感染艾滋病毒的老年护理人员认知能力下降的风险因素：一个新出现的假说。
Risk Factors of Cognitive Decline in Older Caregivers With HIV: An Emerging Hypothesis.
作者信息
Vance David E, Lee Yookyong, Batey D Scott, Puga Frank, Clay Olivio J, Byun Jun Y, Long Alexis R, Rafford Meghan, Xiao Chunhong, Fazeli Pariya L
机构信息
David E. Vance, PhD, MGS, is a Professor, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. Yookyong Lee, PhD, MSW, is an Associate Professor, Department of Social Work, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, Alabama, USA. D. Scott Batey, PhD, MSW, is an Associate Professor, Department of Social Work, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, Alabama, USA. Frank Puga, PhD, is an Assistant Professor, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. Olivio J. Clay, PhD, is an Associate Professor, Department of Psychology, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, Alabama, USA. Jun Y. Byun, MSN, RN, is a PhD Student, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. Alexis Long, BSN, RN, is a PhD Student, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. Meghan Rafford, MSN, RN, is a PhD Student, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. Chunhong Xiao, BSN, RN, is a PhD Student, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. Pariya L. Fazeli, PhD, is an Associate Professor, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
出版信息
J Assoc Nurses AIDS Care. 2022;33(6):676-681. doi: 10.1097/JNC.0000000000000349. Epub 2022 Jun 14.
People with HIV (PWH) are living longer and healthier lives; thanks to combination antiretroviral therapy. As many PWH age, they find themselves providing care to family members and friends, just as their counterparts without HIV. The literature indicates that becoming a caregiver creates conditions that compromise one's cognitive function. Additionally, nearly 45% of all PWH experience HIV-associated neurocognitive disorder and are already vulnerable to cognitive impairment due to HIV, aging, and accompanying health conditions, and lifestyle factors. Given what is known, we assert that caregivers with HIV, especially as they age, are at additional risk for developing cognitive impairments. The purpose of this commentary was to briefly examine the juxtaposition between cognitive vulnerability of caregiving and the cognitive vulnerability of aging with HIV. Potential factors contributing to impaired cognition include stress, lack of social support, stigma, lifestyle, and comorbidities. Implications for clinical practice and research are provided.
由于联合抗逆转录病毒疗法，感染艾滋病毒的人（PWH）寿命更长，生活更健康。随着许多感染艾滋病毒的人年龄增长，他们发现自己像未感染艾滋病毒的同龄人一样，在为家人和朋友提供照顾。文献表明，成为照顾者会创造出损害认知功能的条件。此外，所有感染艾滋病毒的人中有近45%患有与艾滋病毒相关的神经认知障碍，并且由于艾滋病毒、衰老、伴随的健康状况和生活方式因素，他们已经容易出现认知障碍。鉴于已知情况，我们断言感染艾滋病毒的照顾者，尤其是随着年龄增长，出现认知障碍的风险更高。本评论的目的是简要探讨照顾带来的认知易损性与感染艾滋病毒后的衰老认知易损性之间的并列关系。导致认知受损的潜在因素包括压力、缺乏社会支持、耻辱感、生活方式和合并症。还提供了对临床实践和研究的启示。
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