Quality of life in the HIV-positive patient: Implications and consequences

Quality of life in the HIV-positive patient: Implications and consequences
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DOI:
10.1177/1055329004269183
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发表时间:
2004-09-01
影响因子:
2
通讯作者:
Aranda-Naranjo, B
Aranda-Naranjo, B
中科院分区:
医学4区
文献类型:
--
作者:
Aranda-Naranjo, B

文献摘要

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许多新感染艾滋病毒的人都在与社会心理影响作斗争,如贫穷、耻辱、抑郁、药物滥用、家庭暴力和/或文化信仰,这可能影响他们的生活质量、寻求医疗保健的意愿和坚持治疗的动机,最终影响健康结果。卫生资源和服务管理局制定了《瑞安·怀特保健法案》(RWCA),为艾滋病毒/艾滋病感染者提供保健服务。《世界妇女行动计划》的第F部分,即具有国家意义的特别项目计划,侧重于确定影响到艾滋病患者护理的问题。SPNS的一组受助者确定了得不到充分服务的艾滋病毒感染患者的许多需求和脆弱性,并支持为他们开发创新的艾滋病毒/艾滋病辅助服务。在这篇文章中,对HIV感染的潜在社会心理后遗症及其对生活质量的影响进行了综述,并对提供者帮助改善艾滋病患者生活质量的建议进行了讨论。
Many individuals newly infected with HIV struggle with psychosocial influences, such as poverty, stigma, depression, substance abuse, domestic violence, and/or cultural beliefs, which can affect their quality of life (QoL), willingness to seek medical care, and motivation to adhere to therapy, ultimately influencing health outcomes. The Health Resources and Services Administration established the Ryan White Care Act (RWCA) to provide health care to people living with HIV/AIDS (PLWH). Part F of the RWCA, the Special Projects of National Significance (SPNS) Program, focuses on identifying issues affecting care for PLWH. One cohort of SPNS grantees has identified numerous needs and vulnerabilities of underserved HIV-infected patients and supports the development of innovative HIV/AIDS ancillary services for them. In this article, a review of the underlying psychosocial sequelae of HIV infection and their impact on QoL is presented, and recommendations for providers to assist in improving the QoL of PLWH are discussed.