视力问题作为艾滋病毒感染者老年男性在护理中的参与度降低的一个因素
Alison G Abraham1,2,3, Weiqun Tong3, Valentina Stosor4
1Department of Epidemiology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Ophthalmic epidemiology
|May 21, 2024
概括
视力障碍显著阻碍了艾滋病毒 (PLWH) 感染老年人的医疗护理参与. 这包括减少对抗逆转录病毒疗法 (ART) 的坚持和降低生活质量.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 活在艾滋病毒 (PLWH) 的老年人经常经历多病症和复杂的护理需求.
- 视力障碍是这一群体中常见但未被充分认识到的挑战.
- 有效参与医疗护理对于管理艾滋病毒和并存疾病至关重要.
研究的目的:
- 调查视力障碍作为老龄化PLWH中医疗保健参与的障碍.
- 评估视力困难与坚持HIV治疗之间的关系.
- 确定视力障碍对避免医疗保健和生活质量的影响.
主要方法:
- 关于老龄化PLWH的前性观察队列研究 (多中心艾滋病队列研究).
- 利用国家眼科研究所修改的视觉功能问卷来评估视觉依赖的任务困难.
- 分析了自我报告的视力困难和护理参与指标之间的关联,使用通用估计方程.
主要成果:
- 中度至极度的视力障碍与非最佳抗逆转录病毒疗法 (ART) 坚持率高2.2倍相关.
- 视力障碍者避免获得必要的医疗护理的可能性是1.9倍.
- 视力障碍与平均8点较低的生活质量得分相关.
结论:
- 视力障碍显著降低了医疗保健参与老龄化PLWH.
- 解决视力问题对于改善艾滋病毒护理坚持和整体福祉至关重要.
- 针对视力健康的干预措施可以提高这一群体的医疗参与和生活质量.
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