Vance David E, Ross Lesley A, Downs Charles A
School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
J Neurosci Nurs. 2008 Feb;40(1):6-13. doi: 10.1097/01376517-200802000-00003.
Although adults with HIV are at risk of developing cognitive impairments, the literature suggests that nurses and clinicians should be cautious about relying on patients' perceptions of their mental abilities. However, these findings are based on a questionnaire of cognitive complaints that may not lend itself easily to a clinical setting. In this pilot study, the relationship between a single item of self-reported cognitive ability and a global cognitive performance composite based on 7 neuropsychological tests was examined in 50 adults with HIV. Depressive symptomatology predicted lower self-reported cognitive ability; however, lower self-reported cognitive ability was also related to poorer cognitive performance but to a lesser extent. These results suggest that adults with HIV who report their cognitive ability as being poor may be experiencing depression, but they may also be experiencing declines in cognitive performance. These findings also suggest that a single item of self-reported cognitive ability may have some clinical value in detecting problems with global cognitive performance, as well as depression. Interventions for assessing patients and improving mood or cognition can be considered by nursing professionals treating individuals with HIV who report their cognitive ability as poor.
尽管感染艾滋病毒的成年人有出现认知障碍的风险，但文献表明，护士和临床医生在依赖患者对自身心理能力的认知时应谨慎。然而，这些发现是基于一份认知主诉问卷，而该问卷可能不太适用于临床环境。在这项试点研究中，对50名感染艾滋病毒的成年人进行了研究，考察了单项自我报告认知能力与基于7项神经心理学测试的整体认知表现综合指标之间的关系。抑郁症状预示着较低的自我报告认知能力；然而，较低的自我报告认知能力也与较差的认知表现有关，但程度较轻。这些结果表明，那些报告自己认知能力较差的感染艾滋病毒的成年人可能正在经历抑郁，但他们也可能正在经历认知表现的下降。这些发现还表明，单项自我报告认知能力在检测整体认知表现问题以及抑郁方面可能具有一定的临床价值。治疗报告认知能力较差的艾滋病毒感染者的护理专业人员可以考虑采取干预措施来评估患者并改善情绪或认知。
