A Critical Review of Symptom Management Nursing Science on HIV-Related Fatigue and Sleep Disturbance

Joachim G. Voss, Julie Barroso and Tongyao Wang
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Joachim G. Voss: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA
Julie Barroso: School of Nursing, Vanderbilt University, Nashville, TN 37240, USA
Tongyao Wang: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA

IJERPH, 2021, vol. 18, issue 20, 1-18

Abstract: Despite improved antiretroviral treatments, people living with HIV (PLWH) continue to suffer from HIV-related fatigue and sleep disturbances. We first reviewed the definition, etiology, and research breakthroughs of HIV-related fatigue and sleep disturbances, then analyzed nurse-led symptom management studies to describe their efficacy and make recommendations for future symptom research. We searched PubMed, CINAHL, PsycInfo, Psych and Behavioral Sciences Collection, and Scopus to identify nurse-led studies on symptom management for PLWH in the past 20 years. A total of 13 experimental or quasi-experimental studies were identified. The types of interventions included exercise, cognitive behavioral therapy, coaching, and symptom management manualized self-care activities. Currently, we cannot recommend with certainty any of the tested symptom management strategies to reduce fatigue or sleep disturbances. The current findings need to be confirmed and expanded to understand optimal dosing and sustainability.

Keywords: fatigue; HIV; interventions; nursing; sleep disturbances; symptom management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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