The International Classification of Functioning, Disability and Health and AIDS: a core set proposal
DOI:
https://doi.org/10.11606/issn.2317-0190.v15i1a102908Keywords:
Acquired Immunodeficiency Syndrome, International Classification of Functioning, Disability and Health, Quality of LifeAbstract
The advent of the highly active antiretroviral therapy (HAART) altered the natural history of AIDS, decreasing its mortality and the incidence of opportunistic diseases as well as increasing the life expectation of people living with AIDS. As a chronic disease, other issues started to be relevant and among them, treatment adherence, its adverse effects and the quality of life of people undergoing treatment. The International Classification of Functioning, Disability and Health (ICF) constitutes an adequate tool to identify the characteristics of functionality, the environment and personal conditions that interfere with quality of life. Tools for its application, called core sets, have been developed for several health conditions. Aiming at proposing a core set for AIDS, two preliminary steps of the proposed model were developed for the construction of these tools. The first phase, which consisted of a systematic review, searched in MEDLINE for articles that included the key words HAART and quality of life, published in English, from 200 to 2004. A total of 31 studies were selected that resulted in 87 concepts, 66 of which could be identified as ICF categories. These comprised the questions of the interview applied to 42 volunteers, who were patients at a Reference Center for STDs and AIDS in Sao Paulo, Brazil. Among the conditions more frequently associated with the treatment are changes in body image, the consequence of lipodystrophy, pointed out in 84% of the studies and 93% of the interviews. Alterations in digestive functions, intimate relationships and sexual function were important conditions identified in the study. The two phases defined 40 ICF categories as a preliminary core set proposal for AIDS patients.
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