Plach Sandra K, Stevens Patricia E, Keigher Sharon
University of Wisconsin, Froedtert Hospital, Milwaukee, Wisconsin, USA.
West J Nurs Res. 2005 Aug;27(5):534-53; comment 554-8. doi: 10.1177/0193945905275973.
The purpose of this report is to describe the ways older women living with HIV perceive of and practice self-care. Data are taken from a culturally diverse subsample of 9 women age 50 years or older who participated in a larger longitudinal qualitative study of women who were HIV infected. During a period of 2 years, 10 semistructured narrative interviews were conducted with each of the 9 participants to gain an in-depth understanding of their experiences with symptom management, adherence to medical regimens, reduction of HIV risk, access to health care and social services, and personal efforts to maintain their health. Transcribed data were managed using Nvivo software and analyzed using multistaged narrative analysis. Findings suggest that mature women living with HIV integrate actions to maintain bodily comfort and improve physical well-being with actions that champion and conserve the existential self. Excerpts from their interviews illustrate this dialectical understanding of self-care.
本报告旨在描述感染艾滋病毒的老年女性对自我护理的认知和实践方式。数据取自9名年龄在50岁及以上的女性组成的文化多元子样本，她们参与了一项针对感染艾滋病毒女性的更大规模的纵向定性研究。在2年的时间里，对这9名参与者每人进行了10次半结构化叙述访谈，以深入了解她们在症状管理、坚持医疗方案、降低艾滋病毒风险、获得医疗保健和社会服务以及保持健康的个人努力等方面的经历。转录的数据使用Nvivo软件进行管理，并采用多阶段叙述分析进行分析。研究结果表明，感染艾滋病毒的成熟女性将维持身体舒适和改善身体健康的行动与维护和保护生存自我的行动结合起来。她们访谈的节选内容说明了这种对自我护理的辩证理解。
