Jane Kasozi Namagga, Godfrey Zari Rukundo, Vincent Batwala, Vallence Niyonzima, Hanifah Nantongo, Grace Nambozi
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引用次数: 0
摘要
导言:艾滋病毒相关神经认知障碍(HAND)正成为人类免疫病毒(HIV)治疗过程中的一个重要公共卫生问题。这些疾病包括从细微的认知障碍到严重的痴呆。尽管许多早期 HAND 病例并无症状,但医护人员(HCWs)却很少进行常规神经认知评估。这导致大量病例未被发现,并增加了艾滋病病毒感染者(PLWH)罹患 HAND 的风险:我们的目的是在乌干达中部和西南部的艾滋病支持组织(TASO)中心,探讨医护人员对将国际艾滋病痴呆量表(IHDS)纳入常规护理以筛查 HAND 的看法:我们与来自五个 TASO 中心的 37 名医护人员进行了五次焦点小组讨论。主题分析揭示了八个关键主题:1)大脑功能受损;2)日常生活活动的改变;3)促进优质护理的观点;4)工具的适用性和用户友好性;5)客户自我意识和自信心的增强;6)将 IHDS 纳入常规 HIV 护理;7)IHDS 使用的不确定性;8)对医护人员的持续培训:随着 PLWH 寿命的延长和健康状况的改善,他们患手足口病的风险也在增加,这可能会影响他们的生活质量。IHDS 的使用提高了医护人员的认识,并通过认知评估改善了决策,强调了其在 PLWH 中的价值。我们建议开展一项前瞻性研究,以评估增加手足口病筛查的长期效果和有效性。此外,我们还建议将手足口病筛查模块纳入艾滋病综合指南,以提高其相关性。
Healthcare Workers' Perspectives on the Utilization of the International HIV Dementia Scale for the Screening HIV-Associated Neurocognitive Disorders: A Qualitative Study at TASO Centres in Central and Southwestern Uganda.
Introduction: HIV-associated neurocognitive disorders (HAND) are becoming a significant public health concern in the continuum of human immune virus (HIV) treatment. These disorders range from subtle cognitive impairments to severe dementia. Despite many early-stage HAND cases being asymptomatic, healthcare workers (HCWs) rarely perform routine neurocognitive assessments. This leads to a high number of unrecognized cases and increases the risk of HAND among people living with HIV (PLWH).
Material and methods: We aimed to explore HCWs' perspectives on integrating the International HIV Dementia Scale (IHDS) into routine care for screening HAND at The AIDS Support Organization (TASO) centres in central and southwestern Uganda.
Results: We conducted five focus group discussions with 37 HCWs from five TASO centres. Thematic analysis revealed eight key theme: 1) Impaired brain function, 2) Changes in activities of daily living, 3) Promotion of quality care perspectives, 4) Tool applicable and user-friendly, 5) Client increased self-awareness and self-confidence, 6) Integration of IHDS into routine HIV care, 7) Uncertainty about IHDS use, and 8) Continuous training for HCWs.
Conclusion: As PLWH enjoy longer and healthier lives, their risk for HAND increases, potentially affecting their quality of life. The use of the IHDS has raised awareness among HCWs and improved decision-making through cognitive assessments, emphasizing it value in PLWH. We recommend a prospective study to assess the long-term outcomes and efficacy of increased HAND screening. Furthermore, integrating a HAND screening module into the consolidated HIV guidelines is recommended to enhance its relevance.
期刊介绍:
About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.