解决艾滋病毒感染者的认知症状:整体查和管理途径的结果
Kate Alford1, Colin Fitzpatrick2, Samuel Rhodes1
1Department of Global Health and Infection, Brighton and Sussex Medical School, University of Sussex, Brighton, United Kingdom.
对艾滋病毒感染者 (PLWH) 进行新的认知查途径是可行的. 管理干预导致认知功能稳定或改善,特别是在记忆和执行功能方面.
科学领域:
- 神经科学是一个神经科学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 认知障碍是艾滋病毒感染者 (PLWH) 显著关注的问题.
- 早期识别和管理认知症状对于改善生活质量至关重要.
- 将认知查纳入常规艾滋病毒护理可以提高患者的治疗结果.
研究的目的:
- 实施和评估PLWH的认知查和管理途径.
- 评估这种途径在英国艾滋病毒服务中的可行性和结果.
- 确定有效的干预措施来管理PLWH的认知障碍.
主要方法:
- 在例行HIV诊断期间,使用欧洲艾滋病临床协会问题选认知症状.
- 有症状的个体完成了蒙特利尔认知评估 (MoCA).
- 在MoCA上得分低于26/30促使转诊到专门的HIV-Memory诊所进行进一步评估和干预.
主要成果:
- 超过1500人接受了查,其中155人报告了症状.
- 33个人在MoCA上得分低于26分,表明潜在的认知障碍.
- 干预措施包括生活方式管理,心理健康支持,艾滋病毒治疗调整和认知补救.
- 在全球认知功能和特定领域,如延迟记忆和执行功能 (P <0.03) 中观察到显著改善.
结论:
- 认知查和管理途径对于常规HIV护理是可行的.
- 针对整体因素的个性化干预可以稳定或改善PLWH的认知表现.
- 这一途径证明了主动认知护理在管理与艾滋病毒相关的神经认知障碍方面的潜在好处.
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