老年艾滋病毒感染者的治疗方案和护理模式:我们做得够吗?

IF 1.5 Q4 INFECTIOUS DISEASES
Emily Frey, Carrie D Johnston, Eugenia L Siegler
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引用次数: 3

摘要

随着世界各地抗逆转录病毒治疗可及性的提高,艾滋病毒感染者正在老龄化,全球艾滋病毒感染者(PWH)的很大一部分现在年龄在50岁或以上。与未感染艾滋病毒的老年人相比,老年PWH患者有更多的合并症、衰老相关综合征、精神健康挑战和难以获得基本需求。因此,确保老年PWH获得全面的医疗保健对PWH和提供者来说往往是压倒性的。尽管有越来越多的文献解决了这一人群的需求,但在护理服务和研究方面仍然存在差距。在本文中,我们建议任何旨在满足老年艾滋病毒感染者需求的医疗保健计划的七个关键组成部分:艾滋病毒管理,合并症筛查和治疗,初级保健协调和规划,关注衰老相关综合征,优化功能状态,支持行为健康,改善基本需求和服务的可及性。我们回顾了与这些组成部分的实施相关的许多困难和争议,其中包括缺乏针对这一人群的筛查指南和护理整合的挑战,并提出了关键的下一步措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Treatment Regimens and Care Models for Older Patients Living with HIV: Are We Doing Enough?

Treatment Regimens and Care Models for Older Patients Living with HIV: Are We Doing Enough?

With improved access to antiretroviral therapy throughout the world, people are aging with HIV, and a large portion of the global population of people with HIV (PWH) is now age 50 or older. Older PWH experience more comorbidities, aging-related syndromes, mental health challenges, and difficulties accessing fundamental needs than the population of older adults without HIV. As a result, ensuring that older PWH are receiving comprehensive healthcare can often be overwhelming for both PWH and the providers. Although there is a growing literature addressing the needs of this population, gaps remain in care delivery and research. In this paper, we suggest seven key components to any healthcare program designed to address the needs of older people with HIV: management of HIV, comorbidity screening and treatment, primary care coordination and planning, attention to aging related-syndromes, optimization of functional status, support of behavioral health, and improved access to basic needs and services. We review many of the difficulties and controversies related to the implementation of these components, which include the absence of screening guidelines for this population and the challenges of care integration, and we suggest key next steps.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
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.
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