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C J Portillo

Publications and source records attributed to C J Portillo.

21 records · Page 2Linked to original sources
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A comparison of patient and nurse ratings of human immunodeficiency virus-related signs and symptoms.

Since management strategies are guided by the assessment of the symptom experience, agreement between patients' and nurses' perceptions of symptoms is central to clinical management. In this study, acquired immune deficiency syndrome patients' perceptions of 41 human immunodeficiency virus-related signs and symptoms were compared in 207 pairs of ratings by patients (n = 207) and nurses (n = 103). Ten symptoms were reported by 50% or more of the patients. Mean patient intensity ratings for all signs and symptoms, with the exception of anxiety, were higher than nurse ratings. Using patients' ratings as the gold standard, chance-corrected estimates of sensitivity, specificity, positive predictive value, and negative predictive value of the nurses' ratings suggested that nurses' ratings poorly predicted patients' symptom experiences.

Adult↗
PubMedDate not supplied

The fatigue experience for women with human immunodeficiency virus.

PURPOSE: To examine fatigue as a symptom experienced by women with human immunodeficiency virus (HIV). SAMPLE: A convenience sample of 100 women with HIV. ANALYSIS: Independent sample t-tests were used to test for mean differences in fatigue related to variables in the women's sociocultural and home environment (ethnicity, employment, marital status, and parenting). Pearson product moment correlations were used to examine significant relationships between fatigue and physiologic variables (age, CD4 cell count, and sleep). FINDINGS: Lower CD4 cell counts were related to more daytime sleep, higher evening fatigue, and higher morning fatigue. Morning fatigue was related to duration of wake episodes during the night, napping, and perception of sleep disturbance during the past week. The number of awakenings during the first night predicted the severity of fatigue the next evening. CONCLUSION: To understand the fatigue experienced by women with HIV, researchers and clinicians must focus on the relative contributions of sociocultural, home, and physiologic environments within which these women live. Additional research is ongoing to identify the strategies these women use to manage daily activities such that gender-relevant and culturally relevant interventions for alleviating fatigue can be tested in women with a variety of chronic illnesses, including HIV and acquired immune deficiency syndrome.

Adult↗