认知护理是艾滋病毒临床实践中的下一个盲点吗? 探讨马来西亚将认知护理整合到常规艾滋病毒护理中的促进者和障碍:混合方法研究
Kejal Hasmukharay1, Ho Ming Hui2, Nazlin A Mahyudin2
1Department of Medicine, Faculty of Medicine, Geriatric Unit, Universiti Malaya, Kuala Lumpur, Malaysia.
AIDS patient care and STDs
|February 28, 2026
概括
为艾滋病毒感染老年人 (PWH) 整合认知康复至关重要,但具有挑战性. 障碍包括知识差距,系统性问题和耻辱,需要定制解决方案以获得更好的大脑健康结果.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 艾滋病毒感染者 (PWH) 面临着越来越多的认知障碍,除了痴呆症.
- 在艾滋病毒服务中缺乏认知护理的整合,特别是在低收入和中等收入国家 (LMICs).
研究的目的:
- 评估准备好将多领域认知康复计划整合到马来西亚艾滋病毒诊所的准备情况.
- 确定PWH认知护理的实施决定因素.
主要方法:
- 使用在线调查和定性焦点小组/采访的连续混合方法设计.
- 实施研究综合框架 (CFIR 2.0) 主题分析.
主要成果:
- 医生对认知健康的知识和态度是令人满意的,但实践 (查) 却很差 (20.5%的患者经常接受查).
- 关键的障碍包括知识与实践的差距,系统性问题 (时间,案件量,指导方针) 和耻辱.
- 患者的动机,相关的健康升级技能和护理协调被确定为促进者.
结论:
- 整合认知康复受到知识翻译,劳动力和指导方针缺陷的阻碍.
- 适应艾滋病毒的查,转诊流程和协调员角色可以促进早期认知干预,以促进LMIC中老化PWH.
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