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首页> 外文期刊>Journal of Patient Experience >The Patient–Provider Continuum of Care: Narratives of People Living With Comorbid HIV and Diabetes in Northern Thailand
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The Patient–Provider Continuum of Care: Narratives of People Living With Comorbid HIV and Diabetes in Northern Thailand

机译：患者 - 提供者连续性护理：与泰国北部的合并艾滋病毒和糖尿病患者的人民叙述

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摘要

Background: Among South-East Asia Region countries, Thailand has a high prevalence of HIV with an increasing significant comorbidity of diabetes mellitus (DM). Objective: Guided by syndemics, the purpose of this qualitative study is to develop insight into the experience of patients living with comorbid HIV and DM in Northern Thailand for quality improvement. Methods: Interviews were conducted in 2 groups for content analysis: (1) people living with comorbid HIV and DM and (2) health-care staff providing care to patients living with the comorbidity. Results: Participants’ (N ? 12) ages ranged from 42 to 56 (mean ? 49). Health staff (N ? 12) generated complementary narratives. All participants reported onset of diabetes after discovering they were HIV infected. Content analysis revealed emergent themes regarding (1) knowledge and perceptions and (2) management framed by syndemics and chronicity. Conclusion: Findings suggest routine training for patient education and provider integration of care. Macrosocial factors such as limited access and resources and biological factor such as drug interactions are noted as key considerations for future interventions and alterations in the care for patients with comorbid HIV and DM.
机译：背景：东南亚地区国家，泰国对艾滋病毒的患病率很高，随着糖尿病（DM）的增加而增加。目的：由合作社指导，这种定性研究的目的是开发洞察泰国北北部患者患者患者的经验，以获得质量改进。方法：采访2组进行内容分析：（1）与合并艾滋病毒和DM和（2）卫生保健人员一起生活，为患有合并症的患者提供护理。结果：参与者（n？12）年龄从42到56（平均值？49）。卫生工作人员（N？12）生成的补充叙述。在发现它们被感染后，所有参与者都报告了糖尿病发作。内容分析揭示了关于（1）知识和认知的紧急主题和（2）管理由合作和慢性蔓延的管理。结论：调查结果表明患者教育和提供者融合的常规培训。诸如有限的获取和资源和生物因素等宏观社会因素，例如药物相互作用被认为是未来干预措施的关键考虑因素，并在治疗艾滋病病毒症和DM患者的护理中的改变。

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