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纯行为学:非药物行为和生活方式干预预防 HIV 感染者心血管疾病的范围综述。

Purely Behavioral: A Scoping Review of Nonpharmacological Behavioral and Lifestyle Interventions to Prevent Cardiovascular Disease in Persons Living With HIV.

机构信息

S. Raquel Ramos, PhD, MBA, MSN, FNP-BC, is Assistant Professor, Rory Meyers College of Nursing, New York University, New York, New York, USA. Olivia M. O'Hare, BSN, is a recent graduate, Rory Meyers College of Nursing, New York University, New York, New York, USA. Ailene Hernandez Colon, BSN, is a recent graduate, Rory Meyers College of Nursing, New York University, New York, New York, USA. Susan Kaplan Jacobs, MLS, MA, BSN, is a Health Sciences Librarian/Curator, New York University, New York, New York, USA. Brynne Campbell, MS, BA, is a Health Sciences Reference Associate, New York University, New York, New York, USA. Trace Kershaw, PhD, is Professor and Chair, Department of Social and Behavioral Sciences, and Director, P30 Center for Interdisciplinary Research on AIDS and R25 REIDS HIV Training Programs, School of Public Health, Yale University, New Haven, Connecticut, USA. Allison Vorderstrasse, DNSc, MSN, APRN, is Professor and Dean, College of Nursing, University of Massachusetts Amherst, Amherst, MA, USA. Harmony R. Reynolds, MD, is Director, Sarah Ross Soter Center for Women's Cardiovascular Research, Leon H. Charney Division of Cardiology, and Associate Professor, Department of Medicine, NYU School of Medicine, NYU LangoneHealth, New York, New York, USA.

出版信息

J Assoc Nurses AIDS Care. 2021;32(5):536-547. doi: 10.1097/JNC.0000000000000230.

Abstract

Cardiovascular disease (CVD) is the leading cause of death in the United States, accounting for 900,000 deaths annually. People living with HIV are at a higher risk of developing CVD. We conducted a scoping review guided by the Joanna Briggs Institute Manual for Evidence Synthesis. In July 2020, six databases were searched: PubMed, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Web of Science, Embase, and The Cochrane Central Register of Controlled Trials, as well as reference lists of relevant studies and key journals. Our review identified 18 studies that addressed nonpharmacological behavioral interventions into the following: physical activity (n = 6), weight loss (n = 2), dietary interventions (n = 1), and multicomponent interventions (n = 9). In the past 10 years, there has been an increased emphasis on nonpharmacological behavioral approaches, including the incorporation of multicomponent interventions, to reduce cardiovascular risk in people living with HIV. The extant literature is limited by underrepresentation of geographic regions and populations that disproportionately experience CVD.

摘要

心血管疾病(CVD)是美国的主要死因,每年导致 90 万人死亡。感染艾滋病毒的人患 CVD 的风险更高。我们按照乔安娜·布里格斯研究所证据综合手册进行了范围审查。2020 年 7 月,我们检索了六个数据库:PubMed、护理与健康相关文献累积索引、PsycINFO、Web of Science、Embase 和考科兰临床试验中心注册,以及相关研究和主要期刊的参考文献列表。我们的综述确定了 18 项研究,这些研究涉及非药物行为干预,包括:身体活动(n = 6)、减肥(n = 2)、饮食干预(n = 1)和多组分干预(n = 9)。在过去的 10 年中,人们越来越重视非药物行为方法,包括采用多组分干预,以降低艾滋病毒感染者的心血管风险。现有文献的局限性在于代表性不足,没有包括那些不成比例地经历 CVD 的地理区域和人群。

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