of central tendency and dispersion. Pearson's Chi Square test will be applied to determine the relationship between categorical variables. It is estimated that HIV positive patients with moderate depression or major depression have inadequate adherence to antiretroviral treatment, which would also be linked to a dysfunctional psychosocial environment.
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Factores de riesgo, Depresión, Virus de inmunodeficiencia humana, Calidad de vida, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador