الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
People living with HIV/AIDS need access to a broad continuum of care throughout the course of the illness. Early counseling, as soon as people receive a diagnosis of HIV, can help them cope with the diagnosis and advise them on behavioral changes that will reduce future health problems and limit transmission of the disease, as HIV progresses, weakened immune systems make people susceptible to a host of opportunistic infections and illnesses, medical care to treat these infections and to relieve other common symptoms can increase the quality of life and sometimes prolong life for people with AIDS. (Gottlieb, Douglas and Foster, 2011) World Health Organization (WHO) has defined Quality of Life (QOL) as individuals’ perceptions of their position in life in the context of the culture and value systems in which they live and in relation to their goals, standards, expectations and concerns and the perception of QOL is not a function of only physical health but is dependent on factors such as age, sex, educational level, and income and employment status, independent of the health status. (WHO, 2013)
Setting
This study was conducted at the counseling and investigation unit at Tanta fever hospital that follows Ministry of Health in Gharbia governorate.
Sampling All HIV patients (n=130) who registered and attending counseling and investigation unit were included. Patient at the end stage of HIV were excluded
Summary
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Tools of Data Collection: Two tools were used for data collection based on extensive review of literatures related HIV infection. These tools were:-
Tool I: Structured interview questionnaire (Appendix1):
It was developed by the researcher after reviewing related literatures which used to assess knowledge and practices of HIV participants.
Tool II: World Health Organization Quality of Life (WHOQOL, 1997) scales (Appendix 11): These scale had 26 items grouped under four domains (Physical health, Social relations, Psychological well-being, Environment)
The main results of the present study were
1. The higher percent of studied sample 45.4% of HIV patients were 20<30 years, males (88.5%), secondary education (54.6%), single (67.7%) and living in urban residence (63.8%) &finally 63.1% &73.8% were unemployed and had low enough income respectively.
2. The majority of HIV patients (59.2%) reported assuming illegal sexual behaviors as a main mode of transmission of HIV infection and through sexual contact 75.4%.
3. There was statistically significant improvement in knowledge and practices before & after counseling intervention.
4. There was statistically significant difference in the four domain (physical, psychological, social, environmental) QOL& total QOL among studied HIV patients before and after counseling intervention (p=<0.05).
5. The higher mean change of total QOL scores after counseling intervention was among patients who aged 20<30 years, male patients, patients with secondary level of education, single and unemployed.
6. There was statistically significant difference between mean change of QOL domains scores especially physical domain related QOL after counseling intervention (p<0.05).
Conclusion
1. The present study concluded that counseling intervention was effective in improving quality of life, knowledge and practices of human immunodeficiency virus patients.
2. The higher percent of studied sample of HIV patients were 20<30 years, males, secondary education, single and living in urban residence &finally were unemployed and had low enough income respectively.
3. The majority of HIV patients reported assuming illegal sexual behaviors as a main mode of transmission of HIV infection and through sexual contact.
4. There was statistically significant difference in the four domain (physical, psychological, social, environmental) QOL& total QOL among studied HIV patients before and after counseling intervention.
5. The higher mean change of total QOL scores after counseling intervention was among patients who aged 20<30 years, male patients, patients with secondary level of education, single and unemployed.
6. There was statistically significant difference between mean changes of QOL domains scores especially physical domain related QOL after counseling intervention.
Recommendation
The following recommendations are pertained from the findings of the present study:
1. Health education and awareness program is needed about how to improve QOL of HIV patients in out patient’s clinics or counseling clinics.
2. Information dissemination programs were recommended through mass media included establishing religious rules related to HIV mode of transmission by prohibiting illegal sexual behaviors.
3. Encourage infected person to telling other about their infection to protect our community.