Cicatelli Associates Inc., New York, New York 10003, USA.
Public Health Nurs. 2010 Nov-Dec;27(6):482-91. doi: 10.1111/j.1525-1446.2010.00888.x. Epub 2010 Nov 8.
To assess the needs of clients in a home-based care (HBC) program aimed at improving the quality of lives of people living with HIV in Region 4 of Guyana (Demerara-Mahaica region) following their involvement with the HBC program, volunteers, and nurse providers.
A cross-sectional analysis of a needs assessment conducted through a verbally administered questionnaire. We collected a cross-sectional sample of 84 HBC clients living with HIV from Region 4 in Guyana.
Respondents were administered a questionnaire that asked questions regarding the demographics; services received; quality of service delivery; and mental health and substance abuse.
The services most commonly received by respondents included nutritional assessment and counseling, HIV prevention education, emotional support, hygiene education, support for antiretroviral adherence, and support for HIV disclosure. Respondents reported further need of referrals to income-generation opportunities, food and nutritional supplement support, and support for children. Forty-two percent of the respondents screened positive for probable depression, and 37% of respondents screened positive for being at risk for a drinking problem.
While a substantial portion of needs were addressed by the HBC program, outstanding needs included linking people living with HIV to income-generation opportunities, food support, mental health, and services for children. We suggest that mental health and substance use services be factored into HIV programming and that referral systems be strengthened to ensure access to support services for people living with HIV.
评估圭亚那 4 区（德梅拉拉-马海卡区）家庭护理（HBC）计划中客户的需求，该计划旨在改善艾滋病毒感染者的生活质量，参与 HBC 计划、志愿者和护士提供者。
通过口头管理问卷进行的需求评估的横断面分析。我们从圭亚那 4 区收集了 84 名艾滋病毒感染者的 HBC 客户的横断面样本。
向受访者发放了一份问卷，询问有关人口统计学、服务接受情况、服务提供质量以及心理健康和药物滥用的问题。
受访者最常接受的服务包括营养评估和咨询、艾滋病毒预防教育、情感支持、卫生教育、支持抗逆转录病毒依从性和支持艾滋病毒披露。受访者报告说，他们进一步需要获得创收机会、食品和营养补充支持以及儿童支持方面的转介。42%的受访者可能患有抑郁症，37%的受访者有饮酒问题风险。
虽然 HBC 计划满足了相当一部分需求，但仍存在一些未满足的需求，包括将艾滋病毒感染者与创收机会、食品支持、心理健康和儿童服务联系起来。我们建议将心理健康和药物使用服务纳入艾滋病毒规划，并加强转介系统，以确保艾滋病毒感染者能够获得支持服务。
