Myers Ted, Worthington Catherine, Aguinaldo Jeffrey P, Haubrich Dennis J, Ryder Karen, Rawson Brian
HIV Social, Behavioural and Epidemiological Studies Unit, Faculty of Medicine, University of Toronto, Ontario, Toronto, Canada.
AIDS Care. 2007 Sep;19(8):1013-9. doi: 10.1080/09540120701294260.
The provision of a positive HIV antibody test result and the direction and support given to the test recipient are critical components of care and prevention. There has been little research that describes what happens in such interactions between recipient and provider. The impact on the test provider of delivering the HIV test result is an important issue to consider. The discomfort experienced by some health providers in giving a positive test result may have adverse effects on the client interaction or may carry over into subsequent client interactions. Utilizing a thematic analysis on interview data from 24 HIV test providers, we describe the impact of delivering a positive test result on HIV test providers, identify the factors that influence this impact, and describe strategies used to manage the impact. As with other health care professionals communicating "bad news,"HIV test providers experience a variety of impacts. While a small number of providers indicated little or no impact of delivering the HIV positive test result because the diagnosis is ''not the end of the world,'' most indicated it was difficult as it was anticipated that the test recipient would (or did) find the news distressing. Several coping strategies were identified.
提供阳性的HIV抗体检测结果以及为检测接受者提供指导和支持是护理与预防工作的关键组成部分。几乎没有研究描述过接受者与提供者之间的这种互动中会发生什么。传达HIV检测结果对检测提供者的影响是一个需要考虑的重要问题。一些医疗服务提供者在给出阳性检测结果时所经历的不适可能会对与客户的互动产生不利影响，或者可能延续到后续与客户的互动中。通过对24名HIV检测提供者的访谈数据进行主题分析，我们描述了传达阳性检测结果对HIV检测提供者的影响，确定了影响这种影响的因素，并描述了用于应对这种影响的策略。与其他传达“坏消息”的医疗保健专业人员一样，HIV检测提供者会经历各种影响。虽然少数提供者表示传达HIV阳性检测结果几乎没有或没有影响，因为诊断“并非世界末日”，但大多数人表示这很困难，因为预计检测接受者会（或确实）觉得这个消息令人痛苦。我们确定了几种应对策略。
