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韩国医疗保健机构咨询项目对艾滋病毒感染者的情况及影响

The Story and Implications of the Korean Health Care Facility Counseling Project on People Living with HIV.

作者信息

Choi Jae-Phil, Lee Jung-Hui, An Jong Mi, Kim Jihyun, Won Nari, Choi Young Hwa

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.

Division of Infectious Diseases, Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea.

出版信息

Infect Chemother. 2023 Jun;55(2):167-178. doi: 10.3947/ic.2023.0024. Epub 2023 May 18.

Abstract

In 2005, the Korea Disease Control and Prevention Agency (KDCA) launched "Health Care Facility Counseling Project on People Living with human immunodeficiency virus (HIV)" funded by the private-subsidy project for the prevention of acquired immune deficiency syndrome (AIDS) and sexually transmitted diseases to provide people living with HIV (PLWH) psychological support and counsel them about the disease and antiretroviral therapy (ART). Currently, 38 counseling nurse specialists work at 28 healthcare facilities for patient care. Of all PLWH in Korea, 71.9% received benefits from the Counseling Project. Adherence to ART medication (>95.0%), level of depression or anxiety, counseling coverage, and viral load status were monitored as common project indicators. Various specialized programs have been implemented in diverse facilities. This project has played a pivotal role in HIV care continuum and viral suppression policies, resulting in 95.9% of PLWH maintaining undetectable status (<40 copies/ml) in 2021. In this review, we present the chronology and fulfillment of this project, which will be an essential step for future planning in the context of aging and the chronic comorbid nature of HIV/AIDS.

摘要

2005年,韩国疾病控制与预防机构(KDCA)启动了“针对人类免疫缺陷病毒(HIV)感染者的医疗保健机构咨询项目”,该项目由预防后天免疫缺乏综合症(AIDS)和性传播疾病的私人补贴项目资助,旨在为HIV感染者(PLWH)提供心理支持,并就疾病和抗逆转录病毒疗法(ART)为他们提供咨询。目前,38名咨询护士专家在28家医疗保健机构工作,负责患者护理。在韩国所有的PLWH中,71.9%受益于该咨询项目。作为常见的项目指标,对ART药物的依从性(>95.0%)、抑郁或焦虑程度、咨询覆盖率以及病毒载量状态进行了监测。不同的机构实施了各种专门项目。该项目在HIV护理连续过程和病毒抑制政策中发挥了关键作用,使得2021年95.9%的PLWH保持病毒载量不可检测状态(<40拷贝/毫升)。在本综述中,我们介绍了该项目的历程和成果,这将是在老龄化背景以及HIV/AIDS慢性合并症性质下未来规划的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9a/10323534/c69a2278bce1/ic-55-167-g001.jpg

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