Resilience-Focused HIV Care to Promote Psychological Well-Being During COVID-19 and Other Catastrophes.
Resilience-Focused HIV Care to Promote Psychological Well-Being During COVID-19 and Other Catastrophes.
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DOI：
10.3389/fpubh.2021.705573
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发表时间：
2021
影响因子：
5.2
通讯作者：
Garner BR
中科院分区：
文献类型：
--
作者：
Brown LL;Martin EG;Knudsen HK;Gotham HJ;Garner BR
由于预防和护理服务中断、经济影响和社会孤立，COVID-19大流行对艾滋病毒感染者造成了不利影响。这些压力因素导致身体健康状况、艾滋病毒治疗结果和心理健康状况恶化。与COVID-19相关的心理后遗症威胁着艾滋病毒感染者的整体福祉和终止艾滋病毒流行的努力。复原力是已知的健康差异的中介，可以改善艾滋病毒护理连续体的心理健康和行为健康结果。虽然弹性通常是在克服逆境的过程中有机发展起来的，但它也可以通过多层次的内部和外部资源（在心理、人际、精神和社区/邻里层面）来培养。在这一观点中，以复原力为重点的艾滋病毒护理被定义为一种护理模式，在这种模式中，提供者通过促进多级资源来缓冲逆境的影响并促进福祉，从而促进艾滋病毒感染者的最佳健康。采用以恢复力为重点的艾滋病毒护理可以帮助提供者在这一心理压力增加的时期更好地促进艾滋病毒感染者的福祉，并有助于为未来的灾难做好准备。根据文献资料，我们构建了一套核心原则和考虑因素，以成功采用和可持续发展以弹性为重点的艾滋病毒护理。我们对以恢复力为重点的艾滋病毒护理的定义标志着对知识库的新贡献，并响应了将恢复力作为艾滋病毒研究一部分的多维定义的呼吁。
The COVID-19 pandemic has adversely affected people with HIV due to disruptions in prevention and care services, economic impacts, and social isolation. These stressors have contributed to worse physical health, HIV treatment outcomes, and psychological wellness. Psychological sequelae associated with COVID-19 threaten the overall well-being of people with HIV and efforts to end the HIV epidemic. Resilience is a known mediator of health disparities and can improve psychological wellness and behavioral health outcomes along the HIV Continuum of Care. Though resilience is often organically developed in individuals as a result of overcoming adversity, it may be fostered through multi-level internal and external resourcing (at psychological, interpersonal, spiritual, and community/neighborhood levels). In this Perspective, resilience-focused HIV care is defined as a model of care in which providers promote optimum health for people with HIV by facilitating multi-level resourcing to buffer the effects of adversity and foster well-being. Adoption of resilience-focused HIV care may help providers better promote well-being among people living with HIV during this time of increased psychological stress and help prepare systems of care for future catastrophes. Informed by the literature, we constructed a set of core principles and considerations for successful adoption and sustainability of resilience-focused HIV care. Our definition of resilience-focused HIV care marks a novel contribution to the knowledge base and responds to the call for a multidimensional definition of resilience as part of HIV research.
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影响因子：
4.6
作者：
LeGrand S;Reif S;Sullivan K;Murray K;Barlow ML;Whetten K
通讯作者：
Whetten K
影响因子：
3.1
作者：
Friborg, O;Hjemdal, O;Martinussen, M
通讯作者：
Martinussen, M
影响因子：
3.4
作者：
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通讯作者：
Hansen NB
DOI：
10.1080/09540121.2018.1527008
发表时间：
2018-01-01
影响因子：
1.7
作者：
Dow, Dorothy E.;Mmbaga, Blandina T.;O'Donnell, Karen E.
通讯作者：
O'Donnell, Karen E.
影响因子：
4.4
作者：
Jones DL;Ballivian J;Rodriguez VJ;Uribe C;Cecchini D;Salazar AS;Cassetti I;Alcaide ML
通讯作者：
Alcaide ML