{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:51:54Z","timestamp":1784260314015,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2012,12,28]],"date-time":"2012-12-28T00:00:00Z","timestamp":1356652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NIH","award":["P30 AI027757"],"award-info":[{"award-number":["P30 AI027757"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>This study explores how sleep and energy levels were affected in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese women diagnosed with <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina employing the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ctiwatch actigraphy system to collect data on the women's sleep characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The worldwide <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content> pandemic, a major impetus behind the recent focus on global aspects of health, is one area in which the behavioural and biomedical expertise of nursing science is sorely needed. In particular, few studies of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>+ women have examined the association of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010related stress with sleep disturbance and fatigue. Especially, fatigue and sleep disturbances are a common complaint among people with <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative study with actigraphy device used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In\u2010depth interviews were conducted with 19 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>+ women in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>hanghai, <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina, from <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2009\u2013<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2010 and within this group, nine of the women agreed to wear an <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ctiwatch actigraphy device for 72\u00a0hours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two major themes emerged from the in\u2010depth interviews are as follows: sleep disturbance and fatigue. Participants presented varying amounts of sleeplessness, and fatigue resulting from nightmares, worrying about whether to disclose their diagnosis, and whether they might transmit the disease to their partners or children. Among the nine <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ctiwatch study participants, data shown that those who experienced fragmented sleep also slept more during the daytime.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this study, <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>+ women described how stress had caused them to become sleepless. The objective data collected via <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ctiwatch showed that these women required longer nap times, which indicates they did not have refreshing nocturnal sleep. Designing a culturally acceptable stress management intervention for these women is urgently needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Sleep and fatigue level should be evaluated in each visit with <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> care. Nurses need to be trained in evaluating the <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>+ patients' sleep and fatigue status and refer them to psychologist and\/or relaxation technique accordingly. Self\u2010management intervention for <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>+ individuals should also include the sleep hygiene into consideration.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12012","type":"journal-article","created":{"date-parts":[[2012,12,28]],"date-time":"2012-12-28T10:08:25Z","timestamp":1356689305000},"page":"1262-1269","source":"Crossref","is-referenced-by-count":19,"title":["Fatigue and sleep disturbance in <scp>HIV<\/scp>\u2010positive women: a qualitative and biomedical approach"],"prefix":"10.1111","volume":"22","author":[{"given":"Wei\u2010Ti","family":"Chen","sequence":"first","affiliation":[{"name":"School of Nursing Yale University New Haven CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih\u2010Yu","family":"Lee","sequence":"additional","affiliation":[{"name":"Byrdine F Lewis School of Nursing Georgia State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng\u2010Shi","family":"Shiu","sequence":"additional","affiliation":[{"name":"School of Social Service Administration University of Chicago Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane M","family":"Simoni","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengen","family":"Pan","sequence":"additional","affiliation":[{"name":"Shanghai Public Health Clinical Center Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meijuan","family":"Bao","sequence":"additional","affiliation":[{"name":"Shanghai Public Health Clinical Center Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongzhou","family":"Lu","sequence":"additional","affiliation":[{"name":"Shanghai Public Health Clinical Center Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,12,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/105532901773742266"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1054773807311382"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ANS.0000300182.48854.65"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.05165.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2011.554521"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20143"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NNR.0000313501.84604.2c"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/S1055-3290(06)60154-4","article-title":"The influence of sleep and activity patterns on fatigue in women with HIV\/AIDS","volume":"12","author":"Lee KA","year":"2001","journal-title":"The Journal of the Association of Nurses in AIDS Care"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840701354505"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120801919410"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602859"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/26.3.337"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402000902976721"},{"key":"e_1_2_9_16_1","volume-title":"2005 Updates on the HIV\/AIDS Epidemic and Response in China","author":"Ministry of Health People's Republic of China Joint United Nations Programme on HIV\/AIDS World Health Organization","year":"2006"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701694063"},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1093\/ajhp\/57.4.376","article-title":"Depression in patients with HIV infection","volume":"57","author":"Penzak SR","year":"2000","journal-title":"American Journal of Health\u2010System Pharmacy"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1099800404264846"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(08)31345-7"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2008.05.007"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.27.2.129"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.25.5.635"},{"key":"e_1_2_9_24_1","unstructured":"UNAIDS(2006)Uniting the World Against AIDS. 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