艾滋病与药物依赖的初级护理。
Primary care for AIDS and chemical dependence.
作者信息
Karan L D
机构信息
Department of Medicine, Medical College of Virginia Hospitals, Virginia Commonwealth University, Richmond.
出版信息
West J Med. 1990 May;152(5):538-42.
Primary care clinicians are acquiring an increasingly important role in preventing, diagnosing, and treating both chemical dependence and human immunodeficiency virus (HIV) illness. Towards this end they need to know the epidemiology of HIV infection in chemically dependent persons and methods of educating persons at high risk for these problems. It is critical that physicians screen for alcohol and drug addiction. Health care providers should understand the risks and benefits of HIV antibody testing and include in their practices the basic components of counseling before and after testing and informed consent. Both HIV illness and addiction are chronic diseases with long-term health implications. A knowledge of patient characteristics, intensity of treatments, and treatment modalities is important in making recommendations for individualized therapy. Combining service delivery is a future challenge necessitated by today's joint epidemics of the acquired immunodeficiency syndrome and chemical dependence.
基层医疗临床医生在预防、诊断和治疗化学物质依赖及人类免疫缺陷病毒（HIV）疾病方面正发挥着越来越重要的作用。为此，他们需要了解化学物质依赖者中HIV感染的流行病学情况以及对这些问题高危人群进行教育的方法。医生对酒精和药物成瘾进行筛查至关重要。医疗服务提供者应了解HIV抗体检测的风险和益处，并在其实践中纳入检测前后咨询和知情同意的基本要素。HIV疾病和成瘾都是具有长期健康影响的慢性疾病。了解患者特征、治疗强度和治疗方式对于推荐个体化治疗很重要。结合服务提供是当今获得性免疫缺陷综合征和化学物质依赖共同流行所带来的未来挑战。
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