Faculty of Nursing and Health Sciences [FNHS]
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Browsing Faculty of Nursing and Health Sciences [FNHS] by Author "Aheisibwe, Irene"
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Item Depression and Suicidal Ideations among Older Persons Living with HIV/AIDS in Mbarara City, Southwest Uganda(Scientific Research Publishing, 2023) Mutambi Amanyire, Jordan; Aheisibwe, Irene; Mohan Kaggwa, Mark; Rukundo, Godfrey ZariBackground: Due to the increase in longevity and use of antiretroviral treat ment, Uganda has had a growing population of older persons living with HIV/AIDS. However, there is a paucity of information on the mental health of the elderly living with HIV/AIDS. In this cross-sectional study, we deter mined the prevalence of, and associated factors for depression and suicidal ideation among older persons living with HIV/AIDS in Mbarara city, south west Uganda. Methods: Older persons (150 females, 115 males), with mean age = 64.2 (±5.1) years, accessing health services from three purposively se lected HIV/AIDS care centers in Mbarara city, southwest Uganda were re cruited. Data on depression and suicidal ideation were collected using a Pa tient Health Questionnaire (PHQ-9) validated in Uganda, and a structured questionnaire was used to collect data on clinical and socio-demographic characteristics. Data were analysed using logistic regression. Results: Ap proximately 8.3% and 12.1% had depression and suicidal ideation, respec tively. The factors associated with lowering the likelihood of depression were: an increase in the number of family members they stayed with and having no having any problems with their ARVs. On the other hand, earning more than 100,000 Uganda shillings was associated with reducing the risk of suicidal ideations among the participants. Conclusion: Approximately 8 to 12 in 100 older persons living with HIV/AIDS in Uganda have experienced depression or suicidal ideation. Family support and financial control were instrumental factors associated with depression and suicidal ideations, respectively. We recommended strengthening family structures and creating more avenues for financial independence among older persons living with HIV/AIDS to reduce the burden of depression, and suicidal behaviours among this vulnerable population.Item Depression and Suicidal Ideations among Older Persons Living with HIV/AIDS in Mbarara City, Southwest Uganda(Scientific Research Publishing, 2023) Mutambi Amanyire, Jordan; Aheisibwe, Irene; Kaggwa, Mark MohanBackground: Due to the increase in longevity and use of antiretroviral treat ment, Uganda has had a growing population of older persons living with HIV/AIDS. However, there is a paucity of information on the mental health of the elderly living with HIV/AIDS. In this cross-sectional study, we deter mined the prevalence of, and associated factors for depression and suicidal ideation among older persons living with HIV/AIDS in Mbarara city, south west Uganda. Methods: Older persons (150 females, 115 males), with mean age = 64.2 (±5.1) years, accessing health services from three purposively se lected HIV/AIDS care centers in Mbarara city, southwest Uganda were re cruited. Data on depression and suicidal ideation were collected using a Pa tient Health Questionnaire (PHQ-9) validated in Uganda, and a structured questionnaire was used to collect data on clinical and socio-demographic characteristics. Data were analysed using logistic regression. Results: Ap proximately 8.3% and 12.1% had depression and suicidal ideation, respec tively. The factors associated with lowering the likelihood of depression were: an increase in the number of family members they stayed with and having no having any problems with their ARVs. On the other hand, earning more than 100,000 Uganda shillings was associated with reducing the risk of suicidal ideations among the participants. Conclusion: Approximately 8 to 12 in 100 older persons living with HIV/AIDS in Uganda have experienced depression or suicidal ideation. Family support and financial control were instrumental factors associated with depression and suicidal ideations, respectively. We recommended strengthening family structures and creating more avenues for financial independence among older persons living with HIV/AIDS to reduce the burden of depression, and suicidal behaviours among this vulnerable popu lation.Item Determinants for Effective Nutritional Counselling on Prognosis of Moderate Acute Malnutrition in Paediatric HIV/AIDS Positive Patients Conducted at Hoima Regional Referral Hospital, Uganda(East African Journal of Health and Science, 2023) Abigaba, Emily; Aheisibwe, IreneThis study evaluated the determinants of effective nutritional counselling on the prognosis of moderate acute malnutrition in Paediatric HIV/AIDS patients at Hoima Regional Referral Hospital. This study used pre- and post study design, which measured the occurrence of an outcome of interest using specific values in a group of participants before and after the intervention; it was conducted among 157 paediatric HIV/AIDS patients at Hoima RRH, western Uganda. Data were obtained from all the participants using a questionnaire, and focus group discussion was analysed using Stata 17. The findings reveal that of the 157 paediatric HIV/AIDS patients studied, 67.5% improved after nutritional counselling. Paediatric HIV/AIDS patients aged ≥ 60 months (p = 0.009), caretakers whose occupations other than peasantry (p = 0.021), and attendance to ≥ 3 nutritional counselling sessions (p = 0.004) were associated with a higher likelihood of improvement after nutritional counselling with a significant increase in Body Mass Index of (p = 0.007). Thus, the majority of Paediatric HIV/AIDS patients indicated a significant improvement in prognosis after nutritional counselling and being aged ≥ 60 months, having an attendance of ≥ 3 sessions and having a caretaker’s occupation other than peasantry determined the effectiveness of nutritional counselling. The study concludes that there is a need to routinely refer Paediatric HIV/AIDS patients with moderate acute malnutrition for nutritional counsellingItem Determinants for Effective Nutritional Counselling on Prognosis of Moderate Acute Malnutrition in Paediatric HIV/AIDS Positive Patients Conducted at Hoima Regional Referral Hospital, Uganda(East African Journal of Health and Science, 2023) Abigaba, Emily; Aheisibwe, IreneThis study evaluated the determinants of effective nutritional counselling on the prognosis of moderate acute malnutrition in Paediatric HIV/AIDS patients at Hoima Regional Referral Hospital. This study used pre- and post study design, which measured the occurrence of an outcome of interest using specific values in a group of participants before and after the intervention; it was conducted among 157 paediatric HIV/AIDS patients at Hoima RRH, western Uganda. Data were obtained from all the participants using a questionnaire, and focus group discussion was analysed using Stata 17. The findings reveal that of the 157 paediatric HIV/AIDS patients studied, 67.5% improved after nutritional counselling. Paediatric HIV/AIDS patients aged ≥ 60 months (p = 0.009), caretakers whose occupations other than peasantry (p = 0.021), and attendance to ≥ 3 nutritional counselling sessions (p = 0.004) were associated with a higher likelihood of improvement after nutritional counselling with a significant increase in Body Mass Index of (p = 0.007). Thus, the majority of Paediatric HIV/AIDS patients indicated a significant improvement in prognosis after nutritional counselling and being aged ≥ 60 months, having an attendance of ≥ 3 sessions and having a caretaker’s occupation other than peasantry determined the effectiveness of nutritional counselling. The study concludes that there is a need to routinely refer Paediatric HIV/AIDS patients with moderate acute malnutrition for nutritional counselling