通过基于机器学习的主题建模方法识别HIV护理连续体中提供的医疗保健服务:探索性文献评论
SangA Lee1, Layoung Kim1,2, Mi-So Shim3
1Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea, 82 2-2228-3342, 82 2-2227-8303.
这项研究表明,艾滋病毒护理研究高度强调ART的坚持,忽视了艾滋病毒护理连续的后期阶段. 需要更多的包容性研究来解决艾滋病毒感染者的各种健康需求.
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:
- 现有的医疗保健服务可能无法完全与艾滋病毒治疗连续性保持一致,需要除了病毒抑制之外的综合护理.
- 需要了解艾滋病毒感染者医疗保健服务的趋势和知识结构.
研究的目的:
- 分析有关艾滋病毒感染者医疗保健服务的文献.
- 提高对艾滋病毒护理趋势和知识结构的理解.
主要方法:
- 使用基于机器学习的主题建模技术BERTopic进行了文献审查.
- 在PubMed,CINAHL,EMBASE和Cochrane数据库中搜索了2013年至2023年间发表的英语研究.
- 分析进行了两次:首先是为了获得广泛的理解,然后是为了获得特定的医疗保健服务细节.
主要成果:
- 在11269项选中,有204项研究符合纳入标准.
- 大多数研究侧重于治疗的延续;有限的研究涉及长期的艾滋病毒管理.
- 主要话题包括"ART坚持"和"ART坚持和咨询",在后期的HIV护理连续阶段,医疗保健服务的多样性下降.
结论:
- 目前的艾滋病毒护理文献过度强调药物治疗,忽视了多方面的健康需求.
- 研究存在差异,特别是在弱势群体中,突出了包容性研究的必要性.
- 需要努力弥合差距,确保公平的护理,并促进艾滋病毒感染者之间的合作.
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