老年艾滋病毒感染者神经认知障碍的概述

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Proceedings of Singapore Healthcare Pub Date : 2023-02-24 DOI:10.1177/20101058231160605
Rachel QM Ng, KF Yip, YE Teh
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引用次数: 2

摘要

随着艾滋病毒感染者(PLHIV)存活率的提高,许多人面临着与年龄相关的合并症和老年综合征。神经认知障碍是影响PLHIV患者生活质量的三种最常见的情况之一,尽管病毒得到了抑制。医疗保健提供者在早期识别神经认知障碍、进行全面评估和管理老年hiv方面面临挑战。本文旨在回顾有关老年PLHIV发生神经认知障碍的病因和管理方面的现有证据,提出改进当前管理的建议,并设想未来的研究方向。从2021年9月到2022年8月,使用与PLHIV神经认知障碍相关的关键词组合,对PubMed的原始文章和临床指南进行了搜索。对所有入选文章的引用进行了审查,以进行进一步的研究。老年PLHIV感染者往往比未感染的感染者更脆弱,患有多种疾病,认知障碍的风险更高。神经认知障碍的病因是多因素、多维度和复杂的。老年hiv患者神经认知功能障碍的管理包括识别和优化易感因素、身体功能、社会和心理健康以及适当的护理导航。通过利益相关者之间的跨学科合作来识别和管理老年PLHIV患者的神经认知障碍是很重要的。这体现了对老年艾滋病毒感染者的综合护理模式,并促进了生活在病毒抑制之外的概念。
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An overview of neurocognitive impairment in older people living with HIV
With improved survival among People Living with HIV (PLHIV), many are confronted with age associated comorbidities and geriatric syndromes. Neurocognitive impairment is one of the three most frequent conditions that affects quality of life of PLHIV despite achieving viral suppression. Healthcare providers face challenges in early identification of neurocognitive impairment, performing comprehensive assessment and managing older PLHIV. This paper aims to review available evidence regarding aetiology and management of older PLHIV who develop neurocognitive impairment, suggest improvements on current management and postulate future study direction. A PubMed search for original articles and Clinical Guidelines was conducted from September 2021 to August 2022 using a combination of keywords related to neurocognitive impairment in PLHIV. The citations from all selected articles were reviewed for additional studies. Older PLHIV tend to be frailer than their uninfected counterparts, are plagued with multi-morbidity and are at increased risk of cognitive impairment. The aetiologies for neurocognitive impairment are multifactorial, multi-dimensional and complex. The management of neurocognitive impairment in older PLHIV involves identifying and optimizing predisposing factors, physical function, social and psychological health with appropriate care navigation. Identification and management of neurocognitive impairment in older PLHIV through interdisciplinary collaboration among stakeholders is important. This exemplifies an integrated model of care for older PLHIV and promotes the notion of living well beyond viral suppression.
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来源期刊
Proceedings of Singapore Healthcare
Proceedings of Singapore Healthcare MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
42
审稿时长
15 weeks
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