Prevalence, incidence, mortality and co-morbidities amongst human immunodeficiency virus ( HIV) patients in Stockholm County, Sweden - The Greater Stockholm HIV Cohort Study
Prevalence, incidence, mortality and co-morbidities amongst human immunodeficiency virus ( HIV) patients in Stockholm County, Sweden - The Greater Stockholm HIV Cohort Study
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DOI：
10.1080/09540121.2014.963012
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发表时间：
2015-02-01
影响因子：
1.7
通讯作者：
Carlsson, Axel C.
中科院分区：
文献类型：
--
作者：
Jallow, Amadou;Ljunggren, Gunnar;Carlsson, Axel C.
这项研究的目的是制定一个多学科指南，支持有就业相关问题的艾滋病毒感染者的护理和职业康复。该指南是根据荷兰卫生保健改进研究所开发的“循证指南制定”方法制定的。这一方法包括以下步骤：组成一个多学科核心小组和一个专家小组，提出关键问题，搜索和评价现有文献，提出考虑和建议，同行审查指南草案，并批准最终指南。所有相关专业协会的代表都参加了为制定准则而组建的核心小组，即艾滋病毒医生、艾滋病毒护士、全科医生、职业健康医生、心理学家、社会工作者、职业健康护士、职业专家和保险医生。该指南提出了五个关键问题，主题如下：就业的决定因素、披露和污名、自我管理、干预措施和护理的组织。在关于这些主题的文献综述中，有45项研究符合纳入标准。收录文章的方法学质量较差。考虑了患者偏好和医疗/伦理问题等因素。准则中的建议权衡了科学证据和核心小组的考虑。该指南及其对日常实践的总结，澄清了艾滋病毒携带者留在工作岗位或重返工作岗位的最重要障碍和促进者，并为卫生保健提供者以及他们如何支持想要工作的艾滋病毒携带者提供了一个临床、易于使用的指南。
The objective of this study was to develop a multidisciplinary guideline that supports the care and vocational rehabilitation of HIV-infected people with employment-related problems. The guideline was developed according to the "evidence-based guideline development" method developed by the Dutch Institute for Health Care Improvement. This method consists of the following steps: forming a multidisciplinary core group and an expert panel, formulating key questions, searching and appraising the available literature, formulating considerations and recommendations, peer reviewing the draft guideline, and authorizing the final guideline. All relevant professional associations were represented in the core group that was assembled to develop the guideline, i.e., HIV doctors, HIV nurses, general practitioners, occupational health physicians, psychologists, social workers, occupational health nurses, vocational experts, and insurance physicians. Five key questions for the guideline were formulated with the following themes: determinants of employment, disclosure and stigma, self-management, interventions, and the organization of care. In the literature review on these topics, 45 studies met the inclusion criteria. The methodological quality of the included articles was poor. Factors such as patient preferences and medical/ethical issues were considered. The recommendations in the guideline are a weighting of the scientific evidence and the considerations of the core group. The guideline, as well as its summary for daily practice, clarifies the most important barriers and facilitators to people with HIV either staying at work or returning to work, and it constitutes a clinical, easy-to-use guideline for health-care providers and how they can support people with HIV who want to work.