创伤知情的 HIV 护理干预：走向整体方法。
Trauma-Informed HIV Care Interventions: Towards a Holistic Approach.
机构信息
Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Discovery I, 435C, Columbia, SC, 29208, USA.
South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
出版信息
Curr HIV/AIDS Rep. 2022 Jun;19(3):177-183. doi: 10.1007/s11904-022-00603-3. Epub 2022 Mar 30.
Abstract
PURPOSE OF REVIEW
The prevalence of trauma is higher among people living with HIV compared to the general population and people living without HIV. Trauma may be a major barrier in attaining HIV treatment outcomes, such as linkage to HIV care, engagement in HIV care, adherence to antiretroviral therapy (ART), and viral suppression. The purpose of this review was to highlight trauma-informed interventions that are geared towards improving treatment outcomes among people living with HIV.
RECENT FINDINGS
Recent studies suggest that a trauma-informed approach to developing interventions may help to improve treatment outcomes, such as engagement in care and adherence to ART. However, studies have also shown that depending on the operationalization of usual care, a trauma-informed approach may result in similar outcomes. Very few studies have examined the impact of trauma-informed interventions on HIV care and treatment outcomes. Additional research is needed on the acceptability, feasibility, and efficacy of trauma-informed interventions among affected populations such as older adults, and racial/ethnic and sexual minorities living with HIV.
摘要
综述目的：与一般人群和未感染 HIV 的人群相比，HIV 感染者的创伤发生率更高。创伤可能是影响 HIV 治疗结局的一个主要障碍，例如与 HIV 护理的衔接、参与 HIV 护理、接受抗逆转录病毒治疗（ART）和病毒抑制。本综述的目的是强调针对 HIV 感染者改善治疗结局的以创伤为中心的干预措施。
最新发现：最近的研究表明，采用以创伤为中心的方法制定干预措施可能有助于改善治疗结局，如护理参与和 ART 依从性。然而，研究也表明，根据常规护理的实施情况，以创伤为中心的方法可能会产生类似的结果。很少有研究探讨以创伤为中心的干预措施对 HIV 护理和治疗结局的影响。需要针对受影响人群（如老年人以及感染 HIV 的种族/民族和性少数群体）开展更多关于以创伤为中心的干预措施的可接受性、可行性和疗效的研究。
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