艾滋病毒护理中的保留仍然很重要:一个纵向的多站点分析
Emma Sophia Kay1, John R Bassler2, Melanie C Goebel3
1School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Journal of acquired immune deficiency syndromes (1999)
|June 18, 2025
概括
在艾滋病毒感染者 (PWH) 中,保持护理对于持续的病毒抑制至关重要. 与医疗保健服务的持续参与仍然是改善艾滋病毒健康结果的关键指标.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 艾滋病毒感染者 (PWH) 留在护理中的时间是一个有争议的指标,特别是在先进的抗逆转录病毒疗法 (ART) 中.
- 这项研究调查了PWH.中保留和持续病毒抑制 (SVS) 之间的联系.
研究的目的:
- 评估两年内在护理和持续病毒抑制 (SVS) 中的保留之间的关系.
- 为了比较这种关系,新建立的PWH与以前建立的PWH.
主要方法:
- 来自七个艾滋病研究中心综合临床系统网络 (CNICS) 站点的数据分析.
- 将PWH分类为新建立的 (2017年,先前没有使用ART) 和以前建立的队列.
- 使用基于访问的指标和SVS定义为病毒载量 ≤200副本/毫升的维留量的测量.
主要成果:
- 与新建立的患者相比,先前建立的患者中获得保留和SVS的比例更高.
- 在护理中的保留,通过保留和错过的访问来衡量,在两个队伍中预测了SVS.
- 在控制人口统计和风险因素后,这些发现是正确的.
结论:
- 留在护理中的时间仍然是所有PWH的临床显著指标.
- 持续参与艾滋病毒治疗对于实现持续的病毒抑制至关重要.
- 国家艾滋病毒/艾滋病战略应该重新强调保留作为一个关键绩效指标.
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