降低HIV感染者的心血管疾病风险：治疗进展、可行性及初步结果
Cardiovascular Risk Reduction in Persons Living With HIV: Treatment Development, Feasibility, and Preliminary Results.
作者信息
Cioe Patricia A, Guthrie Kate M, Freiberg Matthew S, Williams David M, Kahler Christopher W
出版信息
J Assoc Nurses AIDS Care. 2018 Mar-Apr;29(2):163-177. doi: 10.1016/j.jana.2017.11.007. Epub 2017 Dec 5.
Abstract
Persons living with HIV (PLWH) have elevated risks for cardiovascular disease (CVD). Our goal was to develop and pilot test a tailored intervention to improve CVD risk perception and the adoption of heart-healthy behaviors. In-depth qualitative interviews were conducted with 30 PLWH participants to examine learning needs and preferences. An intervention manual was developed and tested in an open pilot with eight participants. Participants were stable on antiretroviral therapy and were recruited from two urban HIV clinics in the northeastern United States. Thematic analysis identified five major themes: (a) tailored structure and design for PLWH, (b) learning needs (specific to HIV), (c) desire for prompts/reminders (to exercise), (d) importance of participant resources, and (e) need for personal evaluation and goal setting. Feasibility and acceptability of the intervention were demonstrated with high session attendance and treatment satisfaction. Further testing is warranted.
摘要
艾滋病毒感染者（PLWH）患心血管疾病（CVD）的风险较高。我们的目标是开发并进行试点测试一种量身定制的干预措施，以提高对心血管疾病风险的认知，并促进采取有益心脏健康的行为。我们对30名PLWH参与者进行了深入的定性访谈，以研究他们的学习需求和偏好。我们编写了一份干预手册，并在有8名参与者的开放性试点中进行了测试。参与者的抗逆转录病毒治疗情况稳定，他们是从美国东北部的两家城市艾滋病毒诊所招募的。主题分析确定了五个主要主题：（a）针对PLWH的量身定制的结构和设计，（b）（特定于艾滋病毒的）学习需求，（c）对（锻炼的）提示/提醒的需求，（d）参与者资源的重要性，以及（e）个人评估和目标设定的必要性。高出席率和治疗满意度证明了该干预措施的可行性和可接受性。有必要进行进一步测试。
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J Acquir Immune Defic Syndr. 2017 Aug 15;75(5):568-576. doi: 10.1097/QAI.0000000000001450.
2
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Disabil Rehabil. 2018 Jul;40(14):1618-1629. doi: 10.1080/09638288.2017.1306587. Epub 2017 Mar 22.
3
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