在秘鲁,为艾滋病毒感染者提供非传染性疾病护理:一项全国医生横截面研究
Rebecca Slotkin1,2,3, Daniel Granda4, Diego Cabrera3,5
1Johns Hopkins University, Department of Medicine, Division of Rheumatology, Baltimore, Maryland, United States of America.
PLOS global public health
|August 4, 2025
概括
秘鲁的艾滋病毒医生经常遇到非传染性疾病 (NCD) 并管理它们,尽管信心水平各不相同. 需要加强非传染性疾病指导方针和教育,以更好地照顾艾滋病毒感染者 (PLWH).
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 非传染性疾病 (NCD) 对艾滋病毒感染者 (PLWH) 的老龄化人口构成重大健康负担.
- 关于秘鲁PLWH非传染性疾病管理实践的数据有限.
- 本研究解决了了解秘鲁PLWH非传染性疾病的供应商信心和实践的差距.
研究的目的:
- 检查秘鲁艾滋病毒医生对PLWH非传染性疾病的信心和当前的管理实践.
- 确定这些医生遇到的特定非传染性疾病和可修改的风险因素.
- 评估当前实践与国家指导方针的协调程度,并确定需要改进的领域.
主要方法:
- 在秘鲁,对公共部门的艾滋病毒医生进行了电话调查.
- 该调查涵盖了七种非传染性疾病和三种可修改的风险因素.
- 医生的信心,查频率和管理方法使用利克特尺度和自由响应问题进行评估.
主要成果:
- 在23个地区,78名医生参与了这次活动.
- 大多数医生报告患有高脂血症,高血压,糖尿病,神经认知障碍 (NCI),宫癌,肥胖,烟草和酒精使用的患者.
- 医生对管理代谢障碍最有信心,对NCI和肉症最不自信. 与国家指导方针相一致的查更为一致.
结论:
- 秘鲁的艾滋病毒医生积极管理PLWH的非传染性疾病和风险因素.
- 可变的信心和遵守指南突出了扩大医生教育和更新的需要,局部的NCD护理指南.
- 解决系统层面的障碍对于改善PLWH综合性NCD护理至关重要.
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