焦虑护理连续性及其与艾滋病毒感染者病毒抑制的关联
Lauren C Zalla1, Heidi E Hutton2, Anthony T Fojo2
1Johns Hopkins Bloomberg School of Public Health.
AIDS (London, England)
|August 1, 2024
概括
未经治疗的焦虑症在艾滋病毒感染者中很常见,并且与较低的病毒抑制率有关. 对焦虑的查可以帮助识别未满足的需求,并改善治疗结果.
科学领域:
- 传染性疾病 传染性疾病
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- 焦虑是艾滋病毒感染者 (PWH) 常见的并发症.
- 在PWH中,焦虑护理连续和病毒抑制之间的关系尚不清楚.
- 了解这些关联对于改善艾滋病毒治疗和治疗结果至关重要.
研究的目的:
- 描述PWH中的焦虑护理连续性.
- 检查焦虑治疗与PWH病毒抑制之间的关联.
- 识别潜在的护理障碍及其对艾滋病毒管理的影响.
主要方法:
- 一项观察性队列研究使用马里兰州巴尔的摩1967年PWH (2014-2023) 的数据进行.
- 数据包括自我报告的焦虑症状,心理健康护理参与,诊断和处方.
- 检查了与病毒抑制的横截面关联,按性别和种族/种族分层,并对共变量进行调整.
主要成果:
- 近20%的患者报告了焦虑症状,但没有接受目前的治疗.
- 在未经治疗的中度至重度焦虑症患者中,病毒抑制率最低 (81%).
- 未经治疗的中度至重度焦虑在人口群体中始终与病毒不抑制有关.
结论:
- 在PWH中,未经治疗的焦虑和病毒不抑制之间存在强烈的关联.
- 对焦虑的查可以识别PWH与未满足的心理健康需求.
- 解决焦虑可能会改善对艾滋病毒治疗的坚持,并增强病毒抑制.
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