Self Esteem, Depression and Life Satisfaction among HIV out Patients Receiving Highly Active Anti Retroviral Therapy in a Nigerian Teaching Hospital

Friday E. Okwaraji, G. Onyebueke, Titus C. Okpara
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Abstract

Aim: The aim of this study is to investigate self esteem, depression and life satisfaction in a sample of HIV patients receiving highly active anti retroviral therapy (HAART) attending a Nigerian tertiary health institution. Study Design: The descriptive cross sectional study design was used for the study. Place and Duration of the Study: The study was carried out at the HIV/AIDS clinic of the university of Nigeria teaching hospital Enugu in south east Nigeria between the months of January and February 2023. Methodology: A total of 480 HIV/AIDS positive patients on HAART aged between 23 to 61 years attending the HIV/AIDS clinic of the University of Nigeria Teaching hospital Enugu who consented to participate in the study were assessed for self esteem, life satisfaction and depression with the Rosenberg self esteem scale, the life satisfaction scale by Diener and the Beck’s depression inventory version two. Results: Results revealed that 53.7% of the HIV patients on HAART manifested no signs of depression; 63.8% had high self esteem and 73.1% were satisfied with their lives; however 25.2%; 15.8% and 5.5% showed signs of mild, moderate and severe depression respectively; 36.2% had low self esteem, whereas 26.9% indicated not being satisfied with their lives. Conclusion: Following the benefits of HAARTS on the management of HIV/AIDS patients as noticed in the study, there is need for health workers to ensure strict adherence on HAART regimen for optimum suppression of HIV as recommended by The World Health Organization; furthermore, there is need to ensure continuous provision of psychological support to all HIV/AIDS patients as a way of reducing the psychosocial sequelae associated with HIV/AIDS.
尼日利亚某教学医院接受高效抗逆转录病毒治疗的艾滋病患者自尊、抑郁和生活满意度
目的:本研究的目的是调查在尼日利亚三级卫生机构接受高活性抗逆转录病毒治疗(HAART)的HIV患者的自尊、抑郁和生活满意度。研究设计:本研究采用描述性横断面研究设计。研究地点和持续时间:该研究于2023年1月至2月在尼日利亚东南部埃努古的尼日利亚大学教学医院艾滋病毒/艾滋病诊所进行。方法:使用Rosenberg自尊量表对480名年龄在23至61岁之间、在尼日利亚大学埃努古教学医院艾滋病毒/艾滋病诊所就诊并同意参与该研究的接受HAART的艾滋病毒/艾滋病阳性患者的自尊、生活满意度和抑郁进行评估,Diener的生活满意度量表和Beck的抑郁量表第二版。结果:结果显示,在接受HAART治疗的HIV患者中,53.7%的患者没有抑郁症状;63.8%的人有较高的自尊,73.1%的人对自己的生活感到满意;25.2%;分别有15.8%和5.5%的患者出现轻度、中度和重度抑郁症状;36.2%的人自尊低下,26.9%的人表示对自己的生活不满意。结论:根据研究中注意到的HAARTS对HIV/AIDS患者管理的益处,卫生工作者需要确保严格遵守世界卫生组织建议的HAART方案,以最佳抑制HIV;此外,需要确保向所有艾滋病毒/艾滋病患者持续提供心理支持,以此减少与艾滋病毒/艾滋病相关的心理社会后遗症。
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