Reducing barriers to care and improving quality of life for rural persons with HIV.
Reducing barriers to care and improving quality of life for rural persons with HIV.
复制标题
减少农村艾滋病毒感染者的护理障碍并提高其生活质量。
DOI：
10.1089/apc.1996.10.37
复制
发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Galdabini,K
中科院分区：
文献类型：
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作者：
Heckman,TG;Somlai,AM;Kelly,JA;Stevenson,LY;Galdabini,K
农村艾滋病毒感染者是一个规模迅速扩大的患者群体，将给美国的卫生保健系统带来巨大挑战。随着艾滋病毒流行病越来越多地影响到美国农村地区，很明显，在这些较小的社区中，为艾滋病毒感染者和艾滋病患者提供充分的护理存在许多重大障碍。这项研究调查了57名出席1995年初在明尼苏达州圣克劳德举行的全国农村艾滋病会议的人，以帮助确定护理的障碍，并研究可能提高他们生活质量的战略。卫生保健专业人员更有可能认为以下情况使农村社区的艾滋病毒/艾滋病患者生活困难：远离医疗设施和人员，缺乏就业机会和不支持的工作环境，以及缺乏心理学家，社会工作者和心理健康顾问。卫生保健和非卫生保健人员也对如何提高农村艾滋病患者的生活质量表示高度一致。被评为最有希望的生活质量战略包括确保随时提供工具性支助和日常援助，向受艾滋病毒影响的人传授应付和解决问题的技能，以及每周为艾滋病毒/艾滋病感染者举办面对面的支助小组。这些调查结果为改善农村地区艾滋病毒/艾滋病感染者生活环境的战略提供了有用的信息。
Rural persons living with HIV disease is a patient group rapidly increasing in size and one that will present America's health-care system with daunting challenges. As the HIV epidemic increasingly affects rural America, it is clear there are many significant barriers to providing adequate care for persons with HIV and AIDS in these smaller communities. The study surveyed 57 attendees of the National Rural AIDS Conference held in early 1995, St. Cloud, MN, to assist in the identification of barriers to care and to examine strategies that may improve their quality of life. Health care professionals were more likely to believe the following circumstances made living with HIV/AIDS in a rural community difficult: long distances to medical facilities and personnel, lack of employment opportunities and unsupportive work environments, and a shortage of psychologists, social workers, and mental health counselors. Health care and nonhealth care personnel also showed high levels of agreement regarding ways to improve the quality of life among rural persons with AIDS. Quality of life strategies rated as most promising included ensuring that instrumental support and daily assistance is readily available, teaching HIV-affected persons coping and problem-solving skills, and conducting weekly face-to-face support groups for persons living with HIV/AIDS. These findings provide useful information for strategies to improve the life circumstances of persons living with HIV/AIDS in rural areas.