支持长期参与艾滋病毒临床护理:从COVID-19大流行中吸取教训
R Dhairyawan1,2, Sara Paparini3, M Smuk1
1SHARE Collaborative, Blizard Institute, Queen Mary University of London, London, UK.
HIV medicine
|December 31, 2025
概括
COVID-19大流行加剧了艾滋病毒临床护理的现有障碍,影响了参与. 然而,它也为一些个人提供了重新参与的机会,突出了改善保留策略的必要性.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 艾滋病毒/艾滋病研究研究
背景情况:
- COVID-19大流行严重扰乱了全球的医疗保健服务,包括艾滋病毒临床护理.
- 在此期间了解患者的参与和脱离对于保持治疗连续性至关重要.
研究的目的:
- 调查在伦敦COVID-19大流行期间和之后重新参与和脱离艾滋病毒护理的个体的特征.
- 收集医疗保健提供者关于艾滋病毒护理保留挑战和策略的见解.
主要方法:
- 采用了一种探索性的混合方法方法.
- 对在伦敦8个艾滋病毒服务中重新参与 (2020年3月至2020年8月) 和脱离 (2020年3月至2021年2月) 护理的患者的人口和临床数据的回顾性审查.
- 与11名艾滋病毒服务提供商进行半结构面试.
主要成果:
- 122人失去了参与,而89人重新参与了艾滋病毒治疗.
- 在重新接触者中,71.3%的人服用抗逆转录病毒药物,63.6%的人在24个月后被病毒抑制.
- 在那些放弃者中,只有21%的人服用抗逆转录病毒药物,27%的人在2023年3月之前预订了未来的预约.
结论:
- COVID-19暴露并放大了在获得艾滋病毒护理方面的现有脆弱性.
- 疫情为艾滋病毒护理参与带来了障碍和机遇.
- 建议包括在政策和资金中优先考虑留守,提供以人为中心的整体护理,并改善离开护理人员的识别.
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