Vance David E, Gakumo C Ann, Childs Gwendolyn D, Enah Comfort, Fazeli Pariya L
J Assoc Nurses AIDS Care. 2017 Sep-Oct;28(5):685-697. doi: 10.1016/j.jana.2017.06.002. Epub 2017 Jun 29.
Nearly 50% of adult persons living with HIV (PLWH) experience HIV-associated neurocognitive disorder (HAND), which is associated with deteriorating brain health and cognitive functioning. Multimodal interventions that simultaneously improve physical activity, nutrition, and sleep hygiene may be of value for adult PLWH, especially as they age and become vulnerable to HAND. We used four focus groups of PLWH (N = 30; ages ≥ 50 years) to solicit feedback about Cognitive Prescriptions, a multimodal cognitive intervention. Lifestyle and health behaviors pertaining to Cognitive Prescriptions were assessed, including: (a) physical activity, (b) mental activity, (c) nutrition, (d) social engagement, (e) emotional health, (f) sleep hygiene, and (g) substance use. When presented a template of the intervention, participants expressed favorable opinions and remarked they would want to work with a clinician, paraprofessional, or peer to implement such a program into their own daily routines. From this, implications for practice and research are provided.
近50%的成年艾滋病毒感染者（PLWH）患有与艾滋病毒相关的神经认知障碍（HAND），这与大脑健康和认知功能的恶化有关。同时改善身体活动、营养和睡眠卫生的多模式干预措施可能对成年PLWH有价值，尤其是随着他们年龄增长且易患HAND时。我们对四组年龄≥50岁的PLWH（N = 30）进行了焦点小组访谈，以征求他们对一种多模式认知干预措施“认知处方”的反馈。评估了与“认知处方”相关的生活方式和健康行为，包括：（a）身体活动，（b）脑力活动，（c）营养，（d）社交参与，（e）情绪健康，（f）睡眠卫生，以及（g）物质使用。当向参与者展示干预模板时，他们表达了积极的意见，并表示希望与临床医生、辅助专业人员或同伴合作，将这样一个项目纳入自己的日常生活中。据此，本文提供了对实践和研究的启示。
