对艾滋病毒护理的分层模型的现实应用
Miguel Suárez-Robles1, Clara Crespillo Andújar2, Sandra Chamorro-Tojeiro2
1Servicio de Enfermedades Infecciosas, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain; Universidad de Alcalá, Alcalá de Henares, Spain.
概括
最佳护理模型 (OCM) 有效地分层了大多数艾滋病毒感染者 (PHIV),但未被分类的患者往往具有高度复杂性,这表明需要量身定制的心理健康资料.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
背景情况:
- 艾滋病毒感染现在是一种慢性疾病,需要适应的护理模式.
- 最佳护理模式 (OCM) 是为了管理艾滋病毒感染者而开发的.
- OCM使用工具来评估患者的复杂性和分层护理需求.
研究的目的:
- 将OCM应用于PHIV的一组.
- 评估OCM在分类患者复杂性和个人资料方面的有效性.
- 确定对OCM的潜在改进.
主要方法:
- 观察性,横截面和回顾性研究设计.
- 包括来自热带医学咨询的成人PHIV (2023年1月至6月).
- 应用OCM复杂性评估和个人资料分层.
主要成果:
- 包括94名PHIV参与者;76.6%的cisgender男性,平均年龄为41岁.
- 主要来源:拉丁美洲和非洲 (72.4%).
- 98%实现了无法检测的病毒载量.
- 复杂度:78.7%低,11.7%中等,1%高,8.5%极端. 复杂度: 78.7%低,11.7%中等,1%高,8.5%极端. 复杂度: 78.7%低,11.7%中等,1%高,8.5%极端.
- 配置文件:64.9%的蓝色,11.7%的紫色,6.3%的紫色,4.3%的绿色.
- 7.4%是无法分类的,57.2%具有高度/极端复杂性.
- 在未分类的患者中,精神健康问题很常见.
结论:
- 在非标准人群中,OCM工具成功地对大多数PHIV患者进行了分层.
- 未分类的患者经常表现出高度的复杂性.
- 考虑心理健康或混合的个人资料可以提高OCM的分类.
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