50岁及以上感染艾滋病毒的西班牙裔人群多维衰弱相关因素：一项横断面研究。
Factors Related to Multidimensional Frailty Among Hispanic People Living With HIV Aged 50 Years and Above: A Cross-sectional Study.
作者信息
Iriarte Evelyn, Cianelli Rosina, De Santis Joseph P, Alamian Arsham, Castro Jose Guillermo, Matsuda Yui, Araya Alejandra-Ximena
机构信息
Evelyn Iriarte, PhD, MSN, RN, is an Adjunct Instructor at the Pontificia Universidad Catolica de Chile School of Nursing, Santiago, Chile, and is a Postdoctoral Researcher at the University of Colorado College of Nursing, Aurora, Colorado, USA. Rosina Cianelli, PhD, MPH, RN, IBCLC, FAAN, is a Professor of Nursing at the University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA. Joseph P. De Santis, PhD, ARNP, ACRN, FAAN, is an Associate Professor of Nursing at the University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA. Arsham Alamian, PhD, MSc, FACE, FRSPH, is an Associate Professor of Nursing at the University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA. Jose Guillermo Castro, MD, is a physician from the Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, Florida, USA. Yui Matsuda, PhD, PHNA-BC, MPH, RN, is an Assistant Professor at the University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA. Alejandra-Ximena Araya, PhD, RN, is a Professor of Nursing at the Universidad Andres Bello, Santiago, Chile.
出版信息
J Assoc Nurses AIDS Care. 2023;34(3):259-269. doi: 10.1097/JNC.0000000000000398. Epub 2023 Mar 14.
Among Hispanics, frailty has been extensively studied as a physical syndrome associated with an increased risk for adverse outcomes. Because of additional barriers to accessing care, the impact of frailty may be even more significant for people living with HIV (PLWH). Multidimensional frailty among Hispanic PLWH has not been studied. This study aimed to examine the factors related to multidimensional frailty among Hispanic PLWH aged 50 years and above. A cross-sectional design with 120 participants was used. Hypothesized factors related to multidimensional frailty were sociodemographic and psychosocial variables. Multidimensional frailty was measured with the Tilburg Frailty Indicator. We found that 45.83% of the participants were frail ( n = 55), and multidimensional frailty was significantly associated with higher depressive symptoms ( b = .26, p < .001) and a higher number of comorbidities ( b = .71, p < .001). This study identified factors that clinicians should be aware of when caring for Hispanic PLWH to prevent or manage frailty-related complications.
在西班牙裔人群中，衰弱作为一种与不良结局风险增加相关的身体综合征已得到广泛研究。由于获得医疗服务存在额外障碍，衰弱对艾滋病毒感染者（PLWH）的影响可能更为显著。西班牙裔PLWH的多维衰弱情况尚未得到研究。本研究旨在探讨50岁及以上西班牙裔PLWH中与多维衰弱相关的因素。采用了包含120名参与者的横断面设计。与多维衰弱相关的假设因素为社会人口学和心理社会变量。使用蒂尔堡衰弱指标来测量多维衰弱。我们发现45.83%的参与者存在衰弱（n = 55），多维衰弱与更高的抑郁症状（b = 0.26，p < 0.001）和更多的合并症数量（b = 0.71，p < 0.001）显著相关。本研究确定了临床医生在照料西班牙裔PLWH以预防或管理与衰弱相关并发症时应注意的因素。
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