与艾滋病毒和HCV同时感染的人与护理脱离:一个范围审查
Duy A Dinh1, Yvonne Tan2, Sahar Saeed3
1Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
AIDS and behavior
|July 11, 2024
概括
脱离艾滋病毒和型肝炎的护理阻碍了全球消除目标. 标准化定义和制定有针对性的干预措施对于保持患者在护理中至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 脱离对艾滋病毒 (PWH) 和C型肝炎 (HCV) 患者的护理增加了不良健康结果.
- 患者消耗阻碍了全球消除艾滋病毒和HCV的努力.
- 了解影响护理参与的因素对于有效的公共卫生战略至关重要.
研究的目的:
- 在高收入国家,对PWH和HCV患者在护理中的 (解除) 参与进行文献范围审查.
- 综合现有证据,并确定有关患者护理 (解除) 参与的研究缺口.
- 为未来的研究和干预提供信息,旨在改善护理保留.
主要方法:
- 根据乔安娜·布里格斯研究所的框架进行了范围审查.
- 搜索了八个电子数据库,从创立到2023年5月的原始研究.
- 分析了27项研究,重点关注PWH和HCV患者在护理中的 (解除) 参与.
主要成果:
- 对 (解除) 参与的定义是多样化的,并且应用不一致的.
- 脱离关键预测因素包括物质使用,临床因素,社会/福利问题和人口统计.
- 护理参与与启动HCV治疗,持续的病毒学反应和HIV病毒抑制有关.
- 干预措施有限,主要涉及现金激励和案件管理.
结论:
- 护理参与的不一致定义阻碍了比较分析和元分析.
- 需要一个标准化的定义来识别有风险的患者.
- 进一步的研究应侧重于在综合的HIV/HCV护理模式中开发干预措施,以改善患者的留守率.
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