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These results may be associated with the low level of schooling and per capita income of PWLHA, which leads to an unfavorable socioeconomic situation, limiting the domestic environment, financial resources, accessibility and quality of health as well as social assistance.

The favorable family environment is capable of providing security, protection and financial support, and can have a positive impact on the quality of life of the individuals. Therefore, another research affirms that religious well-being contributes to a sense of comfort that facilitates living with HIV and promotes individuals' capacity for resilience.

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These findings are in line with another study that assessed PLWHA quality of life and also identified these three diagnoses, among others. Also, the diagnoses Sleep deprivation, Fatigue, Impaired walking and Activity intolerance were more prevalent in women diagnosed as HIV positive for more than five years.

This study points out that people in the more advanced stage of the disease are more prone to sleep disorders, fatigue and difficulty of performing daily activities due to the side effects of ART and disease-related anxiety.

There are difficulties in the access to health by PLWHA, revealing discriminatory situations in care and the presence of racism. The difficulty of brown and black people in accessing health services causes suffering, individual vulnerability and low self-esteem.

Impaired mood regulation and Impaired social interaction were common in women who lived with up to five people at the same house. Thus, family social support is a positive reinforcement in the search for better conditions to cope with the disease. This finding is justified by the fear that PLWHA have to die and leave their children economically or emotionally helpless. Among the 14 nursing diagnoses identified, it is highlighted Ineffective sexuality pattern, Fear and Death anxiety.

The limitation of the study was the non-implementation of the complete nursing process, since the patients' returns occurred every four months, and many did not return at the correct date, making it difficult to follow up.

In addition, despite the scale of quality of life used in the study enable the formulation of nursing diagnoses, it is possible to say that this fact restricts the diagnoses, requiring the collection of sociodemographic and clinical data to increase the understanding of the life context of the women with AIDS, which was carried out in this research.

However, because studies on nursing diagnoses of PLWHA are scarce, this research may direct nursing interventions to improve the quality of life of women with AIDS, providing subsidies for holistic health care. Factors affecting medication adherence in Lebanese patients with chronic diseases.

Pharm Pract. Obaidi LA, Mahlich J. A potential gender bias in assessing quality of life - a standard gamble experiment among university students. Clinicecon Outcomes Res.

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Drinking trajectories among HIV-infected men who have sex with men: a cohort study of United States veterans. Drug Alcohol Depend. Factors that affect quality of life among people living with HIV attending an urban clinic in Uganda: a cohort study.

PLoS One. Attitudes of nursing staff related to the nursing process. Acta Paul Enferm. Challenges associated with the implementation of the nursing process: a systematic review.

Iran J Nurs Midwifery Res. Quality of life of people with Human Immunodeficiency Virus and interiorization: multidimensional assessment.

Robert Thomas Seeley

AIDS Care. The relationship between religiousness and quality of life in people living with HIV. Estud Psicol ;29 1 Cogitare Enferm ;18 3 The influence of religiousness on living with HIV.

Rev Bras Epidemiol ;15 1 Quality of life of Nigerians living with human immunodeficiency virus.