在英国布莱顿 (Brighton) 对艾滋病毒感染的老年人进行脆弱性查
Natalie St Clair-Sullivan1, Katherine Bristowe1, Inayat Khan2
1King's College London, Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, London, UK.
HIV medicine
|December 8, 2023
概括
在艾滋病毒感染的老年人 (PLWH) 中,脆弱性查是可行的. 60岁以上的PLWH中很大一部分被查为脆弱或脆弱前,表明需要综合老年护理.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 艾滋病毒感染人口老龄化带来了独特的老年问题.
- 脆弱性是艾滋病毒感染者 (PLWH) 越来越关注的问题.
- 早期识别脆弱性对于管理PLWH中与年龄相关的疾病至关重要.
研究的目的:
- 评估在PLWH的大型城市群体中实施脆弱查的可行性.
- 评估老年PLWH中脆弱性,脆弱前期和强度的流行情况.
- 确定对脆弱的PLWH进行综合老年医学评估的采用情况.
主要方法:
- 使用FRAIL尺度进行的脆弱性查是由60岁以上的PLWH护士进行的.
- 数据从2021年7月到2023年1月在英国城市队列中收集.
- 焦点小组和采访为查途径设计提供了信息.
主要成果:
- 77.3%的符合条件的PLWH (n=456) 接受了脆弱性查.
- 12.1%的人被查为脆弱的,25.9%为脆弱前的,61.8%为强壮的.
- 脆弱的PLWH具有更长的HIV持续时间,更多的并发症和药物治疗.
结论:
- 在较老的PLWH中进行虚弱查是可行的,并且符合欧洲艾滋病临床协会的建议.
- 需要进一步的研究,以确定虚弱查和老年评估对临床结果的影响.
- 将老年人评估纳入艾滋病毒服务是未来发展的关键领域.
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