卫生工作者对数据管理做法的看法,这些做法有助于向纳米比亚霍马斯地区的人类免疫缺陷病毒感染者提供与心血管疾病相关的综合预防保健服务:一项定性研究

R. Mahalie, Penehafo Angula, K. H. Mitonga, O. Oladimeji
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引用次数: 0

摘要

心血管疾病(cvd)和过时的危险因素是人类免疫缺陷病毒(PLHIV)感染者日益增加的慢性合并症,导致心血管预后不良。纳米比亚的卫生系统在筛查客户开始抗逆转录病毒治疗(ART)时没有充分应对这一问题,无法确定风险因素。尽管努力确保将心血管疾病数据管理整合到现有的抗逆转录病毒治疗平台中,但不完整的疾病监测和记录保存仍然是数据管理人员的突出缺点。因此,提出关于人类免疫缺陷病毒(HIV)与心血管疾病之间关系的切实证据是一项挑战。本研究旨在确定卫生保健工作者对数据管理实践的看法,这些实践有助于为艾滋病毒感染者提供与心血管疾病相关的综合预防保健服务。采用现象学研究设计的定性方法,结合施特劳斯和科尔宾的扎根理论方法。有目的地选择并采访了13名关键线人。数据逐字转录,输出到ATLAS。并通过生成主题、引用和网络进行分析。确定了目标卫生设施中与心血管疾病及其在艾滋病毒背景下的风险因素有关的数据管理做法的五个主题。它们包括监测心血管疾病风险因素的暴露;衡量这些风险的健康结果;风险因素数据的处理,以及如何将数据用于应对艾滋病毒感染者心血管疾病的决策。
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Perception of health workers on the data management practices useful for providing integrated cardiovascular disease (CVD)-related preventive care services to people living with human immunodeficiency virus (PLHIV) in Khomas Region, Namibia: A qualitative study
Cardiovascular diseases (CVDs) and outdated risk factors are some of the increasing chronic comorbidities for people living with human immunodeficiency virus (PLHIV), leading to poor cardiovascular outcomes. Health systems in Namibia are not responding adequately to this problem by identifying risk factors when screening clients for antiretroviral therapy (ART) initiation. Despite effortsto ensure integration of CVDs data management into existing ART platforms, incomplete disease surveillance and record-keeping remain prominent drawbacks for data managers. Hence the challenge to produce tangible evidence on relationships between human immunodeficiency virus (HIV) and cardiovascular diseases.This study aimed to determine perceptions of healthcare workers regarding data management practices useful in integrated CVD-related preventive care services to PLHIV.A qualitative approach with phenomenological study design incorporating Strauss and Corbin’s grounded theory approach was implemented. Thirteen key informants were purposively selected and interviewed. Data was transcribed verbatim, exported to ATLAS.ti and analysed by generating themes,quotes and networks. Five themes related to data management practices regarding CVDs and its risk factors in the context of HIV at targeted health facilities have been identified. They include monitoring exposure to CVDs risk factors; measuring health outcomes of those risks; handling of risk factors data, and how to use data for decision making in response to CVDs among PLHIV.
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