Article ; Online: Common impairments and functional limitations of HIV sequelae that require physiotherapy rehabilitation in the medical wards at Queen Elizabeth Central Hospital, Malawi: A cross sectional study.
Malawi medical journal : the journal of Medical Association of Malawi
2019 Volume 31, Issue 3, Page(s) 171–176
Abstract: Introduction: The progression of human immunodeficiency virus (HIV) to acquired immune deficiency syndrome (AIDS) and the use of anti-retroviral therapy (ART) have resulted in a range of complications, which affect different body systems and result in ... ...
| Abstract | Introduction: The progression of human immunodeficiency virus (HIV) to acquired immune deficiency syndrome (AIDS) and the use of anti-retroviral therapy (ART) have resulted in a range of complications, which affect different body systems and result in functional limitations and disabling impairments. Objective: To investigate HIV-related impairments and functional limitations that require physiotherapy rehabilitation in patients admitted to the medical wards at Queen Elizabeth Central Hospital in Blantyre, Malawi. Methods: This was a descriptive quantitative cross-sectional study involving the participation of 32 female (59.3%) and 22 male (40.7%) adults living with HIV and admitted to the medical wards at Queen Elizabeth Central Hospital. We collected data using a questionnaire that consisted of the World Health Organization Disability Assessment Schedule 2 (WHODAS2.0) and some demographic questions. Results were analysed using the Statistical Package for the Social Sciences (SPSS). Results: Participation in society was the most frequently reported functional complication; the least common limitation was getting along with people (70.3%, n = 38 participants) and interaction with others (24%; n=13). Shortness of breath (55%; n=30), muscle weakness (44.4%; n=24) and joint and muscle pain (37%; n=20) were the most commonly reported impairments. Participation restriction in the society affected both males (77.3%) and females (70.7%). The least common limitation that required physiotherapy for both males and females was getting along with people (26.6% and 25%, respectively). On average, male and female participants had a disability severity score of 48.5±4.6 and 42.2±22.8, respectively. Conclusion: Our data showed that there is a clear need for early intervention to halt or delay the progression of complications to avoid severe disability; this is not only good for the patient but also for the socioeconomic state of the nation. Timely and full functional assessment, as well as referral of people living with HIV/AIDS for rehabilitation, is an important step forwards. |
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| MeSH term(s) | Activities of Daily Living ; Adolescent ; Adult ; Cross-Sectional Studies ; Disabled Persons/psychology ; Disabled Persons/rehabilitation ; Female ; HIV Infections/complications ; HIV Infections/psychology ; HIV Infections/rehabilitation ; Hospitals ; Humans ; Malawi ; Male ; Middle Aged ; Physical Therapy Modalities ; Quality of Life ; Sickness Impact Profile ; Young Adult |
| Language | English |
| Publishing date | 2019-12-15 |
| Publishing country | Malawi |
| Document type | Journal Article ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 2491952-4 |
| ISSN | 1995-7270 ; 1995-7262 |
| ISSN (online) | 1995-7270 |
| ISSN | 1995-7262 |
| DOI | 10.4314/mmj.v31i3.2 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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